Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age
Abstract Background Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-...
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| Veröffentlicht in: | International journal of epidemiology 2019-08, Vol.48 (4), p.1352-1366 |
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| creator | Sieber, Stefan Cheval, Boris Orsholits, Dan Van der Linden, Bernadette W Guessous, Idris Gabriel, Rainer Kliegel, Matthias Aartsen, Marja J Boisgontier, Matthieu P Courvoisier, Delphine Burton-Jeangros, Claudine Cullati, Stéphane |
| description | Abstract
Background
Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]).
Methods
We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries.
Results
The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes.
Conclusions
Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes. |
| doi_str_mv | 10.1093/ije/dyy283 |
| format | Article |
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Background
Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]).
Methods
We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries.
Results
The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes.
Conclusions
Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/dyy283</identifier><identifier>PMID: 30608584</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Aged, 80 and over ; Aging - ethnology ; Aging - psychology ; Cross-Cultural Comparison ; Europe - ethnology ; Female ; Health Surveys ; Humans ; Logistic Models ; Longitudinal Studies ; Male ; Mental Health - ethnology ; Mental Health - statistics & numerical data ; Middle Aged ; Miscellaneous ; Personal Satisfaction ; Social Class ; Social Welfare - psychology ; Social Welfare - statistics & numerical data ; Socioeconomic Factors ; Value of Life</subject><ispartof>International journal of epidemiology, 2019-08, Vol.48 (4), p.1352-1366</ispartof><rights>The Author(s) 2019; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association 2019</rights><rights>The Author(s) 2019; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c408t-599b6380771f2898c91cf74b5a174a2b2812d62746bee7a09e32a661920a01e73</citedby><cites>FETCH-LOGICAL-c408t-599b6380771f2898c91cf74b5a174a2b2812d62746bee7a09e32a661920a01e73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30608584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sieber, Stefan</creatorcontrib><creatorcontrib>Cheval, Boris</creatorcontrib><creatorcontrib>Orsholits, Dan</creatorcontrib><creatorcontrib>Van der Linden, Bernadette W</creatorcontrib><creatorcontrib>Guessous, Idris</creatorcontrib><creatorcontrib>Gabriel, Rainer</creatorcontrib><creatorcontrib>Kliegel, Matthias</creatorcontrib><creatorcontrib>Aartsen, Marja J</creatorcontrib><creatorcontrib>Boisgontier, Matthieu P</creatorcontrib><creatorcontrib>Courvoisier, Delphine</creatorcontrib><creatorcontrib>Burton-Jeangros, Claudine</creatorcontrib><creatorcontrib>Cullati, Stéphane</creatorcontrib><title>Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age</title><title>International journal of epidemiology</title><addtitle>Int J Epidemiol</addtitle><description>Abstract
Background
Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]).
Methods
We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries.
Results
The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes.
Conclusions
Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging - ethnology</subject><subject>Aging - psychology</subject><subject>Cross-Cultural Comparison</subject><subject>Europe - ethnology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental Health - ethnology</subject><subject>Mental Health - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Personal Satisfaction</subject><subject>Social Class</subject><subject>Social Welfare - psychology</subject><subject>Social Welfare - statistics & numerical data</subject><subject>Socioeconomic Factors</subject><subject>Value of