生命历程中的社会流动性与50岁时的自我报告心理健康：前瞻性队列研究。
Social mobility over the lifecourse and self reported mental health at age 50: prospective cohort study.
作者信息
Tiffin Paul A, Pearce Mark S, Parker Louise
机构信息
Paediatric and Lifecourse Epidemiology Research Group, School of Clinical Medical Sciences, Sir James Spence Institute, Royal Victoria Infirmary, University of Newcastle upon Tyne NE1 4LP, UK.
出版信息
J Epidemiol Community Health. 2005 Oct;59(10):870-2. doi: 10.1136/jech.2005.035246.
STUDY OBJECTIVE
To investigate the effect of socioeconomic status throughout the lifecourse on self reported mental health at age 50 years.
DESIGN
Prospective cohort study
SETTING
Community setting in Newcastle upon Tyne, north east England.
PARTICIPANTS
503 subjects from a birth cohort assembled in 1947 who completed the 28 item version of the general health questionnaire (GHQ-28).
MAIN RESULTS
There was an association between socioeconomic group at birth and reporting a clinically significant GHQ-28 score at age 50 (OR 5.5 95% CI 1.2 to 25.4 comparing the least with the most advantaged socioeconomic group). A downward socioeconomic trajectory over the whole lifecourse was associated with poorer self reported mental health in men (p<0.001) but not women (p=0.8).
CONCLUSIONS
Socioeconomic position throughout the lifecourse may act differently on mental health at middle age depending on a person's sex.
研究目的
调查整个生命历程中的社会经济地位对50岁时自我报告的心理健康状况的影响。
设计
前瞻性队列研究
地点
英格兰东北部泰恩河畔纽卡斯尔的社区环境
参与者
来自1947年出生队列的503名受试者，他们完成了28项版本的一般健康问卷（GHQ - 28）。
主要结果
出生时的社会经济群体与50岁时报告具有临床意义的GHQ - 28评分之间存在关联（将最不利与最有利的社会经济群体进行比较，比值比为5.5，95%置信区间为1.2至25.4）。在整个生命历程中社会经济地位呈下降轨迹与男性自我报告的较差心理健康状况相关（p<0.001），但与女性无关（p = 0.8）。
结论
整个生命历程中的社会经济地位对中年心理健康的影响可能因性别而异。
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