1
|
Shi S, Chen YC, Gugushvili A, Yip PSF. Intergenerational Educational Mobility and Cognitive Trajectories Among Middle-Aged and Older Chinese People: An Application of Growth Mixture and Mobility Contrast Models in Longitudinal Analysis. J Gerontol B Psychol Sci Soc Sci 2024; 79:gbae125. [PMID: 39028553 DOI: 10.1093/geronb/gbae125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Indexed: 07/20/2024] Open
Abstract
OBJECTIVES Due to statistical challenges in disentangling the mobility effect (i.e., intergenerational educational mobility) from the position effect (i.e., parental and person's own education), the impact of intergenerational educational mobility on cognitive function remains unclear. We employed a novel approach to identify the mobility effect and investigate the net impact of intergenerational educational mobility on heterogeneous patterns of cognition among middle-aged and older adults in China. METHODS Participants aged 45 and older were recruited from the China Health and Retirement Longitudinal Study, a population-based prospective cohort study between 2011 and 2018. We identified cognitive trajectories using the growth mixture model (GMM) and subsequently employed the mobility contrast model (MCM) to examine the effects of intergenerational educational mobility on cognitive patterns stratified by gender. RESULTS Almost two thirds of respondents experienced intergenerational educational mobility, and 55% experienced upward mobility. Men had a higher rate of upward mobility than women. Three population-based cognitive patterns were identified: the low cognitive function with decline group (28%), the moderate cognitive function group (47%), and the high cognitive function group (26%). MCM analysis revealed that both upward and downward intergenerational educational mobility negatively affected cognitive trajectory patterns, extending beyond the influence of individuals' current and parental education. DISCUSSION In future research, the impact of mobility can be studied in longitudinal data sets by combining the GMM and MCM approaches. The net negative effect of intergenerational educational mobility on cognitive trajectory patterns indicates that it should be recognized as an independent predictor of cognitive decline.
Collapse
Affiliation(s)
- Songyun Shi
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
| | - Yu-Chih Chen
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
- Social Policy Institute, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo, Oslo, Norway
| | - Paul S F Yip
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China
- Hong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, China
| |
Collapse
|
2
|
Gugushvili A, Präg P. Russia's invasion of Ukraine and perceived intergenerational mobility in Europe. THE BRITISH JOURNAL OF SOCIOLOGY 2024. [PMID: 39020504 DOI: 10.1111/1468-4446.13135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Revised: 06/11/2024] [Accepted: 07/08/2024] [Indexed: 07/19/2024]
Abstract
In this study, we shed light on the social consequences the Russian invasion of Ukraine in 2022 has had in other European countries. We argue that positive perceptions of one's intergenerational mobility are linked with political and economic stability and that the war can thus be expected to impact intergenerational mobility perceptions. We test our pre-registered hypothesis with representative survey data from three European countries, the United Kingdom, Germany, and Sweden, which were significantly affected by the ongoing war. Our results show that individuals' war-related concerns in all countries are divided into proximal and distal concerns. In turn, proximal concerns go along with greater perceived downward and less perceived upward mobility in the United Kingdom and Germany. We interpret these findings by calling for expanding the horizons of intergenerational mobility research by incorporating areas of life other than socio-economic position.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo, Oslo, Norway
| | - Patrick Präg
- Center for Research in Economics and Statistics (CREST), ENSAE, Institut Polytechnique de Paris, Palaiseau, France
| |
Collapse
|
3
|
Tran MH, van Zwieten A, Kiely KM, Blyth FM, Naganathan V, Le Couteur DG, Handelsman DJ, Seibel MJ, Waite LM, Cumming RG, Khalatbari-Soltani S. Intra-generational social mobility and mortality among older men in the Concord Health and Ageing in Men Project: A cohort study. SSM Popul Health 2024; 25:101581. [PMID: 38264197 PMCID: PMC10803938 DOI: 10.1016/j.ssmph.2023.101581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 10/16/2023] [Accepted: 12/06/2023] [Indexed: 01/25/2024] Open
Abstract
Objectives We examined associations between intra-generational social mobility (reflected in life-course socioeconomic trajectories) and mortality, among older men. Methods Data came from a prospective Australian community-based cohort of older men. Social mobility was defined by socioeconomic indicators from three points in the life-course: educational attainment (late adolescence-early adulthood), occupation (mid-life), and current sources of income (older age). We defined indicators of social mobility trajectory (6 categories; reflecting the direction of social mobility) and social mobility status (2 categories; mobile or non-mobile). We used Cox regression to examine associations with mortality, adjusting for age, country of birth, and living arrangement. Results We followed 1568 men (mean age 76.8, SD 5.4) for a mean duration of 9.1 years, with 797 deaths recorded. Moving upward was the predominant social mobility trajectory (36.0%), followed by mixed trajectories (25.1%), downward (15.1%), stable low (12.2%), stable high (7.6%), and stable middle (4.0%). Men with downward (Hazard ratio 1.58, 95% CI 1.13 to 2.19) and stable low socioeconomic trajectories (1.77, 1.25 to 2.50) had higher mortality risks than men with stable high socioeconomic trajectories, while men with upward trajectories had similar risks to those with stable high trajectories. 76.2% of the participants were classified as having mobile status; no associations were evident between binary social mobility status and mortality. Discussions These findings suggest cumulative and persistent exposure to disadvantaged socioeconomic conditions across the life-course, rather than social mobility, is associated with increased mortality. For each stage of the life-course, addressing socioeconomic disadvantage may reduce inequities in mortality.
Collapse
Affiliation(s)
- Minh-Hoang Tran
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
- NTT Hi-Tech Institute, Nguyen Tat Thanh University, HCMC, Viet Nam
| | - Anita van Zwieten
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
- Centre for Kidney Research, Children's Hospital at Westmead, Westmead, NSW, Australia
| | - Kim M. Kiely
- Ageing Futures Institute, University of New South Wales (UNSW), Sydney, (NSW), Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, NSW, Australia
- School of Health and Society and School of Mathematics and Applied Statistics, University of Wollongong, Wollongong, (NSW), Australia
| | - Fiona M. Blyth
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, NSW, Australia
| | - Vasi Naganathan
- Concord Clinical School, Faculty of Medicine and Health, University of Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia
- Ageing and Alzheimer's Institute, Concord Repatriation and General Hospital, Sydney Local Health District, Concord, New South Wales, Australia
| | - David G. Le Couteur
- Concord Clinical School, Faculty of Medicine and Health, University of Sydney, NSW, Australia
| | - David J. Handelsman
- ANZAC Research Institute, University of Sydney and Concord Hospital, Sydney, Australia
| | - Markus J. Seibel
- ANZAC Research Institute, University of Sydney and Concord Hospital, Sydney, Australia
| | - Louise M. Waite
- Concord Clinical School, Faculty of Medicine and Health, University of Sydney, NSW, Australia
- Centre for Education and Research on Ageing, Faculty of Medicine and Health, University of Sydney, New South Wales, Australia
- Ageing and Alzheimer's Institute, Concord Repatriation and General Hospital, Sydney Local Health District, Concord, New South Wales, Australia
| | - Robert G. Cumming
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
| | - Saman Khalatbari-Soltani
- School of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia
- ARC Centre of Excellence in Population Ageing Research (CEPAR), University of Sydney, Sydney, NSW, Australia
| |
Collapse
|
4
|
Meza E, Hebert J, Garcia ME, Torres JM, Glymour MM, Vable AM. First-generation college graduates have similar depressive symptoms in midlife as multi-generational college graduates. SSM Popul Health 2024; 25:101633. [PMID: 38434443 PMCID: PMC10905036 DOI: 10.1016/j.ssmph.2024.101633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 02/15/2024] [Accepted: 02/15/2024] [Indexed: 03/05/2024] Open
Abstract
Purpose Higher education may protect an individual against depressive symptoms, yet, disadvantaged socioeconomic status (SES) during childhood, often measured by lower parental education, may put them at higher risk for depressive symptoms later in life. This study evaluates if midlife depression is similar for first-generation and multi-generation college graduates. Methods For US Health and Retirement Study (HRS) participants ages 55-63 (N = 16,752), we defined a 4-category exposure from parents' (highest of mother or father's) and participant's own years of education, with 16 years indicating college completion: multi-gen (both ≥ 16 years: reference); first-gen (parents <16; own ≥ 16); only parent(s) (parents ≥ 16; own <16); and neither (both <16) college graduates across three birth cohorts. We used linear regressions to evaluate relationships between college completion and depressive symptoms measured by an 8-item Center for Epidemiologic Studies - Depression (CES-D) scale. Models pooled over time evaluated differences by sex, race/ethnicity, and birthplace. Results First-gen and multi-gen college graduates averaged similar depressive symptoms in midlife (β : 0.01; 95% CI: 0.15, 0.13). Results were similar by sex and race/ethnicity. Conclusion Consistent with resource substitution theory, college completion may offset the deleterious effects of lower parental education on midlife depressive symptoms for first-generation graduates.