Life</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1rFTEUhoMo9lrd-AMkG0GEsfmaTGYjSPGjUHCjuAxnMmfuTclMrkmmcnf96U25teimq0Dy5HnP4SXkNWcfOOvlmb_Cs_FwEEY-IRuutGqkNu1TsmGSsabtOn5CXuR8xRhXSvXPyYlkmpnWqA25-YVhgoQ04dbPmOkcRz8daNkhhZyj81B8XGic6OgzjNewFNjiSGFcQ2mCn5DeURFdXOLsHXU-uXXOBRZXdX982dFcM5oEpX7bIYR646sxVMkWX5JnE4SMr-7PU_Lzy-cf59-ay-9fL84_XTZOMVOatu8HLQ2ry0zC9Mb13E2dGlrgnQIxCMPFqEWn9IDYAetRCtCa94IB49jJU_Lx6N2vw4yjw6UkCHaf_AzpYCN4-__L4nd2G6-t7qViUlTBu3tBir9XzMXOPjsMARaMa7aCa8WZbFte0fdH1KWYc8LpIYYze1eZrZXZY2UVfvPvYA_o344q8PYIxHX_mOgWgDqibg</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Sieber, Stefan</creator><creator>Cheval, Boris</creator><creator>Orsholits, Dan</creator><creator>Van der Linden, Bernadette W</creator><creator>Guessous, Idris</creator><creator>Gabriel, Rainer</creator><creator>Kliegel, Matthias</creator><creator>Aartsen, Marja J</creator><creator>Boisgontier, Matthieu P</creator><creator>Courvoisier, Delphine</creator><creator>Burton-Jeangros, Claudine</creator><creator>Cullati, Stéphane</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190801</creationdate><title>Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age</title><author>Sieber, Stefan ; Cheval, Boris ; Orsholits, Dan ; Van der Linden, Bernadette W ; Guessous, Idris ; Gabriel, Rainer ; Kliegel, Matthias ; Aartsen, Marja J ; Boisgontier, Matthieu P ; Courvoisier, Delphine ; Burton-Jeangros, Claudine ; Cullati, Stéphane</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c408t-599b6380771f2898c91cf74b5a174a2b2812d62746bee7a09e32a661920a01e73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging - ethnology</topic><topic>Aging - psychology</topic><topic>Cross-Cultural Comparison</topic><topic>Europe - ethnology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental Health - ethnology</topic><topic>Mental Health - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Personal Satisfaction</topic><topic>Social Class</topic><topic>Social Welfare - psychology</topic><topic>Social Welfare - statistics & numerical data</topic><topic>Socioeconomic Factors</topic><topic>Value of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sieber, Stefan</creatorcontrib><creatorcontrib>Cheval, Boris</creatorcontrib><creatorcontrib>Orsholits, Dan</creatorcontrib><creatorcontrib>Van der Linden, Bernadette W</creatorcontrib><creatorcontrib>Guessous, Idris</creatorcontrib><creatorcontrib>Gabriel, Rainer</creatorcontrib><creatorcontrib>Kliegel, Matthias</creatorcontrib><creatorcontrib>Aartsen, Marja J</creatorcontrib><creatorcontrib>Boisgontier, Matthieu P</creatorcontrib><creatorcontrib>Courvoisier, Delphine</creatorcontrib><creatorcontrib>Burton-Jeangros, Claudine</creatorcontrib><creatorcontrib>Cullati, Stéphane</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sieber, Stefan</au><au>Cheval, Boris</au><au>Orsholits, Dan</au><au>Van der Linden, Bernadette W</au><au>Guessous, Idris</au><au>Gabriel, Rainer</au><au>Kliegel, Matthias</au><au>Aartsen, Marja J</au><au>Boisgontier, Matthieu P</au><au>Courvoisier, Delphine</au><au>Burton-Jeangros, Claudine</au><au>Cullati, Stéphane</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age</atitle><jtitle>International journal of epidemiology</jtitle><addtitle>Int J Epidemiol</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>48</volume><issue>4</issue><spage>1352</spage><epage>1366</epage><pages>1352-1366</pages><issn>0300-5771</issn><eissn>1464-3685</eissn><abstract>Abstract
Background
Welfare regimes in Europe modify individuals’ socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]).
Methods
We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries.
Results
The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes.
Conclusions
Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30608584</pmid><doi>10.1093/ije/dyy283</doi><tpages>15</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Aging - ethnology Aging - psychology Cross-Cultural Comparison Europe - ethnology Female Health Surveys Humans Logistic Models Longitudinal Studies Male Mental Health - ethnology Mental Health - statistics & numerical data Middle Aged Miscellaneous Personal Satisfaction Social Class Social Welfare - psychology Social Welfare - statistics & numerical data Socioeconomic Factors Value of Life |
| title | Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age |
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