scholarly journals Socioeconomic status, well-being and mortality: a comprehensive life course analysis of panel data, Germany, 1984-2016

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Diego Montano

Abstract Background This study seeks to explore potential causal mechanisms involved in the observed associations between several socioeconomic status (SES) indicators, well-being and mortality, by taking a life course perspective focusing on (i) the trajectory of income and domain-specific well-being indicators, (ii) the influence of different SES indicators on well-being and mortality, (iii) the interactions between those trajectories, and (iv) the associations of the income and domain-specific well-being trajectories with all-cause mortality. Methods Socioeconomic status is operationalised by net household income, education, employment and marital status. Well-being is measured with two indicators: life satisfaction and satisfaction with health. Data from the German Socio-Economic Panel, collected between 1984 and 2016 and comprising more than 55,000 individuals, are analysed by means of longitudinal k-means cluster analysis, simultaneous equation systems and parametric time-to-death regressions. Results The analyses indicate the presence of large reciprocal effects of the trajectories of income and well-being on each other. However, the results suggest that well-being has a larger influence on income than the opposite, namely, income on well-being. The mortality analysis, on the other hand, revealed that the history of satisfaction with health is a much stronger predictor of longevity than the individual’s income history. Mortality risk was found lower among married individuals and those with tertiary education. In contrast, unemployment was associated with lower income and well-being levels. The findings provide support to the notion that education is a superior SES indicator than income in the investigation of the social determinants of well-being and mortality. Conclusion The present study provides evidence of large reciprocal effects of income and well-being and emphasises the importance of taking a life course approach in the investigation of the social determinants of health. Several SES indicators and both well-being indicators were found to be highly predictive of all-cause mortality and indicate the presence of cumulative effects related to one’s income and well-being trajectories.

2011 ◽  
Vol 6 (3) ◽  
pp. 194-210 ◽  
Author(s):  
Daphne C. Watkins

Rarely are within-group differences among African American men explored in the context of mental health and well-being. Though current conceptual and empirical studies on depression among African American men exists, these studies do not offer a framework that considers how this disorder manifests over the adult life course for African American men. The purpose of this article is to examine the use of an adult life course perspective in understanding the complexity of depression for African American men. The proposed framework underscores six social determinants of depression (socioeconomic status, stressors, racial and masculine identity, kinship and social support, self-esteem and mastery, and access to quality health care) to initiate dialogue about the risk and protective factors that initiate, prolong, and exacerbate depression for African American men. The framework presented here is meant to stimulate discussion about the social determinants that influence depression for African American men to and through adulthood. Implications for the utility and applicability of the framework for researchers and health professionals who work with African American men are discussed.


Sleep, along with the sleep-related behaviors that impact sleep quality, have emerged as one of the major determinants of health and well-being (alongside good diet, regular exercise, and not smoking). In turn research is beginning to identify that sleep is strongly socially patterned—by socioeconomic status, race/ethnicity, immigrant status, stage of the life course, work experiences, stress, and neighborhood contexts. Yet no textbook currently exists that brings together the accumulated evidence on the social epidemiology of sleep. This book is targeted toward (a) social epidemiologists who wish to study sleep as a health outcome, (b) sleep epidemiologists who want to learn about the social determinants of sleep, and (c) other scholars working in the intersection between sleep health, social epidemiology, and health disparities. The textbook begins with an introduction of social epidemiology and sleep epidemiology, that is, a brief overview of the social epidemiology of sleep as well as the methods of assessment in sleep epidemiology and their validity, the descriptive epidemiology of sleep, and some basic biology of sleep. Part II focuses on what is known about the basic descriptive epidemiology of sleep, including consideration of sleep across the life span and among special populations. Each chapter of the remaining sections of the book (Part III) covers the major social determinants of sleep (socioeconomic status, immigration status, neighborhood contexts, etc.) from the accumulated research as well as research needs/opportunities as they relate to that social dimension of health.


2021 ◽  
Vol 25 (1_part_4) ◽  
pp. 2156759X2110400
Author(s):  
James L. Moore ◽  
Erik M. Hines ◽  
Paul C. Harris

The sense of urgency for addressing the concerns of males of color cannot be overstated. The reality of racial discrimination and trauma is present for males of color in urban, suburban, and rural settings and regardless of their socioeconomic status. Such oppressive conditions in education, criminal justice, health, and employment, for example, wreak havoc on their overall well-being and advancement in society. Until the systems constraining the progress of males of color are addressed through substantive policy and practice, the social, economic, and educational struggles will persist. This special issue presents 19 theoretical, qualitative, and quantitative articles focusing specifically on the experiences of males of color in educational settings and the importance of school counselors in helping them to thrive.