Collapse
Affiliation(s)
- Erika Meza
- Department of Epidemiology and Biostatistics University of California, San Francisco, 550 16th St 2nd Floor, San Francisco, CA, 94158, USA
- Center for Population and Development Studies Harvard University, 9 Bow St. Cambridge, MA 02138, USA
| | - Jillian Hebert
- Department of Family and Community Medicine University of California, San Francisco, 995 Potrero Ave, San Francisco, CA, 94110, USA
| | - Maria E. Garcia
- Department of Epidemiology and Biostatistics University of California, San Francisco, 550 16th St 2nd Floor, San Francisco, CA, 94158, USA
- Division of General Internal Medicine, University of California, San Francisco, 1701 Divisadero St, San Francisco, CA, 94115, USA
| | - Jacqueline M. Torres
- Department of Epidemiology and Biostatistics University of California, San Francisco, 550 16th St 2nd Floor, San Francisco, CA, 94158, USA
| | - M. Maria Glymour
- Department of Epidemiology, Boston University School of Public Health, 715 Albany St, Boston, MA, USA
| | - Anusha M. Vable
- Department of Family and Community Medicine University of California, San Francisco, 995 Potrero Ave, San Francisco, CA, 94110, USA
| |
Collapse
|
5
|
Xiang Y, Cao R, Li X. Parental education level and adolescent depression: A multi-country meta-analysis. J Affect Disord 2024; 347:645-655. [PMID: 38008290 DOI: 10.1016/j.jad.2023.11.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 10/11/2023] [Accepted: 11/20/2023] [Indexed: 11/28/2023]
Abstract
Adolescent depression, as a common problem, has always been the focus of attention and research. However, no consistent conclusion has been drawn on its relationship with parental education level. Therefore, this study used meta-analysis and dose-response analysis techniques to explore the overall relationship between the two, and further explore the moderating factors affecting the relationship between the two through subgroup analysis and meta-regression analysis. After a literature search and screening, a total of 22 literatures were included, including 634,821 adolescents aged 9-25, distributed in 10 countries. The results showed that: (1) Overall parental education level was negatively correlated with adolescent depressive symptoms (RR = 0.88. p < 0.001), and there was a dose-response relationship between the two. (2) Geographical location (p = 0.002 < 0.05) and national economic development (p = 0.03 < 0.05) significantly moderated and affected the association between parental education level and adolescent depression, thus presenting a global inconsistency. The results of this study provide a more accurate conclusion on the relationship between parental education and adolescent depression to some extent, highlight the importance and necessity of considering family, economic and cultural factors when studying and solving adolescent depression problems, and guide us to pay more attention to the cross-regional and cross-cultural differences in adolescent depression problems.
Collapse
Affiliation(s)
- Yanhui Xiang
- Teacher Education College, Hunan City University, China; Cognition and Human Behavior Key Laboratory of Hunan and Department of Psychology, Hunan Normal University, Changsha, China.
| | - Rong Cao
- Cognition and Human Behavior Key Laboratory of Hunan and Department of Psychology, Hunan Normal University, Changsha, China
| | - Xiaojun Li
- Tao Xingzhi Research Institute, Nanjing Xiaozhuang University, Nanjing, China.
| |
Collapse
|
6
|
Gugushvili A. The heterogeneous well-being effects of intergenerational mobility perceptions. J Health Psychol 2024; 29:99-112. [PMID: 37466150 DOI: 10.1177/13591053231187345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/20/2023] Open
Abstract
Individuals make comparisons with their parents which determine their intergenerational mobility perceptions, yet very little is known about the areas used for intergenerational comparison and whether these matter for individuals' well-being. In 2021 we commissioned a nationally representative survey in Georgia in which we explicitly asked 1159 individuals an open-ended question on the most important areas in their intergenerational comparisons. More than 170 types of answers were provided by respondents and many of these responses went beyond the standard indicators of intergenerational mobility. We show that the areas of intergenerational comparison significantly differ between those who perceive themselves as being downwardly and upwardly mobile or immobile using the measure of mobility previously validated in cross-national research. Using, among other statistical approaches, treatment effects estimators, we demonstrate that some areas of intergenerational comparison, particularly in terms of income attainment, are significantly and consistently associated with internationally validated measures of well-being.
Collapse
|
7
|
Vanzella-Yang A, Veenstra G. Social mobility and mental health in Canada. CANADIAN JOURNAL OF PUBLIC HEALTH = REVUE CANADIENNE DE SANTE PUBLIQUE 2024; 115:148-156. [PMID: 37801229 PMCID: PMC10868561 DOI: 10.17269/s41997-023-00818-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 09/15/2023] [Indexed: 10/07/2023]
Abstract
OBJECTIVES To investigate whether intergenerational mobility in education and income are associated with levels of psychological distress in Canada, a context in which rates of intergenerational mobility are higher than those of the United States but lower than those of Nordic countries. METHODS The data came from the Longitudinal and International Study of Adults (LISA) linked to tax records from the Canada Revenue Agency (N = 4100). Diagonal reference models were used to investigate whether educational mobility and income mobility were associated with levels of psychological distress in adulthood as assessed by the Kessler (K-10) scale. The models controlled for sociodemographic characteristics and were stratified by gender. RESULTS Although we did not find that mobility in general was associated with greater levels of psychological distress, we found that downward educational mobility in particular corresponded to higher levels of psychological distress (b = 0.15 with 95% CI = 0.00, 0.31) among men. CONCLUSION Overall, we found no strong evidence that social mobility in general is impactful for levels of psychological distress, but downward educational mobility in particular may have negative consequences for the mental health of men. In addition, a notable gradient between income and psychological distress in adulthood was observed for both women and men.
Collapse
Affiliation(s)
- Adam Vanzella-Yang
- School of Public Health and Sainte-Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada.
| | - Gerry Veenstra
- Department of Sociology, University of British Columbia, Vancouver, BC, Canada
| |
Collapse
|
8
|
Gugushvili A, Jarosz E. A longitudinal study of perceived social position and health-related quality of life. Soc Sci Med 2024; 340:116446. [PMID: 38042026 DOI: 10.1016/j.socscimed.2023.116446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2023] [Revised: 11/12/2023] [Accepted: 11/18/2023] [Indexed: 12/04/2023]
Abstract
BACKGROUND A large body of evidence suggests that there is a social gradient in the association between perceived social position and various health outcomes. Yet only a fraction of this research uses longitudinal data, and these studies usually rely on two data points in time, consider a single health outcome measure, overlook non-linear effects of perceived social position, and come almost exclusively from the Western welfare democracies. METHODS Using data for 1921 individuals from three waves (2008, 2013, 2018) of the Polish Panel Survey (POLPAN), we fit between- and within-individuals hybrid-effects models with cluster-robust standard errors to investigate the association between one's perceived social position (self-placement on a socioeconomic hierarchy scale varying 1 to 10) and subsequent health-related quality of life (HRQoL) measured using the Nottingham Health Profile (NHP) and its six components. RESULTS We find that the association between perceived social position and health-related quality of life is larger when estimated between individuals than within individuals, yet in fixed- and hybrid-effects models perceived social position remains significantly and negatively linked with both the aggregated NHP measure as well as with its components such as emotional reaction, physical abilities, sleep, and social isolation. We also identify that starting to perceive oneself at the lower end of the social hierarchy is associated with a deteriorating health-related quality of life but a change at the top of the perceived social hierarchy is not linked with an improvement in NHP scores. CONCLUSIONS We provide new evidence on the significant and non-linear links between perceived social position and health-related quality of life and highlight possible pathways linking these two aspects of individuals' lives.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo, Norway.
