scholarly journals Inequalities in self rated health in the 1958 birth cohort: lifetime social circumstances or social mobility?

BMJ ◽  
1996 ◽  
Vol 313 (7055) ◽  
pp. 449-453 ◽  
Author(s):  
C. Power ◽  
S. Matthews ◽  
O. Manor
2021 ◽  
Vol 6 ◽  
Author(s):  
Olga Zelinska ◽  
Alexi Gugushvili ◽  
Grzegorz Bulczak

Recently there has been a surge of interest in the consequences of intergenerational social mobility on individuals’ health and wellbeing outcomes. However, studies on the effects of social mobility on health, using high-quality panel survey data, have almost exclusively been conducted in Western welfare democracies. To account for this gap, and using empirical data from one of the largest and most eventful post-communist countries, Poland, in this study we investigate how individuals’ origin and destination socio-economic position and social mobility are linked to self-rated health and reported psychological wellbeing. We use the Polish Panel Survey (POLPAN) data to construct self-rated health and psychological wellbeing measures, origin, destination and occupational class mobility variables, and account for an extensive set of sociodemographic determinants of health. We employ diagonal reference models to distinguish social mobility effects from origin and destination effects, and account for possible health selection mechanisms. Our results suggest that there is an occupational class gradient in health in Poland and that both parental and own occupational class matter for individual health outcomes. We also find a positive reported psychological wellbeing effect for upward social mobility from the working to the professional class.


2021 ◽  
Author(s):  
Patrick Präg ◽  
Nina-Sophie Fritsch ◽  
Lindsay Richards

Social theory has long predicted that social mobility, in particular downward social mobility, is detrimental to the wellbeing of individuals. Dissociative and ‘falling from grace’ theories suggest that mobility is stressful due to the weakening of social ties, feelings of alienation, and loss of status. In light of these theories, it is a puzzle that the majority of quantitative studies in this area have shown null results. Our approach to resolve the puzzle is twofold. First, we argue for a broader conception of the mobility process than is often used and thus focus on intragenerational occupational class mobility rather than restricting ourselves to the more commonly studied intergenerational mobility. Second, we argue that self-reported measures may be biased by habituation (or ‘entrenched deprivation’). Using nurse-collected health and biomarker data from the UK Household Longitudinal Study (UKHLS, 2010–12, N = 4,123), we derive a measure of allostatic load as an objective gauge of physiological ‘wear and tear,’ and compare patterns of mobility effects with self-reports of health using diagonal reference models. Our findings indicate a strong class gradient in both allostatic load and self-rated health, and that both first and current job matter for current wellbeing outcomes. However, in terms of the effects of mobility itself, we find that intragenerational social mobility is consequential for allostatic load, but not for self-rated health. Downward mobility is detrimental and upward mobility beneficial for wellbeing as assessed by allostatic load. Thus, these findings do not support the idea of generalized stress from dissociation, but they do support the ‘falling from grace’ hypothesis of negative downward mobility effects. Our findings have a further implication, namely that the differences in mobility effects between the objective and subjective outcome infer the presence of entrenched deprivation. Null results in studies of self-rated outcomes may therefore be a methodological artifact, rather than an outright rejection of decades-old social theory.


2019 ◽  
Vol 5 ◽  
pp. 237802311985548
Author(s):  
Patrick Präg

Research on the consequences of social mobility usually draws on information about categorical origin and destination variables as well as an outcome variable. The author shows an example of a heatmap created in Stata to visualize the relationship between social mobility and poor self-rated health in Germany and discusses the advantages of this heatmap approach to other visualization approaches.


2018 ◽  
Author(s):  
Patrick Präg

Research on the consequences of social mobility usually draws on information about categorical origin and destination variables as well as an outcome variable. The author shows an example of a heatmap created in Stata to visualize the relationship between social mobility and poor self-rated health in Germany and discusses the advantages of this heatmap approach to other visualization approaches.


2020 ◽  
Author(s):  
Patrick Präg ◽  
Alexi Gugushvili

Occupational class and health are closely linked, however the health consequences of intergenerational social class mobility have not yet been systematically explored. A long tradition of research on individuals’ class mobility and health reports mixed or no effects, however cross-national differences have rarely been tested comprehensively. Further, recent studies show that intergenerational social class mobility at the societal level is beneficial for population health. Using representative survey data from 30 European countries (N = 159,591), we present the first study to investigate the role that intergenerational class mobility both at the individual and societal level play for self-rated health. We find that, apart from four post-communist countries, neither downward nor upward mobility is significantly and systematically related to poor self-rated health. There is also no association between societal-level social mobility and the prevalence of poor self-rated health across the 30 societies. Results are robust to alternative specifications and suggest that individuals’ own social class and partially their parents’ social class are primary explanations of health rather than their mobility experiences between origins and destinations.


2014 ◽  
Vol 55 (1) ◽  
pp. 164-183 ◽  
Author(s):  
Jukka Savolainen ◽  
Mikko Aaltonen ◽  
Marko Merikukka ◽  
Reija Paananen ◽  
Mika Gissler

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