Heterogeneous trajectories of physical and mental health in late middle age: Importance of life-course socioeconomic positions.

TitleHeterogeneous trajectories of physical and mental health in late middle age: Importance of life-course socioeconomic positions.
Publication TypeJournal Article
Year of Publication2017
AuthorsKwon, E, Park, S
JournalInternational Journal of Environmental Research and Public Health
Volume14
Issue6
Date Published2017 May 30
ISSN Number1660-4601
KeywordsDepressive symptoms, Life trajectories, Socioeconomic factors
Abstract

Drawing on life course and cumulative disadvantage theory, this study examines heterogeneous trajectories of functional limitations and depressive symptoms among late middle-aged individuals. This study used prospective data from 6010 adults, 51 to 64 years old, collected over a 12-year-period from the Health and Retirement Study. Considering the empirical proposition that several physical and mental trajectories may exist, Latent Class Growth Modeling was used. Five heterogeneous patterns of joint trajectories (Relatively healthy, Moderately improving, Steadily deteriorating, Steeply deteriorating, and Persistently high comorbid) were identified. Early life adversity was related to an increasing risk of declines in physical and mental health. The Persistently high comorbid class was characterized by a concentration of disadvantages over the life course. The development of public health interventions could help reduce co-existing physical and mental health problems, especially during late middle-age.

DOI10.3390/ijerph14060582
User Guide Notes

http://www.ncbi.nlm.nih.gov/pubmed/28556801?dopt=Abstract

Alternate JournalInt J Environ Res Public Health
Citation Key9122
PubMed ID28556801