| | - Ewa Jarosz
- Faculty of Economic Sciences, University of Warsaw, Poland
| |
Collapse
|
9
|
Islam S, Jaffee SR. Social mobility and mental health: A systematic review and meta-analysis. Soc Sci Med 2024; 340:116340. [PMID: 38006845 DOI: 10.1016/j.socscimed.2023.116340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 09/05/2023] [Accepted: 10/12/2023] [Indexed: 11/27/2023]
Abstract
Socioeconomic status (SES) is a robust correlate of mental health, and emerging research indicates that life course trajectories of SES (i.e., social mobility) may be more predictive for health outcomes than point-in-time SES assessments. This paper presents five primary meta-analyses to determine how mental health differs between social mobility groups. We conducted a systematic review of PsycINFO, Web of Science, and PubMed for studies of social mobility and mental health. We used random-effects multilevel meta-analyses to compare mental health problems between individuals who experienced upward mobility, downward mobility, stable high SES, and stable low SES. We included data from 21 studies and 157,763 unique participants yielding 105 effect sizes. Upwardly mobile participants experienced more mental health problems than stable high SES participants (d = 0.11), fewer mental health problems than stable low SES participants (d = -0.24), and fewer mental health problems than downwardly mobile participants (d = -0.17). Downwardly mobile individuals experienced more mental health problems than stable high SES participants (d = 0.26) and fewer mental health problems than stable low SES participants (d = -0.10). Subgroup analyses revealed that the magnitude of effects did not differ by continent of study, type of generational mobility (intergenerational vs. intragenerational), or SES indicator. Meta-regressions with continuous moderators (age, gender, race, study quality) were also non-significant. Taken together, these results indicate that both upwardly and downwardly mobile individuals experience more mental health problems than those who are persistently advantaged, and they both experience fewer mental health problems than those who are persistently disadvantaged. Our findings suggest that while current SES has a stronger association with adult mental health than childhood SES, it is important to also consider the impact of early life and prior generation SES to account for lingering effects of early disadvantage.
Collapse
Affiliation(s)
- Samiha Islam
- Department of Psychology, University of Pennsylvania, 425 S. University Ave, Philadelphia, PA, USA.
| | - Sara R Jaffee
- Department of Psychology, University of Pennsylvania, 425 S. University Ave, Philadelphia, PA, USA.
| |
Collapse
|
10
|
Bulczak G, Gugushvili A. Physical attractiveness and cardiometabolic risk. Am J Hum Biol 2023; 35:e23895. [PMID: 36932650 DOI: 10.1002/ajhb.23895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 01/03/2023] [Accepted: 03/01/2023] [Indexed: 03/19/2023] Open
Abstract
OBJECTIVES There is only limited evidence suggesting that physical attractiveness and individuals' actual health are causally linked. Past studies demonstrate that characteristics related to physical attractiveness are more likely to be present in healthy individuals, including those with better cardiovascular and metabolic health, yet many of these studies do not account for individuals' initial health and socioeconomic characteristics, which are related to both physical attractiveness and later life health. METHODS We use panel survey data from the National Longitudinal Study of Adolescent to Adult Health in the United States to examine the relationship between interviewer-rated in-person physical attractiveness and actual cardiometabolic risk (CMR) based on a set of relevant biomarkers: LDL cholesterol, glucose mg/dL, C-reactive protein, systolic and diastolic blood pressure, and resting heart rate. RESULTS We identify a robust relationship between individuals' physical attractiveness and 10-year follow up actual health measured by the levels of CMR. Individuals of above-average attractiveness appear to be noticeably healthier than those who are described as having average attractiveness. We find that individuals' gender and race/ethnicity do not have a major effect on the described relationship. The link between physical attractiveness and health is affected by interviewers' main demographic characteristics. We carefully address the possibility of confounders affecting our results including sociodemographic and socioeconomic characteristics, cognitive and personality traits, initial health problems and BMI. CONCLUSION Our findings are largely in line with the evolutionary perspective which assumes that physical attractiveness is linked to individuals' biological health. Being perceived as physically attractive might also imply, among other aspects, high levels of satisfaction with life, self-confidence and ease of finding intimate partners, all of which can positively affect individuals' health.
Collapse
Affiliation(s)
- Grzegorz Bulczak
- Faculty of Management, Gdynia Maritime University, Gdynia, Poland
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
| | - Alexi Gugushvili
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
- Department of Sociology and Human Geography, Harriet Holters hus, University of Oslo, Oslo, Norway
| |
Collapse
|
11
|
Kim Y, Lee Y. Economic development, intergenerational mobility, and health in South Korea. ECONOMICS AND HUMAN BIOLOGY 2023; 50:101260. [PMID: 37276699 DOI: 10.1016/j.ehb.2023.101260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 04/03/2023] [Accepted: 05/16/2023] [Indexed: 06/07/2023]
Abstract
A growing number of studies reported the association between social mobility and health. However, few studies investigated whether the association varies by age group. Drawing on the economic environment that facilitated social mobility in South Korea, we postulate each age group had a different extent of social mobility, which would vary with the extent of economic growth and affect the association between social mobility and health. We used data from KDI National Happiness Survey 2018 and measured perceived mobility using respondents' perceived social position and their parents' social position. We examined whether social mobility was associated with self-rated health and psychological well-being. The upwardly mobile individuals were more likely than the stable ones to report 'happy'. Such a positive association between upward mobility and happiness was consistently found when the sample was restricted to the ages 30-59 and 40-49. For self-rated health, the downwardly mobile individuals were less likely to report good health. However, no significant difference in self-rated health was found after the youngest and oldest age groups were excluded. We found that perceived social mobility was strongly associated with psychological well-being rather than self-rated health. Moreover, we found a stronger association between upward mobility and happiness among the aged 40-49, who had the largest proportion of upwardly mobile individuals and spent their adolescence during rapid economic growth. The findings underscore the importance of the economic and social context in which individuals perceive their social position and shape their well-being.
Collapse
Affiliation(s)
- Yonsu Kim
- University of Nevada Las Vegas, 4700 S. Maryland Pkwy, Las Vegas, NV 89119, United States.
| | - Yongsoo Lee
- Korea Development Institute, 263 Namsejong-ro, Sejong-si 30149, Republic of Korea
| |
Collapse
|
12
|
Miranda G, Bernabé E, Delgado-Angulo EK. Is social origin, destination or mobility what matters to adult self-rated oral health? Community Dent Oral Epidemiol 2023; 51:211-218. [PMID: 35084747 DOI: 10.1111/cdoe.12728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 01/12/2022] [Accepted: 01/13/2022] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To evaluate the independent contributions of parental socioeconomic position (SEP), own SEP and social mobility to explain adult self-rated oral health. METHODS Data from 6633 participants in the 1970 British Cohort Study were analysed. Parental SEP at the age of 10 years (social origin) and own SEP at the age of 46 years (social destination) were indicated by the 7-class National Statistics Socioeconomic Classification (NS-SEC). The study outcome was self-rated oral health (SROH) at the age of 46 years. Diagonal reference models (DRMs) were used to parse out the effects of parental SEP, own SEP and intergenerational mobility from childhood to middle adulthood, after adjusting for demographic characteristics (sex, ethnicity, country and area of residence). RESULTS Overall, 23.1% of participants reported poor SROH. A baseline DRM, with no indicators of social mobility, showed that the contribution of own SEP to explain variations in SROH was higher than that of parental SEP. However, they became almost equal after indicators of social mobility were introduced. Downward mobility was associated with poor SROH (odds ratio: 1.24, 95% CI: 1.01-1.51), but upward mobility was not (1.01, 95% CI: 0.83-1.23). Also, short-range downward mobility and long-range downward mobility (moving 1 and 2+ social classes down in NS-SEC, respectively) were associated with poor SROH (1.26, 95% CI: 1.01-1.58 and 1.39, 95% CI: 1.06-1.83, respectively) whilst short-range upward mobility (1.04, 95% CI: 0.84-1.28) and long-range upward mobility (0.88, 95% CI: 0.67-1.14) were not. CONCLUSIONS The contributions of parental and own SEP were similar once social mobility was accounted for. Only downward mobility was associated with poor SROH, with new evidence that long-range mobility was more strongly associated with poor SROH than short-range mobility.
