*Department of Statistics and Insurance Science,University of Piraeus,Greece.
J Biosoc Sci. 2017 Jul;49(4):478-497. doi: 10.1017/S0021932016000250. Epub 2016 Jun 3.
This study aimed to assess the relative importance of childhood and adulthood socioeconomic position (SEP) on the self-rated health (SRH) of men and women aged 50 or higher in Europe, controlling for a substantial number of mediators and health conditions. Data from Wave 2 (current data) and Wave 3 (retrospective material) of the Survey of Health, Ageing and Retirement in Europe (SHARE) were combined (N=20,829) and logistic regression models applied; the analysis was carried out for males and females separately. The findings indicate that concurrent and past SEP, when considered separately, are both very significant predictors of SRH. When all factors were included in a comprehensive model most childhood and adult SEP variables retained their significance, implying that both types of socioeconomic circumstances have a strong and independent effect on SRH. However, the relative importance of several childhood indicators was reduced, signifying that their effect on SRH is mediated by adult SEP and, especially, educational attainment. Some childhood predictors, such as having experienced a period of hunger, remained very significant. Though these findings roughly hold for both sexes, the relative effects differentiate by sex. Current SEP is more important among women, with the exception of income and 'making ends meet in the household'. Childhood SEP indicators are more significant among men.
本研究旨在评估童年和成年社会经济地位(SEP)对欧洲 50 岁及以上男性和女性自评健康(SRH)的相对重要性,同时控制了大量中介因素和健康状况。欧洲健康、老龄化和退休调查(SHARE)的第 2 波(当前数据)和第 3 波(回溯资料)的数据被合并(N=20829),并应用逻辑回归模型;分析分别针对男性和女性进行。研究结果表明,同期和过去的 SEP 分别是 SRH 的非常重要的预测因素。当所有因素都包含在一个综合模型中时,大多数童年和成年 SEP 变量都保留了其显著性,这意味着这两种社会经济环境对 SRH 都有强烈且独立的影响。然而,一些童年指标的相对重要性降低了,这表明它们对 SRH 的影响是由成年 SEP 特别是教育程度所中介的。一些童年预测因素,如经历过饥饿期,仍然非常显著。尽管这些发现大致适用于两性,但相对影响因性别而异。当前的 SEP 在女性中更为重要,除了收入和“家庭收支平衡”。童年 SEP 指标在男性中更为重要。