Willson Andrea E, Shuey Kim M
University of Western Ontario, London, ON, Canada
University of Western Ontario, London, ON, Canada.
J Health Soc Behav. 2016 Sep;57(3):407-22. doi: 10.1177/0022146516660345.
We utilize over 40 years of prospective data from the Panel Study of Income Dynamics (N = 1,229) and repeated-measures latent class analysis to examine how long-term patterns of stability and change in economic hardship from childhood to adulthood are related to subsequent trajectories of midlife health. We review conceptual and methodological approaches to examining health inequality across the life course and highlight the contribution of a person-centered, disaggregated approach to modeling health and its association with long-term pathways of economic resources, including changing resources associated with mobility. Findings suggest those who experienced early mobility out of economic hardship were less likely than those in persistent economic hardship to experience a high-risk health trajectory, while experiencing later mobility did not lessen this risk. We conclude with a call for further investigation into the role of social mobility and the timing, degree, and direction of change in investigations of health inequality.
我们利用来自收入动态面板研究（N = 1,229）的40多年前瞻性数据以及重复测量潜在类别分析，来研究从童年到成年经济困难的长期稳定和变化模式如何与中年健康的后续轨迹相关。我们回顾了在生命历程中审视健康不平等的概念和方法，并强调了以个人为中心、分类的方法在建模健康及其与经济资源长期路径（包括与流动相关的变化资源）关联方面的贡献。研究结果表明，那些早年摆脱经济困难的人比那些持续处于经济困难中的人经历高风险健康轨迹的可能性更小，而晚年的流动并没有降低这种风险。我们呼吁进一步研究社会流动的作用以及健康不平等调查中变化的时间、程度和方向。