Collapse
Affiliation(s)
- Gabriela Miranda
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Eduardo Bernabé
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
| | - Elsa Karina Delgado-Angulo
- Dental Public Health Group, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK
- Facultad de Estomatología, Universidad Peruana Cayetano Heredia, Lima, Perú
| |
Collapse
|
13
|
Zang E, Sobel ME, Luo L. The mobility effects hypothesis: Methods and applications. SOCIAL SCIENCE RESEARCH 2023; 110:102818. [PMID: 36796994 PMCID: PMC9936082 DOI: 10.1016/j.ssresearch.2022.102818] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 10/20/2022] [Accepted: 10/21/2022] [Indexed: 06/18/2023]
Abstract
We discuss hypotheses researchers have put forth to explain how outcomes of socially mobile and immobile individuals might differ and/or how mobility experiences are related to outcomes of interest. Next, we examine the methodological literature on this topic, culminating in the development of the diagonal mobility model (DMM, also called the diagonal reference model in some studies), the primary tool of use since the 1980's. We then discuss some of the many applications of the DMM. Although the model was proposed to examine the effects of social mobility on outcomes of interest, the estimated relationships between mobility and outcomes that researchers have called mobility effects are more appropriately regarded as partial associations. When mobility is not associated with outcomes, as is often found in empirical work, the outcomes of movers from origin o to destination d are a weighted average of the outcomes of individuals who remained in states o and d respectively, and the weights capture the relative salience of origins and destinations in the acculturation process. In light of this attractive feature of the model, we briefly develop several generalizations of the current DMM that future researchers should also find useful. Finally, we propose new estimands of mobility effects, based on the explicit notion that a unit effect of mobility is a comparison of an individual with herself under two conditions, one in which she is mobile, the other in which she is immobile, and we discuss some of the challenges in identifying such effects.
Collapse
Affiliation(s)
- Emma Zang
- Department of Sociology, Yale University, USA.
| | | | - Liying Luo
- Department of Sociology and Criminology, Pennsylvania State University, USA
| |
Collapse
|
14
|
Dronavalli M, Page A, Sperandei S, Uribe G, Huckel Schneider C, Eastwood J. Determinants and health outcomes of trajectories of social mobility in Australia. SSM Popul Health 2023; 21:101336. [PMID: 36660174 PMCID: PMC9843487 DOI: 10.1016/j.ssmph.2023.101336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 12/07/2022] [Accepted: 01/03/2023] [Indexed: 01/07/2023] Open
Abstract
Objectives To investigate trajectories in socio-economic position (SEP) and the onset of a range of physical and mental health outcomes and commencement of treatment. Methods The Household Income and Labour Dynamics Australia (HILDA) study, a nationally representative prospective cohort study over the period 2001 to 2020 was used to define trajectories of SEP. Trajectories of low, low-middle, upper-middle and high SEP and decreasing (low-middle to upper-middle SEP) or increasing (upper-middle to lower-middle SEP) SEP were identified using k-longitudinal means. Cox-regression was used to assess SEP trajectories and physical (arthritis or osteoporosis, any cancer, asthma, chronic bronchitis or emphysema, Type 1 diabetes, Type 2 diabetes, hypertension or high blood pressure, and coronary heart disease), and mental health (depression or anxiety) outcomes, and treatment commencement. Predictors of SEP trajectories were also investigated using multinomial logistic regression and random forests. Results Decreasing SEP had a higher relative risk of new onset illness than increasing SEP for all health outcomes. Increasing SEP had relative risk estimates that were more consistent with upper-middle income groups and decreasing SEP had a relative risk consistent with lower-middle income groups. In contrast, there was no socio-economic gradient in treatment commencement for physical health outcomes, or depression or anxiety, with the exception of arthritis or osteoporosis. Conclusion Decreasing SEP was associated with poor health outcomes, and increasing SEP with better health outcomes. A range of socio-demographic and psychosocial determinants of SEP trajectories were identified to inform policy responses that could modify trajectories of health inequalities in the Australian context.
Collapse
Affiliation(s)
- Mithilesh Dronavalli
- Translational Health Research Institute, Western Sydney University, Australia,Corresponding author.
| | - Andrew Page
- Translational Health Research Institute, Western Sydney University, Australia
| | - Sandro Sperandei
- Translational Health Research Institute, Western Sydney University, Australia
| | - Gabriela Uribe
- Menzies Centre for Health Policy and Economics, Sydney School of Public Health, University of Sydney, Sydney, Australia
| | - Carmen Huckel Schneider
- Menzies Centre for Health Policy and Economics, Sydney School of Public Health, University of Sydney, Sydney, Australia
| | | |
Collapse
|
15
|
Intergenerational educational trajectories and premature mortality from chronic diseases: A registry population-based study. SSM Popul Health 2022; 20:101282. [DOI: 10.1016/j.ssmph.2022.101282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 10/31/2022] [Accepted: 11/01/2022] [Indexed: 11/06/2022] Open
|
16
|
Hong J, Dembo RS, DaWalt LS, Brilliant M, Berry-Kravis EM, Mailick M. The effect of college degree attainment on neurodegenerative symptoms in genetically at-risk women. SSM Popul Health 2022; 19:101262. [PMID: 36238818 PMCID: PMC9550653 DOI: 10.1016/j.ssmph.2022.101262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 09/28/2022] [Accepted: 10/05/2022] [Indexed: 12/02/2022] Open
Abstract
Using longitudinal data, the present study examined the association between college degree attainment and the manifestation of neurodegenerative symptoms among women (n = 93) at elevated genetic risk. The neurodegenerative symptoms investigated in this study are due to FXTAS (Fragile X-associated Tremor/Ataxia Syndrome), a condition with onset after age 50. Those at risk for FXTAS have a mutation of a single gene found on the X chromosome. FXTAS is characterized by intention tremor, gait ataxia, executive function deficits, memory issues, and neuropathy. College degree attainment has been shown to provide neuroprotective effects in the general population, delaying the development of neurodegenerative conditions such as Alzheimer's disease. For this reason, college degree attainment is a potentially salient resource for those at risk of FXTAS. The results of the present research indicated significantly more severe FXTAS symptoms in women who did not attain a college degree as compared with those who were college graduates, although the two groups were similar in age, genetic risk, household income, health behaviors, and general health problems. Furthermore, symptoms in those who did not attain a college degree worsened over the 9-year study period at a significantly faster rate than the college graduates. The association between college degree attainment and FXTAS symptoms was significantly mediated by depression, which was lower among the graduates than those who did not attain a college degree. Thus, the present research is an example of how a sociodemographic factor can mitigate neurodegenerative conditions in genetically at-risk adults.
Collapse
Affiliation(s)
- Jinkuk Hong
- Waisman Center, University of Wisconsin-Madison, USA,Corresponding author. Waisman Center, 1500 Highland Ave. Room 555, Madison, WI, 53706, USA.
| | | | | | | | | | | |
Collapse
|
17
|
Tarrence J. Is educational mobility harmful for health? SOCIAL SCIENCE RESEARCH 2022; 107:102741. [PMID: 36058605 DOI: 10.1016/j.ssresearch.2022.102741] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/10/2022] [Accepted: 04/17/2022] [Indexed: 06/15/2023]
Abstract
"Mobility effects" research to date provides mixed evidence about the health consequences of social mobility and pays limited attention to race differences in mobility effects. To address this gap in the literature, this study explores the association between downward mobility and upward mobility with health and how these associations vary between Black people and White people. Diagonal reference models are used to estimate the effects of intergenerational educational mobility on self-rated health and mortality using data from the U.S. General Social Survey (1972-2016) with linked mortality records (1978-2014). Results show that downward mobility is associated with worse self-rated health and higher mortality risk. Downward mobility appears more damaging to the health of White people relative to Black people. Upward mobility appears less beneficial to the health of Black people. These findings indicate that social mobility itself is consequential for health and suggest that downward mobility is detrimental to health.
Collapse
Affiliation(s)
- Jake Tarrence
- Department of Sociology, The Ohio State University, 238 Townshend Hall, 1885 Neil Ave. Mall, Columbus, OH, 43210, USA.
| |
Collapse
|
18
|
McLoughlin S, Präg P, Bartley M, Kenny RA, McCrory C. Intergenerational Social Mobility and Allostatic Load in Midlife and Older Ages: A Diagonal Reference Modeling Approach. J Gerontol B Psychol Sci Soc Sci 2022; 78:154-166. [PMID: 36008104 PMCID: PMC9890911 DOI: 10.1093/geronb/gbac122] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2022] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVES This study aims to understand the association of life-course intergenerational social mobility with allostatic load (AL) burden in midlife and older ages in Ireland. METHODS The study involved biological data for 3,987 older adults participating in The Irish Longitudinal Study on Ageing (TILDA). Intergenerational social mobility was characterized using the cross-classification of origin socioeconomic position (SEP; i.e., father's occupation) and destination SEP (i.e., own occupation). AL was operationalized using 12 biomarkers tapping cardiovascular, metabolic, renal, and immune system dysregulation. Diagonal reference modeling (DRM) and ordinary least square regression techniques were applied to explore the effect of social mobility on AL burden. RESULTS A total of 55.5% experienced intergenerational mobility: 37.5% were upwardly mobile, 18.0% were downwardly mobile. A social gradient in AL was observed among the socially non-mobile. Destination SEP (b = 0.74, 95% CI = 0.57, 0.92) predominated in influence over origin, although both life stages exerted significant influence on later-life AL. Social mobility in either direction was not associated with AL burden. Mobility coefficients were substantially small across a large variety of model specifications. DISCUSSION Findings provide evidence for an accumulation model of social inequalities in which disparities in health are diluted rather than increased by social mobility (i.e., gradient constraint), with the socially mobile having an AL score that is intermediate between their origin class and destination class. This implies that the effects of origin SEP on health are not immutable, but are instead responsive to changing socioeconomic circumstances across the life course.
