Claussen B, Davey Smith G, Thelle D
Institute of General Practice and Community Medicine, University of Oslo, Norway.
J Epidemiol Community Health. 2003 Jan;57(1):40-5. doi: 10.1136/jech.57.1.40.
To study the impact of childhood and adulthood social circumstances on cause specific adult mortality.
Census data on housing conditions from 1960 and Personal Register income data for 1990 were linked to 1990-94 death registrations, and relative indices of inequality were computed for housing conditions in 1960 and for household income in 1990.
The 128 723 inhabitants in Oslo aged 31-50 years in 1990.
Adulthood mortality was strongly associated with both childhood and adulthood social circumstances among both men and women. Cardiovascular disease mortality was more strongly associated with childhood than with adulthood social circumstances, while the opposite was found for psychiatric and accidental/violent mortality. Smoking related cancer mortality was related to both adulthood and childhood social circumstances in men, but considerably more strongly to adult social circumstances.
Childhood social circumstances have an important influence on cardiovascular disease risk in adulthood. Current increases in child poverty that have been seen in Norway over the past two decades could herald unfavourable future trends in adult health.
研究儿童期和成年期社会环境对特定病因的成人死亡率的影响。
将1960年的住房条件普查数据和1990年的个人登记收入数据与1990 - 1994年的死亡登记数据相联系，并计算1960年住房条件和1990年家庭收入的相对不平等指数。
1990年奥斯陆年龄在31至50岁之间的128723名居民。
成年期死亡率与男性和女性的儿童期及成年期社会环境均密切相关。心血管疾病死亡率与儿童期社会环境的关联比与成年期社会环境的关联更强，而精神疾病及意外/暴力死亡率的情况则相反。男性中与吸烟相关的癌症死亡率与成年期和儿童期社会环境均有关，但与成年期社会环境的关联程度要大得多。
儿童期社会环境对成年期心血管疾病风险有重要影响。挪威在过去二十年中儿童贫困现象的增加可能预示着未来成人健康状况的不利趋势。
