Pensola T H, Martikainen P
Population Research Unit, Department of Sociology, University of Helsinki, Finland.
J Epidemiol Community Health. 2003 Sep;57(9):745-51. doi: 10.1136/jech.57.9.745.
It is possible that circumstances over the lifecourse contribute to social inequalities in mortality in adulthood. The aim of this study is to assess the cumulative effect of social class at childhood and adulthood on mortality from various causes of death in young adult men.
The data consist of census records for all Finnish men born in 1956-60 (112,735 persons and 895,001 person years), and death records (1834 deaths) by cause of death for 1991-98.
Mortality from each cause of death increased from the stable non-manual group to mobile groups, and further to the stable manual group. However, mortality in the downwardly mobile group was 150% higher than in the upwardly mobile group. Furthermore, analyses show that mortality was mainly related to current adult social class, though, within each adult social class men with a manual parental background showed slightly increased mortality from cardiovascular disease and from alcohol related causes.
In these data the effects of adult social class were stronger than childhood class for all causes of death. It is more useful to differentiate between childhood and adulthood effects than to use a combined measure of social class to assess the contribution of social class at different stages of life on mortality.
一生中的各种情况可能会导致成年期死亡率的社会不平等。本研究的目的是评估儿童期和成年期社会阶层对年轻成年男性各种死因死亡率的累积影响。
数据包括1956 - 1960年出生的所有芬兰男性的人口普查记录（112,735人，895,001人年），以及1991 - 1998年按死因分类的死亡记录（1834例死亡）。
每种死因的死亡率从稳定的非体力劳动者群体到流动群体，再到稳定的体力劳动者群体逐渐增加。然而，向下流动群体的死亡率比向上流动群体高150%。此外，分析表明，死亡率主要与当前成年社会阶层有关，不过，在每个成年社会阶层中，父母为体力劳动者的男性因心血管疾病和与酒精相关原因导致的死亡率略有上升。
在这些数据中，对于所有死因，成年社会阶层的影响比儿童期社会阶层的影响更强。区分儿童期和成年期的影响比使用社会阶层的综合指标来评估不同生命阶段社会阶层对死亡率的贡献更有用。