Collapse
Affiliation(s)
- Sinéad McLoughlin
- Address correspondence to: Sinéad McLoughlin, The Irish Longitudinal Study on Ageing (TILDA), Trinity Central, Trinity College Dublin, 152-160 Pearse Street, Dublin 2, Ireland. E-mail:
| | - Patrick Präg
- Center for Research in Economics and Statistics (CREST), ENSAE, Institut Polytechnique de Paris, Palaiseau, France
| | - Mel Bartley
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Rose Anne Kenny
- The Irish Longitudinal Study on Ageing (TILDA), Department of Medical Gerontology, Trinity College Dublin, Dublin, Ireland,Mercer’s Institute for Successful Ageing, St James’s Hospital, Dublin, Ireland
| | - Cathal McCrory
- The Irish Longitudinal Study on Ageing (TILDA), Department of Medical Gerontology, Trinity College Dublin, Dublin, Ireland
| |
Collapse
|
19
|
Schmengler H, Peeters M, Stevens GWJM, Kunst AE, Delaruelle K, Dierckens M, Charrier L, Weinberg D, Oldehinkel AJ, Vollebergh WAM. Socioeconomic inequalities in adolescent health behaviours across 32 different countries - The role of country-level social mobility. Soc Sci Med 2022; 310:115289. [PMID: 35994878 DOI: 10.1016/j.socscimed.2022.115289] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 08/04/2022] [Accepted: 08/10/2022] [Indexed: 12/01/2022]
Abstract
Higher family affluence is associated with healthier behaviours in adolescents, but the strength of this association varies across countries. Differences in social mobility at the country-level, i.e. the extent to which adolescents develop a different socioeconomic status (SES) than their parents, may partially explain why the association between family affluence and adolescent health behaviours is stronger in some countries than in others. Using data from adolescents aged 11-15 years from 32 countries, participating in the 2017/2018 wave of the Health Behaviour in School-aged Children (HBSC) study (N = 185,086), we employed multilevel regression models with cross-level interactions to examine whether country-level social mobility moderates the association between family affluence and adolescent health behaviours (i.e. moderate-to-vigorous physical activity, vigorous physical activity, healthy and unhealthy foods consumption, having breakfast regularly, and weekly smoking). Higher family affluence was more strongly associated with higher levels of adolescent physical activity in countries characterized by high levels of social mobility. No cross-level interactions were found for any of the other health behaviours. Differences in social mobility at the country-level may contribute to cross-national variations in socioeconomic inequalities in adolescent physical activity. Further research can shed light on the mechanisms linking country-level social mobility to inequalities in adolescent physical activity to identify targets for policy and interventions.
Collapse
Affiliation(s)
- Heiko Schmengler
- Utrecht Centre for Child and Adolescent Studies, Department of Interdisciplinary Social Science, Utrecht University, the Netherlands.
| | - Margot Peeters
- Utrecht Centre for Child and Adolescent Studies, Department of Interdisciplinary Social Science, Utrecht University, the Netherlands
| | - Gonneke W J M Stevens
- Utrecht Centre for Child and Adolescent Studies, Department of Interdisciplinary Social Science, Utrecht University, the Netherlands
| | - Anton E Kunst
- Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands
| | - Katrijn Delaruelle
- Health Promotion Unit, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; Hedera, Department of Sociology, Ghent University, Ghent, Belgium
| | - Maxim Dierckens
- Health Promotion Unit, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Lorena Charrier
- Department of Public Health and Paediatrics, University of Torino, Torino, Italy
| | - Dom Weinberg
- Utrecht Centre for Child and Adolescent Studies, Department of Interdisciplinary Social Science, Utrecht University, the Netherlands
| | - Albertine J Oldehinkel
- Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center of Groningen, University of Groningen, the Netherlands
| | - Wilma A M Vollebergh
- Utrecht Centre for Child and Adolescent Studies, Department of Interdisciplinary Social Science, Utrecht University, the Netherlands
| |
Collapse
|
20
|
Hossin MZ, Heshmati A, Koupil I, Goodman A, Mishra GD. Latent class trajectories of socioeconomic position over four time points and mortality: the Uppsala Birth Cohort Study. Eur J Public Health 2022; 32:522-527. [PMID: 35788842 PMCID: PMC9341739 DOI: 10.1093/eurpub/ckac060] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The study assessed socioeconomic position (SEP) over four time points and employed a latent class analysis (LCA) to explore the associations between longitudinal SEP trajectories and late-life mortality. METHODS We analyzed a cohort of 11 336 members born at the Uppsala University Hospital, Sweden during 1915-29 and followed up for mortality during 1980-2008. SEP was measured at birth, age 10, mid-adulthood and late adulthood. LCA was used to identify SEP trajectories, which were linked to all-cause and cause-specific mortality through Cox proportional hazard regression models. RESULTS The age and birth cohort adjusted hazard ratio (HR) of all-cause mortality among the upwardly mobile from middle vs. stable low SEP was 28% lower in men [HR: 0.72; 95% confidence interval (95% CI): 0.65, 0.81] and 30% lower in women (HR: 0.70; 95% CI: 0.62, 0.78). The corresponding HR of cardiovascular mortality was 30% lower in men (HR: 0.70; 95% CI: 0.60, 0.82) and 31% lower in women (HR: 0.69; 95% CI: 0.58, 0.83). Upward mobility was also associated with decreased HR of mortality from respiratory diseases and injuries among men and from cancer, respiratory diseases, injuries and mental disorders among women. The upwardly mobile were similar to the stable high group in terms of their HRs of mortality from all-causes and cardiovascular, cancer and mental diseases. CONCLUSIONS Upward mobility appeared to be protective of mortality from a wide range of causes. Interventions aiming to prevent deaths can benefit from creating optimal conditions earlier in the life course, letting disadvantaged children maximize their socioeconomic and health potentials.
Collapse
Affiliation(s)
- Muhammad Zakir Hossin
- Clinical Epidemiology Division, Department of Medicine (Solna), Karolinska Institute, Stockholm, Sweden.,Department of Global Public Health, Karolinska Institute, Stockholm, Sweden
| | - Amy Heshmati
- Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.,Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Ilona Koupil
- Department of Global Public Health, Karolinska Institute, Stockholm, Sweden.,Department of Public Health Sciences, Stockholm University, Stockholm, Sweden
| | - Anna Goodman
- Department of Public Health Sciences, Stockholm University, Stockholm, Sweden.,Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Gita D Mishra
- School of Public Health, The University of Queensland, Herston, Australia
| |
Collapse
|
21
|
Sinkewicz M, Rostant O, Zivin K, McCammon R, Clarke P. A life course view on depression: Social determinants of depressive symptom trajectories over 25 Years of Americans’ Changing Lives. SSM Popul Health 2022; 18:101125. [PMID: 35664926 PMCID: PMC9160836 DOI: 10.1016/j.ssmph.2022.101125] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 05/08/2022] [Accepted: 05/11/2022] [Indexed: 10/27/2022] Open
|
22
|
Kempel MK, Winding TN, Böttcher M, Andersen JH. Evaluating the association between socioeconomic position and cardiometabolic risk markers in young adulthood by different life course models. BMC Public Health 2022; 22:694. [PMID: 35397504 PMCID: PMC8994289 DOI: 10.1186/s12889-022-13158-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Accepted: 03/30/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Cardiometabolic health in adulthood is associated with socioeconomic position (SEP) in childhood. Although this has been studied by previous research several questions need to be addressed. E.g. knowledge about the association with timing, extent of the exposure as well as lifestyle and adult SEP, is essential to address the increasing social gradient in cardiometabolic diseases.
