Gugushvili Alexi, McKee Martin, Murphy Michael, Azarova Aytalina, Irdam Darja, Doniec Katarzyna, King Lawrence
1Department of Social Policy and Intervention and Nuffield College, University of Oxford, Barnett House, 32 Wellington Square, Oxford, OX1 2ER UK.
2European Centre on Health of Societies in Transition, London School of Hygiene and Tropical Medicine, London, UK.
Soc Indic Res. 2019;141(1):413-441. doi: 10.1007/s11205-017-1834-7. Epub 2018 Jan 5.
Research on intergenerational social mobility and health-related behaviours yields mixed findings. Depending on the direction of mobility and the type of mechanisms involved, we can expect positive or negative association between intergenerational mobility and health-related behaviours. Using data from a retrospective cohort study, conducted in more than 100 towns across Belarus, Hungary and Russia, we fit multilevel mixed-effects Poisson regressions with two measures of health-related behaviours: binge drinking and smoking. The main explanatory variable, intergenerational educational mobility is operationalised in terms of relative intergenerational educational trajectories based on the prevalence of specified qualifications in parental and offspring generations. In each country the associations between intergenerational educational mobility, binge drinking and smoking was examined with incidence rate ratios and predicted probabilities, using multiply imputed dataset for missing data and controlling for important confounders of health-related behaviours. We find that intergenerational mobility in relative educational attainment has varying association with binge drinking and smoking and the strength and direction of these effects depend on the country of analysis, the mode of mobility, the gender of respondents and the type of health-related behaviour. Along with accumulation and Falling from Grace hypotheses of the consequences of intergenerational mobility, our findings suggest that upward educational mobility in certain instances might be linked to improved health-related behaviours.
关于代际社会流动与健康相关行为的研究结果不一。根据流动方向和所涉及机制的类型,我们可以预期代际流动与健康相关行为之间存在正相关或负相关。利用来自白俄罗斯、匈牙利和俄罗斯100多个城镇的一项回顾性队列研究的数据,我们对与健康相关行为的两项指标(酗酒和吸烟)进行了多层次混合效应泊松回归分析。主要解释变量代际教育流动是根据父母和子女两代特定学历的普及率,按照相对代际教育轨迹来操作化的。在每个国家,使用多重填补数据集处理缺失数据,并控制健康相关行为的重要混杂因素,通过发病率比和预测概率来检验代际教育流动、酗酒和吸烟之间的关联。我们发现,相对教育程度的代际流动与酗酒和吸烟的关联各不相同,这些影响的强度和方向取决于分析的国家、流动模式、受访者的性别以及健康相关行为的类型。除了代际流动后果的累积和失宠假设外,我们的研究结果表明,在某些情况下,向上的教育流动可能与改善健康相关行为有关。