2017 ◽  
Vol 1 (2) ◽  
pp. 89-103 ◽  
Author(s):  
M. Daniel Bennett

This article reviews relevant literature and proposes a theoretically grounded conceptual model by which to inform, and potentially advance, the exploratory study of the effects of neighborhood disorder on the psychosocial, emotional, and cultural pathways that are thought to influence social and developmental outcomes for African American youth and young adults. Similar to the social determinants of health model which asserts that the distribution of social and economic resources across populations influences differences in health status, the proposed model posits that environment determines social and developmental outcomes and hence life-course trajectories.


Author(s):  
Margareta Sjöblom ◽  
Lars Jacobsson ◽  
Kerstin Öhrling ◽  
Catrine Kostenius

Summary A life-course perspective is according to the World Health Organization about increasing the effectiveness of health promotion interventions at all ages. This targets the needs of human beings throughout their life. Descriptions of the phenomenon of the inner child invite the possibility that it may be of help when promoting health throughout the life-course. The aim was to describe and understand schoolchildren’s, adults and older person’s experiences of childhood in connection to health and well-being in the present and through the life-course, illuminating the inner child. The research strategy used was a secondary analysis of the original transcribed data from three Swedish studies investigating new questions. In total, 53 individuals aged 9–91, 20 school children, 20 adults and 13 older persons were interviewed about childhood experiences. The schoolchildren were invited to create a drawing, and to narrate about it during the interview. The main question in the secondary analysis was ‘How do the participants’ narrations about childhood experiences illuminate the inner child, useful for health promotion through the life-course?’ The findings showed the importance of a secure atmosphere and trusting relationships, indicating that experiences during childhood can help us to adapt and pass along life lessons across generations. There were narratives about play as an activity where they learned to promote a healthy childhood, struggle for independence and learning how to be responsible when growing up. Dimensions of mental, social and existential well-being can be seen as examples of the inner child’s role in health promotion through the life-course.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Saharnaz Nedjat ◽  
Ramin Mehrdad ◽  
Masud Yunesian ◽  
Hamidreza Pouragha ◽  
Vali Biagi ◽  
...  

Abstract Background In this study, the association between the social determinants of health (SDH) as well as other health risk factors and outcomes will be evaluated at different socioeconomic layers. Methods/design This is a prospective cohort study that was launched in January 2018 on Tehran University of Medical Sciences’ employees. The initial enrolment phase will continue up to March 2021, or until a sample size of 5500 is reached. In addition to annual phone-calls, the participants will be followed thrice at 5-year intervals. Data are collected through blood and urine samples, complete physical examination, anthropometric evaluation, and the completion of questionnaires related to SDH, such as socioeconomic status and social capital, history of diseases, lifestyle (including, nutrition, physical activity, cigarette and hookah smoking), occupational exposures (including psychosocial factors at work and work-family conflicts), and different aspects of physical, mental and occupational health as health outcomes. The association between independent variables and health (objective or subjective) are examined using multiple models and by controlling the confounding effects. Moreover, the trend in lifestyle changes and its impact on health are evaluated. Discussion Our study will explore the key social determinants as well as other factors including socioeconomic status and social capital, history of diseases, lifestyle and occupational exposures that affect health. This will provide social and occupational health decision-makers and stakeholders with new and valuable evidence in an era in which we are witnessing huge changes in lifestyle.


2019 ◽  
Vol 31 (4) ◽  
Author(s):  
Liina Mansukoski ◽  
William Johnson ◽  
Katherine Brooke‐Wavell ◽  
J. Andres Galvez‐Sobral ◽  
Luis Furlan ◽  
...  

1979 ◽  
Vol 2 (1) ◽  
pp. 1-21 ◽  
Author(s):  
Glen H. Elder ◽  
Richard C. Rockwell

A life-course perspective is applied to the study of human development in ecological context. Three meanings of age (developmental, social, and historical) represent key elements of this perspective and depict lives in terms of aging, career, and historical setting. Age locates people in history (by birth year) and in the social structure. The neglect of such temporal distinctions in problem formulation has consequences in studies of status differences and psychological states, of careers and work satisfaction, of children's socioeconomic environment and the family economy, and of life change and stress. Alternative questions based on the life-course facilitate explanatory assessments of the relation between environmental and personal change.


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