scholarly journals Subjective social mobility and health: Mind over matter?

2020 ◽  
Author(s):  
Patrick Präg ◽  
Alexi Gugushvili
Keyword(s):  
Health Outcomes ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Occupational Status ◽  
Cross Sectional ◽  
Health And Wellbeing ◽  
Subjective Perceptions ◽  
Status Mobility ◽  
The Life Course ◽  
Subjective Appraisals

One’s current socioeconomic position is intimately tied to one’s health status. Further, childhood living conditions also exert lasting effects on the health of adults. However, studies on changes in one’s socioeconomic position over the life course rarely find important effects of social mobility for individual health and wellbeing. Such studies always draw on objective measures of social mobility and do not consider subjective appraisals of social mobility by individuals themselves. Using cross-sectional, representative German survey data, we explore the question as to how subjective perceptions as opposed to objective accounts of occupational status mobility affect five self-reported health and wellbeing outcomes differently. We show that objective and subjective accounts of social mobility overlap, yet this association is far from perfect. Further, there are relatively small associations between objective and subjective mobility accounts and health outcomes. Associations between subjective mobility perceptions and health outcomes are intriguingly independent of objective social mobility trajectories. Mismatches between objective and subjective mobility are also correlated with some health outcomes. We discuss implications of our finding that social mobility is associated with those aspects of health which are more closely related to psychological wellbeing rather than physical health.

Associations of fibrinogen and C-reactive protein with prevalent and incident coronary heart disease are attenuated by adjustment for confounding factors

2005 ◽  
Vol 93 (05) ◽  
pp. 955-963 ◽  
Author(s):  
George Smith ◽  
Ann Rumley ◽  
Gordon Lowe ◽  
Shah Ebrahim ◽  
Debbie Lawlor
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
Life Course ◽  
Socioeconomic Position ◽  
Cumulative Effect ◽  
Positive Association ◽  
Confounding Factors ◽  
Cross Sectional ◽  
Reactive Protein ◽  
The Life Course

SummaryA cross sectional and prospective analysis of 3,745 British women aged 60–79 years at baseline was undertaken. Among these women there were 570 prevalent cases of coronary heart disease (CHD) and 151 new cases among 12,641 person-years of follow up of women who were free of CHD at baseline. Both fibrinogen and CRP were associated with indicators of socioeconomic position in childhood and adulthood and there was a cumulative effect of socioeconomic position from across the life course. The age-adjusted odds ratio (95% confidence interval) of prevalent CHD for a 1 unit (1 g/L) increase in fibrinogen was 1.29 (1.12, 1.49); with full adjustment for all potential confounding factors this attenuated to 1.09 (0.93, 1.28). The hazards ratio for incident CHD among those free of disease at baseline was 1.28 (1.00, 1.64); with full adjustment for all potential confounding factors this attenuated to 1.09 (0.84, 1.44). Similar effects of adjustment for confounding factors were seen for the associations between CRP and both prevalent and incident CHD. By contrast, the strong positive association between smoking (an established causal risk factor for CHD) and CHD was not attenuated by adjustment for life course socioeconomic position or other risk factors. We conclude that fibrinogen and CRP predict CHD but may not be causally related to it.

scholarly journals Why Are Inequalities in Disability-Free Life Expectancy by Socioeconomic Position Widening?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 640-640
Author(s):  
Carol Jagger
Keyword(s):  
Life Expectancy ◽  
Life Course ◽  
Socioeconomic Position ◽  
Occupational Status ◽  
Late Life ◽  
Healthy Life ◽  
Disability Free Life Expectancy ◽  
Life Education ◽  
The Uk ◽  
The Life Course