Methods
This study included a sub-sample (N = 264, 50% women, age 28–30) from an ongoing cohort study. We used a combination of national registers, longitudinal questionnaire data and clinical data. We examined the association between childhood SEP and cardiometabolic risk, measured by a score of multiple risk markers in young adulthood. SEP-indicators included mother’s educational level and household income. The association was evaluated by four different life course models; the latent effects model, the pathway model, the cumulative model and the social mobility model.
Results
We found an inverse association between mother’s educational level and cardiometabolic risk. The association was statistically significant evaluated by the pathway and cumulative life course models, however statistically insignificant evaluated by the latent effects model. No specific association with social mobility was observed. However, high adult educational level seems to have a protecting impact on the association. No association was found between household income and cardiometabolic risk in any of the applied life course models.
Conclusion
Low childhood SEP, represented by mother’s educational level but not household income, is associated with increased cardiometabolic risk in young adulthood. The accumulation of exposure, lifestyle and adult educational attainment are important for the association. In contrast, intergenerational social mobility does not seem to have a specific impact on the association and we find no evidence for a particular timing in childhood.
Collapse
|
23
|
Bulczak G, Gugushvili A. Downward income mobility among individuals with poor initial health is linked with higher cardiometabolic risk. PNAS NEXUS 2022; 1:pgac012. [PMID: 36712801 PMCID: PMC9802411 DOI: 10.1093/pnasnexus/pgac012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Revised: 01/25/2022] [Accepted: 02/11/2022] [Indexed: 02/01/2023]
Abstract
The effects of socioeconomic position (SEP) across life course accumulate and produce visible health inequalities between different socioeconomic groups. Yet, it is not well-understood how the experience of intergenerational income mobility between origin and destination SEP, per se, affects health outcomes. We use data from the National Longitudinal Study of Adolescent to Adult Health collected in the United States with the outcome measure of cardiometabolic risk (CMR) constructed from data on LDL Cholesterol, Glucose MG/DL, C-reactive protein, systolic and diastolic blood pressure, and resting heart rate. Intergenerational income mobility is estimated as the difference between Waves 1 and 5 income quintiles. Diagonal reference models are used to test if intergenerational income mobility, net of origin and destination income quintile effects, is associated with CMR. We find that individuals in the lowest and the highest income quintiles have, respectively, the highest and the lowest CMR; both origin and destination income quintiles are equally important; there are no significant overall income mobility effects for different gender and race/ethnicity groups, but downward income mobility has negative health implications for individuals with poor initial health. We conclude that downward income mobility can increase inequalities in CMR in the United States by worsening the health of those who had poor health before their mobility experiences.
Collapse
Affiliation(s)
- Grzegorz Bulczak
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Świat 72, 00-330, Warsaw, Poland
- Faculty of Management,Gdynia Maritime University, 81-87 Morska, 81-225 Gdynia, Poland
| | - Alexi Gugushvili
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Świat 72, 00-330, Warsaw, Poland
- Department of Sociology and Human Geography, Harriet Holters hus, Moltke Moesvei 31, 0851, University of Oslo, Oslo, Norway
- Nuffield College,University of Oxford, Oxford, UK
| |
Collapse
|
24
|
Qin Y. Adult Children's Intergenerational Mobility and Older Adults' Self-Rated Health: A US-China Comparison. J Gerontol B Psychol Sci Soc Sci 2022; 77:1154-1163. [PMID: 35147682 DOI: 10.1093/geronb/gbac034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES This study examines whether and how adult children's educational mobility is associated with the self-rated health of older adults aged 50 and above in China and the United States. METHODS The analytic sample included 12,445 Chinese respondents from the 2011-2013 China Health and Retirement Longitudinal Study, and 17,121 US respondents from the 2010-2012 Health and Retirement Study. Multinomial logistic regression was employed to examine the relationship between children's educational mobility and parents' self-rated health, and the KHB-method was used for mediation analysis. RESULTS Adult children's upward mobility was associated with their parents' better health in both countries. This association was mediated by child-to-parent economic support, as well as parents' social engagement and depressive symptoms in China; in the United States, parents' depression was the only significant mediator. DISCUSSION This study is among the first to empirically show the benefit of adult children's upward mobility for their parents' health. The cross-national differences in the mediating paths suggest that the crossover effect of children's intergenerational mobility on their parents' health is embedded within specific sociocultural contexts.
Collapse
Affiliation(s)
- Yue Qin
- Department of Sociology, University of Wisconsin-Madison
| |
Collapse
|
25
|
Gugushvili A, Zelinska O, Präg P, Bulczak G. Does perceived social mobility affect health? Evidence from a fixed effects approach. Soc Sci Med 2022; 294:114705. [PMID: 35030398 DOI: 10.1016/j.socscimed.2022.114705] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Revised: 12/31/2021] [Accepted: 01/05/2022] [Indexed: 01/17/2023]
Abstract
RATIONALE The question as to whether changing one's socioeconomic position over the life course affects health has not been answered in a conclusive manner. At the same time, it has been established that individuals who think of themselves that they are higher in the social hierarchy are healthier than those who think otherwise. OBJECTIVE In this study, we focus on perceived social mobility to shed new light on the issue of how social mobility affects health. We examine whether perceived social mobility, i.e., an individual's appraisal of doing better or worse than their parents, affects health by analyzing longitudinal data from Poland. METHODS Using a fixed effects approach to account for all time-invariant and important time-varying confounders, we analyze the Polish Panel Survey which has been collecting data on participants' social mobility perceptions along with information on their self-reported physical health and psychological wellbeing. RESULTS We find that perceived social mobility is a significant predictor of self-reported physical health and psychological wellbeing, even in models that adjust for a host of theoretically relevant control variables. The results demonstrate that upward subjective mobility has a consistent and strong positive effect on health outcomes. The effect of perceived social mobility is stronger for males and for those with less advantageous social origins. CONCLUSIONS Our findings are in line with the "from rags to riches" theoretical perspective, emphasizing the positive implications of upward social mobility on health through various psychological mechanisms. Based on our findings, we call for greater scholarly attention to subjective aspects of social mobility in research on health outcomes.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo Postboks 1096 Blindern, 0317, Oslo, Norway; Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Swiat 72, 00 330, Warszawa, Poland.
| | - Olga Zelinska
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Swiat 72, 00 330, Warszawa, Poland.
| | - Patrick Präg
- Center for Research in Economics and Statistics (CREST), ENSAE, Institut Polytechnique de Paris, 5 Avenue Henry Le Chatelier, 91764, Palaiseau, France.
| | - Grzegorz Bulczak
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Nowy Swiat 72, 00 330, Warszawa, Poland; Faculty of Management, Gdynia Maritime University, 81-87 Morska, 81-225, Gdynia, Poland.
| |
Collapse
|
26
|
Zelinska O, Gugushvili A, Bulczak G. Social Mobility, Health and Wellbeing in Poland. FRONTIERS IN SOCIOLOGY 2021; 6:736249. [PMID: 34901260 PMCID: PMC8656426 DOI: 10.3389/fsoc.2021.736249] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Accepted: 10/29/2021] [Indexed: 06/14/2023]
Abstract
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.
Collapse
Affiliation(s)
- Olga Zelinska
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
| | - Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo, Oslo, Norway
| | - Grzegorz Bulczak
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
| |
Collapse
|
27
|
Veenstra G, Vanzella-Yang A. Intergenerational social mobility and self-rated health in Canada. SSM Popul Health 2021; 15:100890. [PMID: 34401466 PMCID: PMC8358188 DOI: 10.1016/j.ssmph.2021.100890] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 07/09/2021] [Accepted: 08/02/2021] [Indexed: 11/20/2022] Open
Abstract
A growing body of research seeks to reveal the health effects of 'falling from grace' or 'rising from rags,' i.e., experiencing downward or upward mobility relative to one's family socioeconomic background. In this study, we mobilized a unique dataset, the 2012 Longitudinal and International Study of Adults linked to historical income data from the Canada Revenue Agency, to investigate associations between both educational and income mobility and self-rated health in a national sample of approximately 2500 women and 2300 men aged 25 to 50. Compared to educational immobility, extreme downward educational mobility corresponded to elevated odds of reporting good/fair/poor health among women (OR = 3.053; 95% CI = 0.991 … 9.393). Compared to income immobility, downward income mobility in general (OR = 1.533; 95% CI = 1.115 … 2.106) and extreme downward income mobility in particular (OR = 2.389; 95% CI = 1.481 … 3.854) both corresponded to elevated odds of reporting good/fair/poor health among women. Among men, extreme upward income mobility (OR = 0.674; 95% CI = 0.463 … 0.984) corresponded to reduced odds of reporting good/fair/poor health and extreme downward income mobility (OR = 2.237; 95% CI = 1.157 … 4.323) corresponded to elevated odds of reporting good/fair/poor health, compared to men with immobile incomes. In summary, upward income mobility was beneficial for men's self-rated health, downward educational mobility was detrimental to the self-rated health of women, and downward income mobility was detrimental to the self-rated health of both women and men in this Canadian study.
