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代际关系与社会流动:老年身体功能的社会不平等。

Intergenerational relations and social mobility: Social inequality in physical function in old age.

机构信息

Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden; Center for Healthy Aging, University of Copenhagen, 1123 Copenhagen K, Denmark.

Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Center for Healthy Aging, University of Copenhagen, 1123 Copenhagen K, Denmark.

出版信息

Arch Gerontol Geriatr. 2019 Jan-Feb;80:58-64. doi: 10.1016/j.archger.2018.10.006. Epub 2018 Oct 13.

Abstract

BACKGROUND

The concept of social foreground describes how adult offspring's socioeconomic resources may influence older adults' health and several studies have shown an association between socioeconomic position of adult offspring and the health of their older parents. However, little is known about the factors that generate these associations. We study 1) how adult offspring's social class is associated with physical function (PF) among older adults, 2) whether geographical closeness and contact frequency with offspring modify the association, and 3) whether intergenerational social mobility of offspring is associated with PF of older adults.

METHOD

Data are obtained from the 2002 (n = 621) and 2011 (n = 931) waves of the Swedish Panel Study of Living Conditions of the Oldest Old. Multivariable linear regression models were employed and adjusted for own and partner's prior social class and offspring's age and gender.

RESULTS

Compared to offspring with non-manual occupation, offsprings with manual occupation was associated with poorer PF in older adults (-0.14, CI95%:-0.28;0.00). In stratified analyses, offspring's social class was only associated with older adults' PF among those who lived geographically close. Contact frequency between the offspring and the older adults did not modify the associations. Older adults whose offspring experienced downward intergenerational social mobility were associated with the poorest PF.

CONCLUSION

This study supports evidence of a relationship between social foreground and older adults' PF where geographical closeness and social mobility are important components.

摘要

背景

社会前景的概念描述了成年子女的社会经济资源如何影响老年人的健康,并且已有多项研究表明成年子女的社会经济地位与他们年长父母的健康之间存在关联。然而,对于产生这些关联的因素知之甚少。我们研究了 1)成年子女的社会阶层如何与老年人的身体机能(PF)相关,2)与子女的地理接近程度和接触频率是否会改变这种关联,以及 3)子女的代际社会流动是否与老年人的 PF 相关。

方法

数据来自瑞典最年长老年人生活条件的面板研究的 2002 年(n=621)和 2011 年(n=931)波次。采用多变量线性回归模型,并调整了自身和伴侣的先前社会阶层以及子女的年龄和性别。

结果

与从事非体力劳动职业的子女相比,从事体力劳动职业的子女与老年人较差的 PF 相关(-0.14,CI95%:-0.28;0.00)。在分层分析中,只有在与子女地理上接近的老年人中,子女的社会阶层才与老年人的 PF 相关。子女与老年人之间的接触频率并没有改变这些关联。经历代际社会地位下降的子女的老年人与最差的 PF 相关。

结论

本研究支持社会前景与老年人 PF 之间存在关系的证据,其中地理接近程度和社会流动性是重要组成部分。

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