Is it possible to overcome the 'long arm' of childhood socioeconomic disadvantage through upward socioeconomic mobility?

TitleIs it possible to overcome the 'long arm' of childhood socioeconomic disadvantage through upward socioeconomic mobility?
Publication TypeJournal Article
Year of PublicationForthcoming
AuthorsVable, AM, Gilsanz, P, Kawachi, I
JournalJournal of Public Health (Oxf)
Date Published2019 Feb 28
ISSN Number1741-3850
KeywordsChildhood adversity, social mobility, Socioeconomic factors
Abstract

OBJECTIVES: Socioeconomically disadvantaged children have worse adult health; we test if this 'long arm' of childhood disadvantage can be overcome through upward socioeconomic mobility in adulthood.

METHODS: Four SES trajectories (stable low, upwardly mobile, downwardly mobile and stable high) were created from median dichotomized childhood socioeconomic status (SES; childhood human and financial capital) and adult SES (wealth at age 67) from Health and Retirement Study respondents (N = 6669). Healthy ageing markers, in tertiles, were walking speed, peak expiratory flow (PEF), and grip strength measured in 2008 and 2010. Multinomial logistic regression models, weighted to be nationally representative, controlled for age, gender, race, birthplace, outcome year and childhood health and social capital.

RESULTS: Upwardly mobile individuals were as likely as the stable high SES group to be in the best health tertile for walking speed (OR = 0.81; 95% CI: 0.63, 1.05; P = 0.114), PEF (OR = 0.97; 95% CI: 0.78, 1.21; P = 0.810) and grip strength (OR = 0.97; 95%CI: 0.74, 1.27; P = 0.980).

DISCUSSION: Findings suggest the 'long arm' of childhood socioeconomic disadvantage can be overcome for these markers of healthy ageing through upward socioeconomic mobility.

DOI10.1093/pubmed/fdz018
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/30811528?dopt=Abstract

Alternate JournalJ Public Health (Oxf)
Citation Key10071
PubMed ID30811528
Grant ListP30 AG017253 / AG / NIA NIH HHS / United States
R25 CA057711 / CA / NCI NIH HHS / United States