Collapse
|
28
|
Gugushvili A, Bulczak G, Zelinska O, Koltai J. Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States. PLoS One 2021; 16:e0254414. [PMID: 34347798 PMCID: PMC8336836 DOI: 10.1371/journal.pone.0254414] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 06/25/2021] [Indexed: 11/18/2022] Open
Abstract
The contemporaneous association between higher socioeconomic position and better health is well established. Life course research has also demonstrated a lasting effect of childhood socioeconomic conditions on adult health and well-being. Yet, little is known about the separate health effects of intergenerational mobility-moving into a different socioeconomic position than one's parents-among early adults in the United States. Most studies on the health implications of mobility rely on cross-sectional datasets, which makes it impossible to differentiate between health selection and social causation effects. In addition, understanding the effects of social mobility on health at a relatively young age has been hampered by the paucity of health measures that reliably predict disease onset. Analysing 4,713 respondents aged 25 to 32 from the National Longitudinal Study of Adolescent Health's Waves I and IV, we use diagonal reference models to separately identify the effects of socioeconomic origin and destination, as well as social mobility on allostatic load among individuals in the United States. Using a combined measure of educational and occupational attainment, and accounting for individuals' initial health, we demonstrate that in addition to health gradient among the socially immobile, individuals' socioeconomic origin and destination are equally important for multi-system physiological dysregulation. Short-range upward mobility also has a positive and significant association with health. After mitigating health selection concerns in our observational data, this effect is observed only among those reporting poor health before experiencing social mobility. Our findings move towards the reconciliation of two theoretical perspectives, confirming the positive effect of upward mobility as predicted by the "rags to riches" perspective, while not contradicting potential costs associated with more extensive upward mobility experiences as predicted by the dissociative thesis.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Deparment of Sociology and Human Geography, University of Oslo, Oslo, Norway
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
- Nuffield College, University of Oxford, Oxford, United Kingdom
- * E-mail:
| | - Grzegorz Bulczak
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
| | - Olga Zelinska
- Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland
| | - Jonathan Koltai
- Department of Sociology, University of New Hampshire, Durham, New Hampshire, United States of America
| |
Collapse
|
29
|
Abstract
Depression is a common and debilitating condition that adversely affects functioning and the capacity to work and establish economic stability. Women are disproportionately burdened by depression, and low-income pregnant and parenting women have particularly high rates of depression and often lack access to treatment. As depression can be treated, it is a modifiable risk factor for poor economic outcomes for women, and thus for children and families. Recent national and state health care policy changes offer the opportunity for community-based psychological and economic interventions that can reduce the number of pregnant and parenting women with clinically significant depressive symptoms. Moreover, there is strong evidence that in addition to benefiting women's well-being, such reforms bolster children's emotional and social development and learning and help families rise out of poverty. This review summarizes the mental health and economic literature regarding how maternal depression perpetuates intergenerational poverty and discusses recommendations regarding policies to treat maternal depression in large-scale social services systems.
Collapse
Affiliation(s)
- Megan V Smith
- Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06511, USA; .,The Child Study Center, Yale University School of Medicine, New Haven, Connecticut 06519, USA.,Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut 06510, USA.,Women's Health Research at Yale, Yale University School of Medicine, New Haven, Connecticut 06510, USA
| | - Carolyn M Mazure
- Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut 06511, USA; .,Women's Health Research at Yale, Yale University School of Medicine, New Haven, Connecticut 06510, USA.,Department of Psychology, Yale University, New Haven, Connecticut 06511, USA
| |
Collapse
|
30
|
Mohd Khairuddin AN, Bernabé E, Delgado-Angulo EK. Intragenerational social mobility and self-rated oral health in the british cohort study. Health Qual Life Outcomes 2021; 19:115. [PMID: 33827591 PMCID: PMC8028789 DOI: 10.1186/s12955-021-01757-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 03/29/2021] [Indexed: 01/17/2023] Open
Abstract
Background Most studies on social mobility and oral health have focused on movement between generations (intergenerational mobility) rather than movement within an individual’s own lifetime (intragenerational mobility). The aim of this study was to investigate the association between intragenerational social mobility from early to middle adulthood and self-rated oral health. Methods This study used data from 6524 participants of the 1970 British Birth Cohort Study, an ongoing population-based birth cohort of individuals born in England, Scotland and Wales. Participants’ socioeconomic position was indicated by occupational social class at age 26 and 46 years (the first and latest adult waves, respectively). Self-rated oral health was measured at age 46 years. The association between social mobility and adult oral health was assessed using conventional regression models and diagonal reference models, adjusting for gender, ethnicity, country of residence and residence area. Results Over a fifth of participants (22.2%) reported poor self-rated oral health at age 46 years. In conventional regression analysis, the odds ratios for social mobility varied depending on whether they were adjusted for social class of origin or destination. In addition, all social trajectories had greater odds of reporting poor oral health than non-mobile adults in class I/II. In diagonal reference models, both upward (Odds Ratio 0.79; 95% CI 0.63–0.99) and downward mobility (0.90; 95% CI 0.71–1.13) were inversely associated with poor self-rated oral health. The origin weight was 0.48 (95% CI 0.33–0.63), suggesting that social class of origin was as important as social class of destination. Conclusion This longitudinal analysis showed that intragenerational social mobility from young to middle adulthood was associated with self-rated oral health, independent of previous and current social class.
Collapse
Affiliation(s)
- Aina Najwa Mohd Khairuddin
- Dental Public Health group, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom Bessemer Road, London, SE5 9RS, UK.,Department of Health, Oral Health Division, Melaka, Malaysia
| | - Eduardo Bernabé
- Dental Public Health group, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom Bessemer Road, London, SE5 9RS, UK.
| | - Elsa Karina Delgado-Angulo
- Dental Public Health group, Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom Bessemer Road, London, SE5 9RS, UK.,Facultad de Estomatología, Universidad Peruana Cayetano Heredia, Lima, Peru
| |
Collapse
|
31
|
Gugushvili A, Präg P. Intergenerational social mobility and health in Russia: Mind over matter? ADVANCES IN LIFE COURSE RESEARCH 2021; 47:100390. [PMID: 36695147 DOI: 10.1016/j.alcr.2020.100390] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 11/11/2020] [Accepted: 11/23/2020] [Indexed: 06/17/2023]
Abstract
The consequences of changing one's socio-economic status over the life course-i.e. social mobility-for individual health are not well understood. Theories of the health implications of social mobility draw on the human perception of one's changing conditions, but empirical studies mostly examine the health implications of moving from objectively defined indicators of parental socio-economic position such as education, occupation, or income, to own socio-economic position in adult life. Little is known about the consequences of individuals' own assessment of changes in socio-economic position for health outcomes. In this study, we examine the association of social mobility and health in a unique sample of the Russian population after the transition to a market society. We take a broad perspective on social mobility, putting emphasis on subjectively perceived social mobility. Results show that individuals' objective characteristics only partially explain the variation in their subjective perceptions of intergenerational mobility. Net of social origin and destination variables, subjective social mobility is associated with individuals' health outcomes, as measured by the 12-Item Short Form Health Survey. Those who perceive being upwardly mobile report better health, and downward mobility is associated with poorer health. The association holds for mental and physical health, for perceived downward and upward social mobility, and for a general subjective measure of mobility and a subjective measure prompting respondents to only think of mobility in terms of occupation. These findings are robust to controlling for a rich set of socio-demographic predictors on childhood adversity, contemporaneous material wellbeing, and family-related circumstances. We conclude that a conventional focus on single socio-economic status dimensions such as occupation might be too narrow to capture the health consequences of social mobility.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Sociology and Human Geography, University of Oslo, Postboks 1096, Blindern, 0317, Oslo, Norway.
| | - Patrick Präg
- CREST/ENSAE Paris, 5 Avenue Le Chatelier, 91120, Palaiseau, France.