Abstract Life expectancy has increased over previous decades, but several countries are seeing widening inequalities in disability-free life expectancy (DFLE) by socioeconomic position (SEP). In this symposium we address three unanswered questions.1. Do DFLE trends differ for SEP groups, and which of the underlying transitions (incidence, recovery, death when disability-free, death when already disabled) explains the differences?2. Do DFLE trends by SEP depend on when in the life-course SEP is measured (early life - education, mid-life - occupational status or late-life - material disadvantage)?3. How much does multi-morbidity contribute to differing trends in DFLE by SEP, since multi-morbidity is more prevalent in low SEP groups? To answer these questions, we use unique longitudinal studies of older people across different generations in two countries: the UK (Cognitive Function and Ageing Studies – CFAS I and II) and Australia (Household, Income and Labour Dynamics in Australia – HILDA). The first presentation sets the scene with findings from a systematic review of worldwide trends in life and healthy life expectancy by SEP. Presentations two and three examine the first question using DFLE at age65 by SEP defined by late-life disadvantage in CFAS (1991-2011), followed by HILDA (2001-2017). The fourth presentation investigates the effect of different life-course measures of SEP using HILDA. The final presentation from CFAS examines the third question. This symposium increases our understanding of how and why inequalities in DFLE by SEP are changing with the goal of achieving healthy ageing for all.

scholarly journals OCCUPATIONAL AND INCOME INTERGENERATIONAL MOBILITY IN BRAZIL BETWEEN THE 1990s AND 2000s

2017 ◽  
Vol 7 (1) ◽  
pp. 157-185 ◽  
Author(s):  
Carlos Antonio Costa Ribeiro
Keyword(s):  
Social Mobility ◽  
Intergenerational Mobility ◽  
Occupational Status ◽  
The Other ◽  
Income Mobility ◽  
Historical Trends ◽  
Age Cohorts ◽  
Intergenerational Income Mobility ◽  
Status Mobility ◽  
Sociological Approaches

Abstract This article presents the historical trends in intergenerational income mobility in Brazil between the 1990s and 2000s, based on an analysis of two age cohorts. The findings indicate a significant increase in social mobility. A second objective is to compare economic and sociological approaches to intergenerational mobility, utilizing trends in income mobility and occupational status mobility for this purpose. While the former rose substantially, the latter increased much more modestly. Finally, the article analyses the relation between intergenerational mobility in education and the other two types of mobility. Breaking down income and occupational mobilities into those factors that directly link parents to children (pure inheritance) and other factors mediated by education (mediated inheritance) reveals significantly different results for income and occupation.

scholarly journals Intergenerational social mobility and allostatic load in Great Britain

2018 ◽  
Vol 73 (2) ◽  
pp. 100-105 ◽  
Author(s):  
Patrick Präg ◽  
Lindsay Richards
Keyword(s):  
Blood Pressure ◽  
Social Class ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Allostatic Load ◽  
Density Lipoprotein ◽  
Equal Weight ◽  
Occupational Class ◽  
Cross Sectional ◽  
The Relationship

BackgroundIntergenerational social mobility is hypothesised to be a stressful process that has a negative effect on health. By examining the relationship between own socioeconomic position, parental socioeconomic position and allostatic load (AL) in a representative sample of the British population, we test this hypothesis.MethodsOur study uses cross-sectional data from 9851 adult participants of waves 2 and 3 of Understanding Society. The relationship between parental occupational class at age 14 years, respondents’ social class at the time of the interview and AL is explored by means of diagonal reference models, which allow us to disentangle the effects of parental social class, own social class and the mobility process. The AL score comprises the following biomarkers: (1) total cholesterol, (2) high-density lipoprotein cholesterol, (3) triglycerides, (4) glycated haemoglobin, (5) C-reactive protein, (6) fibrinogen, (7) systolic blood pressure, (8) diastolic blood pressure, (9) resting heart rate, (10) body mass index and (11) waist circumference.ResultsAL is particularly high among the stable working class and low among the stable upper class. On average, current class and origin class exert about equal weight on current AL. However, social mobility—regardless of whether upwards or downwards—is not detrimental for AL. Furthermore, we find evidence that class of origin may be less important among those outside the labour market for reasons other than retirement.ConclusionBoth own social class and parental social class influence AL to a similar extent. However, we find no evidence that mobility trajectories exert any effects, good or bad, on AL.

