Lee Minjee, Khan M Mahmud, Wright Brad
University of South Carolina, Columbia, SC, USA.
University of Iowa, Iowa City, IA, USA.
Gerontol Geriatr Med. 2017 Mar 8;3:2333721417696673. doi: 10.1177/2333721417696673. eCollection 2017 Jan-Dec.
We investigated the association between childhood socioeconomic status (SES) and coronary heart disease (CHD) in older Americans. We used Health and Retirement Study data from 1992 to 2012 to examine a nationally representative sample of Americans aged ≥50 years ( = 30,623). We modeled CHD as a function of childhood and adult SES using maternal and paternal educational level as a proxy for childhood SES. Respondents reporting low childhood SES were significantly more likely to have CHD than respondents reporting high childhood SES. Respondents reporting both low childhood and adult SES were 2.34 times more likely to have CHD than respondents reporting both high childhood and adult SES. People with low childhood SES and high adult SES were 1.60 times more likely than people with high childhood SES and high adult SES to report CHD in the fully adjusted model. High childhood SES and low adult SES increased the likelihood of CHD by 13%, compared with high SES both as a child and adult. Childhood SES is significantly associated with increased risk of CHD in later life among older adult Americans.
我们调查了美国老年人童年社会经济地位（SES）与冠心病（CHD）之间的关联。我们使用了1992年至2012年的健康与退休研究数据，以研究年龄≥50岁的具有全国代表性的美国样本（n = 30,623）。我们将冠心病建模为童年和成年SES的函数，使用母亲和父亲的教育水平作为童年SES的替代指标。报告童年SES较低的受访者患冠心病的可能性显著高于报告童年SES较高的受访者。报告童年和成年SES均较低的受访者患冠心病的可能性是报告童年和成年SES均较高的受访者的2.34倍。在完全调整模型中，童年SES低而成年SES高的人报告患冠心病的可能性比童年SES高且成年SES高的人高1.60倍。与童年和成年SES均高相比，童年SES高而成年SES低使患冠心病的可能性增加了13%。童年SES与美国老年成年人晚年患冠心病风险增加显著相关。
