Institute for Advanced Studies, Josefstädter Straße 39, A-1080 Vienna, Austria; Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/ÖAW, WU), International Institute for Applied Systems Analysis, Schlossplatz 1, 2361 Laxenburg, Austria.
Soc Sci Med. 2019 Dec;242:112603. doi: 10.1016/j.socscimed.2019.112603. Epub 2019 Oct 17.
The contemporaneous association of socioeconomic status (SES) with health is well-established, whereas much less is known about the health-related effects of social mobility (i.e., movements across different SES). This study investigates the impact of SES in childhood and adulthood on health satisfaction across the life course. Using data from the German Socio-Economic Panel (SOEP) and education as a central marker of SES, we test whether parental education (i.e., childhood SES) affects adult health satisfaction, directly and/or indirectly through own educational attainment (i.e., adult SES) as a mediating variable. Moreover, we apply diagonal reference models to disentangle the independent effect of intergenerational educational mobility. Our findings show that parental education has both direct and indirect effects. Yet, the relative weight of parents' education as a predictor of health satisfaction is found to depend on when in the life course health satisfaction is measured: parental education shows an increasing relevance as a predictor of health satisfaction at higher ages. On top of (additive) effects of parental and own education, we find significant mobility effects in earlier adulthood: upward educational mobility is conducive to health satisfaction and the reverse for downward educational mobility.
社会经济地位(SES)与健康之间的同期关联已得到充分证实,而对于社会流动(即跨越不同 SES 的流动)对健康的影响则知之甚少。本研究调查了童年和成年时期 SES 对整个生命周期健康满意度的影响。本研究使用德国社会经济面板调查(SOEP)的数据和教育作为 SES 的主要标志,检验了父母教育(即童年 SES)是否通过自身受教育程度(即成年 SES)这一中介变量直接和/或间接影响成人健康满意度。此外,我们还应用对角线参考模型来区分代际教育流动的独立影响。研究结果表明,父母教育既有直接影响,也有间接影响。然而,父母教育作为健康满意度预测指标的相对重要性取决于在生命周期的哪个阶段测量健康满意度:父母教育在较高年龄时作为健康满意度预测指标的重要性越来越大。除了父母和自身教育的(附加)效应之外,我们还发现了在成年早期的显著流动效应:向上的教育流动有利于健康满意度,反之则不利于健康满意度。