scholarly journals Intergenerational Social Mobility and Allostatic Load in Great Britain

2018 ◽  
Author(s):  
Patrick Präg ◽  
Lindsay Richards
Keyword(s):  
Blood Pressure ◽  
Social Class ◽  
Social Mobility ◽  
Socioeconomic Position ◽  
Allostatic Load ◽  
Hdl Cholesterol ◽  
Equal Weight ◽  
Occupational Class ◽  
Cross Sectional ◽  
The Relationship

Background: Intergenerational social mobility is hypothesized to be a stressful process that has a negative effect on health. By examining the relationship between own socioeconomic position, parental socioeconomic position, and allostatic load in a representative sample of the British population, we test this hypothesis.Methods: Our study uses cross-sectional data from 9,851 adult participants of waves 2 and 3 of Understanding Society. The relationship between parental occupational class at age 14, respondents’ social class at the time of the interview, and allostatic load (AL) is explored by means of diagonal reference models (DRM), which allow us to disentangle the effects of parental social class, own social class, and the mobility process. The AL score comprises the biomarkers 1) total cholesterol, 2) HDL cholesterol, 3) triglycerides, 4) glycated haemoglobin, 5) C-reactive protein, 6) fibrinogen, 7) systolic blood pressure, 8) diastolic blood pressure, 9) resting heart rate, 10) BMI, and 11) waist circumference.Results: AL is particularly high among the stable working class and low among the stable upper class. On average, current class and origin class exert about equal weight on current AL. However, social mobility—regardless of whether upwards or downwards—is not detrimental for AL. Further, we find evidence that class of origin may be less important among those outside the labor market for reasons other than retirement.Conclusion: Both own social class and parental social class influence AL to a similar extent. However, we find no evidence that mobility trajectories exert any effects, good or bad, on allostatic load.

Quantifying empathy levels among UK undergraduate medical students: an online survey

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711293
Author(s):  
Sarah Garnett ◽  
Hajira Dambha-Miller ◽  
Beth Stuart
Keyword(s):  
Medical Students ◽  
Health Outcomes ◽  
Medical School ◽  
Curriculum Design ◽  
Online Survey ◽  
Mental Wellbeing ◽  
Reactivity Index ◽  
Free Text ◽  
Undergraduate Medical Students ◽  
Cross Sectional

BackgroundEmpathy is a key health care concept and refers to care that incorporates understanding of patient perspective’s, shared decision making, and consideration of the broader context in which illness is experience. Evidence suggests experiences of doctor empathy correlate with improved health outcomes and patient satisfaction. It has also been linked to job satisfaction, and mental wellbeing for doctors. To date, there is a paucity of evidence on empathy levels among medical students. This is critical to understand given that it is a key point at which perceptions and practices of empathy in the longer term might be formed.AimTo quantify the level of empathy among UK undergraduate medical studentsMethodAn anonymised cross-sectional online survey was distributed to medical students across three universities. The previously validated Davis’s Interpersonal Reactivity Index was used to quantify empathy. The survey also collected information on age, sex, ethnicity, year of medical school training and included a free-text box for ‘any other comments’.ResultsData analysis is currently underway with high response rates. Mean empathy scores by age, sex, year of study and ethnic group are presented. A correlation analysis will examine associations between age and year of study, and mean empathy sores.ConclusionThese data will help to provide a better understanding of empathy levels to inform the provision of future empathy training and medical school curriculum design. Given previous evidence linking experiences of empathy to better health outcomes, the findings may also be significant to future patient care

scholarly journals The impact of health literacy on health outcomes in individuals with chronic pain: a cross-sectional study

Physiotherapy ◽  
2019 ◽  
Vol 105 (3) ◽  
pp. 346-353
Author(s):  
Laura M. Mackey ◽  
Catherine Blake ◽  
Maire-Brid Casey ◽  
Camillus K. Power ◽  
Ray Victory ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Health Literacy ◽  
Health Outcomes ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

scholarly journals Working conditions and health status of 6,317 front line public health workers across five provinces in China during the COVID-19 epidemic: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jinghua Li ◽  
Jingdong Xu ◽  
Huan Zhou ◽  
Hua You ◽  
Xiaohui Wang ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Working Conditions ◽  
Health Workers ◽  
Front Line ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Public Health Workers

