Socioeconomic status in childhood and health after age 70: A new longitudinal analysis for the U.S., 1895–2005

The link between circumstances faced by individuals early in life (including those encountered in utero) and later life outcomes has been of increasing interest since the work of Barker in the 1970s on birth weight and adult disease. We provide such a life course perspective for the U.S. by following 45,000 individuals from the household where they resided before age 5 until their death and analyzing the link between the characteristics of their childhood environment – particularly, its socioeconomic status – and their longevity and specific cause of death. White U.S.-born males living before age 5 in lower SES households (measured by father's occupation and family home ownership) who survive to age 70 die younger and are more likely to die from heart disease than those living before age 5 in higher SES households. The pathways potentially generating these effects are discussed. ► We follow 45,000 white males from age 5 to death to assess longevity and death cause. ► Those in poor 1900 households die younger after age 70 than those in other households. ► They also die more often from heart disease than those in more affluent households. ► Causal pathways are discussed along with work we are doing to assess them.