| |
Collapse
|
32
|
Intergenerational social mobility predicts midlife well-being: Prospective evidence from two large British cohorts. Soc Sci Med 2020; 261:113217. [PMID: 32745822 DOI: 10.1016/j.socscimed.2020.113217] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 04/14/2020] [Accepted: 07/10/2020] [Indexed: 01/12/2023]
Abstract
RATIONALE It is often assumed that experiencing an upward shift in social position from one generation to the next will provide happiness, yet empirical evidence demonstrating such a connection is limited. OBJECTIVE We provide a large-scale test of the relationship between intergenerational mobility and midlife life satisfaction using data from two prospective UK studies (N = 20,948). METHOD Intergenerational mobility was modelled as a formative construct gauging the extent to which individuals moved up or down the social hierarchy compared to their parents, on a continuum ranging from high levels of downward mobility to high levels of upward mobility. RESULTS An intergenerational increase in social mobility, captured by greater educational attainment, social status, and home size than one's parents was positively associated with life satisfaction at age 42 in both cohorts. Mediation analyses revealed that almost half of this relationship was explained by better self-reported health and fewer perceived financial difficulties amongst the upwardly mobile. CONCLUSION This study provides evidence that enhanced satisfaction with life may be a key outcome of intergenerational increases in social status.
Collapse
|
33
|
Gugushvili A, Jarosz E, McKee M. Compared with whom? Reference groups in socio-economic comparisons and self-reported health in 34 countries. Int J Epidemiol 2020; 48:1710-1720. [PMID: 31730706 DOI: 10.1093/ije/dyz122] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/04/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The association between socio-economic position and health is believed to be mediated, in part, by psycho-social comparison of one's situation with that of others. But with whom? Possibilities include family, friends, elites, or even those in other countries or in previous times. So far, there has been almost no research on whether the reference point matters. METHODS We take advantage of a comparative data set that, uniquely, allows us to ask this question. The Life in Transition Survey was conducted in four Southern European and 30 Central and Eastern European and Eurasian countries. We sought differences in the probability of good self-reported health among those using different reference groups, including own family, friends and neighbours, domestic elites, people living in other countries and those living prior to a major politico-economic transition. We used multivariable and multilevel mixed-effects Poisson regressions and estimated treatment effects via the regression adjustment of Poisson models. RESULTS In most cases the choice of reference group did not matter but in some it did. Among men in Eastern European and Eurasian societies, those who compared themselves with their parents and their own families before the start of transition were less likely to report good health compared with those who did not compare their own economic situation with any specific reference group. CONCLUSIONS For some individuals, the choice of who to compare one's situation with does seem to matter, pointing to an area for future investigation in research on psycho-social determinants of health.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Social Policy and Intervention and Nuffield College
| | - Ewa Jarosz
- Department of Sociology, University of Oxford, Oxford, UK
| | - Martin McKee
- London School of Hygiene and Tropical Medicine, London, UK
| |
Collapse
|
34
|
Gugushvili A, Zhao Y, Bukodi E. Intergenerational educational mobility and smoking: a study of 20 European countries using diagonal reference models. Public Health 2020; 181:94-101. [PMID: 31981813 DOI: 10.1016/j.puhe.2019.12.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 11/18/2019] [Accepted: 12/05/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVES Intergenerational educational mobility can be particularly relevant for smoking because it implies moving from individuals' family background to a new position in the social hierarchy. Existing research, however, does not provide an answer as to how the process of mobility, per se, is associated with the likelihood of smoking. STUDY DESIGN We used cross-nationally comparable survey data for 20 countries collected within the health module of the European Social Survey in 2014. The analytical sample consisted of 22,336 respondents aged 25-64 years. METHODS Smoking was operationalized by daily and occasional smoking, while the intergenerational educational mobility variable was derived from a comparison of respondents' and their parents' highest levels of educational attainment. We employed diagonal reference models to examine the association of intergenerational educational mobility and smoking. RESULTS In the country- and age-adjusted analysis, intergenerational downward mobility was associated with odds ratios of 1.34 (CI95 1.07, 1.68) and 1.61 (CI95 1.34, 1.93) for smoking, respectively, among men and women. Intergenerational upward mobility, on the other hand, was negatively associated with smoking but only among women. CONCLUSION Our findings provide new evidence that the process of intergenerational educational mobility is associated with individuals' likelihood of smoking and that this effect cannot be explained by conventional covariates of smoking.
Collapse
Affiliation(s)
- A Gugushvili
- Department of Social Policy and Intervention and Nuffield College, University of Oxford, Nuffield College, New Road, Oxford OX1 1NF, UK; Department of Public Administration and Sociology, Erasmus School of Social and Behavioural Sciences, Erasmus University, Rotterdam, Postbus 1738, 3000 DR Rotterdam, the Netherlands
| | - Y Zhao
- Centre for Social Investigation, Nuffield College, University of Oxford, New Road, Oxford OX1 1NF, UK.
| | - E Bukodi
- Department of Social Policy and Intervention and Nuffield College, University of Oxford, Nuffield College, New Road, Oxford OX1 1NF, UK
| |
Collapse
|
35
|
Gugushvili A, Kaiser C. Equality of opportunity is linked to lower mortality in Europe. J Epidemiol Community Health 2019; 74:151-157. [PMID: 31690589 PMCID: PMC6993020 DOI: 10.1136/jech-2019-212540] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 08/28/2019] [Accepted: 10/09/2019] [Indexed: 11/10/2022]
Abstract
Background This study investigates if intergenerational equality of opportunity is linked to mortality in 30 European countries. Equality of opportunity may lead to greater returns on health investments and, consequently, improved health outcomes. In turn, a perceived lack of fairness in the distribution of life chances and limited possibilities for upward intergenerational mobility can cause anxiety among individuals and gradually compromise their health. Methods We used information on 163 467 individuals’ and their parents’ Socio-Economic Index of Occupational Status from a large survey data set—the European Social Survey—to generate three complementary measures of equality of opportunity. We then linked these to administrative data on total, gender-specific and cause-specific mortality rates assembled by Eurostat from the national statistical offices. Results We found that lower equality of opportunity, measured by the attainment of individuals from the lowest and highest quartiles of socioeconomic status and by the overall intergenerational correlation in socioeconomic status, was related to higher mortality rates, particularly in relation to diseases of the nervous system and the sense organs, diseases of the respiratory system and external causes of mortality. Our measures of equality of opportunity were more consistently linked with mortality of men than women. Conclusion Equality of opportunity may be an important explanation of mortality that warrants further research. Measures that aim at facilitating intergenerational social mobility can be justified not only via normative considerations of equality of opportunity but also in terms of individuals’ chances to enjoy healthy lives.
Collapse
Affiliation(s)
- Alexi Gugushvili
- Department of Social Policy and Intervention and Nuffield College, University of Oxford, Oxford, UK .,Erasmus School of Social and Behavioural Sciences, Erasmus University Rotterdam, Rotterdam, The Netherlands
| | - Caspar Kaiser
- Department of Social Policy and Intervention and Nuffield College, University of Oxford, Oxford, UK
| |
Collapse
|
36
|
Intergenerational educational mobility and health satisfaction across the life course: Does the long arm of childhood conditions only become visible later in life? Soc Sci Med 2019; 242:112603. [PMID: 31655463 DOI: 10.1016/j.socscimed.2019.112603] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 10/11/2019] [Accepted: 10/14/2019] [Indexed: 01/18/2023]
Abstract
The contemporaneous association of socioeconomic status (SES) with health is well-established, whereas much less is known about the health-related effects of social mobility (i.e., movements across different SES). This study investigates the impact of SES in childhood and adulthood on health satisfaction across the life course. Using data from the German Socio-Economic Panel (SOEP) and education as a central marker of SES, we test whether parental education (i.e., childhood SES) affects adult health satisfaction, directly and/or indirectly through own educational attainment (i.e., adult SES) as a mediating variable. Moreover, we apply diagonal reference models to disentangle the independent effect of intergenerational educational mobility. Our findings show that parental education has both direct and indirect effects. Yet, the relative weight of parents' education as a predictor of health satisfaction is found to depend on when in the life course health satisfaction is measured: parental education shows an increasing relevance as a predictor of health satisfaction at higher ages. On top of (additive) effects of parental and own education, we find significant mobility effects in earlier adulthood: upward educational mobility is conducive to health satisfaction and the reverse for downward educational mobility.
Collapse
|