ABSTRACT Background Public health workers at the Chinese Centre for Disease Control and Prevention (China CDC) and primary health care institutes (PHIs) were among the main workers who implemented prevention, control, and containment measures. However, their efforts and health status have not been well documented. We aimed to investigate the working conditions and health status of front line public health workers in China during the COVID-19 epidemic. Methods Between 18 February and 1 March 2020, we conducted an online cross-sectional survey of 2,313 CDC workers and 4,004 PHI workers in five provinces across China experiencing different scales of COVID-19 epidemic. We surveyed all participants about their work conditions, roles, burdens, perceptions, mental health, and self-rated health using a self-constructed questionnaire and standardised measurements (i.e., Patient Health Questionnaire and General Anxiety Disorder scale). To examine the independent associations between working conditions and health outcomes, we used multivariate regression models controlling for potential confounders. Results The prevalence of depression, anxiety, and poor self-rated health was 21.3, 19.0, and 9.8%, respectively, among public health workers (27.1, 20.6, and 15.0% among CDC workers and 17.5, 17.9, and 6.8% among PHI workers). The majority (71.6%) made immense efforts in both field and non-field work. Nearly 20.0% have worked all night for more than 3 days, and 45.3% had worked throughout the Chinese New Year holiday. Three risk factors and two protective factors were found to be independently associated with all three health outcomes in our final multivariate models: working all night for >3 days (multivariate odds ratio [ORm]=1.67~1.75, p<0.001), concerns about infection at work (ORm=1.46~1.89, p<0.001), perceived troubles at work (ORm=1.10~1.28, p<0.001), initiating COVID-19 prevention work after January 23 (ORm=0.78~0.82, p=0.002~0.008), and ability to persist for > 1 month at the current work intensity (ORm=0.44~0.55, p<0.001). Conclusions Chinese public health workers made immense efforts and personal sacrifices to control the COVID-19 epidemic and faced the risk of mental health problems. Efforts are needed to improve the working conditions and health status of public health workers and thus maintain their morale and effectiveness during the fight against COVID-19.

Social inequality in parent–infant relations: Epidemiological study of community nurse records

2021 ◽  
pp. 140349482098313
Author(s):  
Bjørn E. Holstein ◽  
Sofie Weber Pant ◽  
Janni Ammitzbøll ◽  
Trine Pagh Pedersen
Keyword(s):  
Community Sample ◽  
Occupational Status ◽  
Home Visits ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Immigrant Parents ◽  
First Year ◽  
Cross Sectional ◽  
Parents And Children ◽  
First Year Of Life

Background: Some studies suggest that favourable socioeconomic circumstances are associated with better parent–child relations but the documentation of such an association is limited and inconsistent. Few studies focused on infancy, few studies relied on objective measurement of parent–infant relations, and few studies included more than one measurement of parent–infant relations in the first year of life. Aims: To report the prevalence of objectively measured problems in parent–infant relations during the first year of life and to examine the association between socioeconomic circumstances and parent–infant relations in an unselected community sample of infants. Methods: Cross-sectional study of a community sample of children from birth to 10 months in 15 municipalities in Denmark, n = 11,765. The exposure variables were population register data about socioeconomic circumstances: (a) parents’ education, (b) family composition, (c) parents’ origin, and (d) parents’ occupational status. The outcome variable was the health visitor’s concerns about the parent–infant relation assessed at four home visits from birth to 10 months after delivery. Results: The proportion of children with concerns about the parent–infant relation was 10.5%, 7.8% at one home visit and 2.8% at two or more home visits. Logistic regression analyses showed that all four indicators of socioeconomic circumstances were associated with concerns about the parent–infant relation in the first year of life. Conclusions: The risk of problematic parent–infant relations were significantly elevated among, children of immigrant parents, and children of parents with shorter education and not in education or work.

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