Günther Sebastian, Knöchelmann Anja, Moor Irene, Richter Matthias
Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale).
Gesundheitswesen. 2019 Jul;81(7):544-554. doi: 10.1055/s-0043-119086. Epub 2017 Oct 25.
International research suggests that mobility plays an important role in determining health in later life. The aim of this study was to analyze the relationship between intragenerational mobility and subjective health on the basis of data from Germany, taking different periods from 1992 to 2012 into account.
Data is derived from the Socio-economic Panel (GSOEP), taking three time periods into account (1992-1995, 2000-2003 and 2008-2012). Intragenerational mobility was measured by comparing first occupational position and current job. Logistic regressions were used in order to analyze the relationship between health and mobility.
Men and women who were downwardly mobile in unemployment or stable low reported the worst health. Up- and downwardly mobile people were located between the stable-up and stable-low groups. The relationship was not affected by origin (East/West Germany). Yet, upward mobility was more common in West Germany and downward mobility was more frequent in East Germany. In general, men and women showed similar patterns. The relationship between intragenerational mobility and health remained stable over time.
Occupational development showed a strong relationship with health in later life. Especially downward mobility into unemployment or staying in lower positions had strong influence on health. Socio-political measures should be taken to prevent a further divergence of health opportunities.
国际研究表明,流动性在决定晚年健康方面起着重要作用。本研究的目的是基于德国的数据,分析代际流动性与主观健康之间的关系,并考虑1992年至2012年的不同时期。
数据来源于社会经济面板(GSOEP),考虑了三个时间段(1992 - 1995年、2000 - 2003年和2008 - 2012年)。通过比较首次职业地位和当前工作来衡量代际流动性。使用逻辑回归分析健康与流动性之间的关系。
在失业或稳定处于低职位状态下向下流动的男性和女性健康状况最差。向上和向下流动的人群处于稳定上升和稳定低职位组之间。这种关系不受出身(东德/西德)的影响。然而,向上流动在西德更为常见,向下流动在东德更为频繁。总体而言,男性和女性表现出相似的模式。代际流动性与健康之间的关系随时间保持稳定。
职业发展与晚年健康显示出强烈的关系。特别是向下流动到失业状态或停留在较低职位对健康有很大影响。应采取社会政治措施防止健康机会的进一步分化。