童年环境与晚年身心健康的关系：成人社会经济地位的作用。
The Relationship Between Childhood Circumstances and Late Life Physical and Mental Health: The Role of Adult Socioeconomic Status.
机构信息
School of Health Sciences, 6420Massey University, Palmerston North, New Zealand.
School of Social Work, 6420Massey University, Palmerston North, New Zealand.
出版信息
Res Aging. 2021 May;43(5-6):250-259. doi: 10.1177/0164027520961560. Epub 2020 Sep 29.
OBJECTIVES
Socioeconomic status and health in childhood are linked to health outcomes in later life. Health outcomes may also be shaped by socioeconomic circumstances in adulthood and later life. This paper examined the relationship between childhood conditions and later life health and tested whether this relationship was mediated by later life economic living standards.
METHODS
Data from a longitudinal study of aging was combined with retrospective life history data from 787 participants from the New Zealand Health, Work and Retirement Study.
RESULTS
Significant relationships were found between childhood conditions and later life health. These relationships were mediated by economic living standards in older age, but the partial direct effect of childhood conditions on health found in early older age became fully meditated 10 years later.
CONCLUSION
While childhood circumstances are part of this complex relationship, socioeconomic conditions in later life are vital to ensuring ongoing health into older age.
目的
儿童时期的社会经济地位和健康状况与晚年的健康结果有关。健康结果也可能受到成年期和晚年的社会经济环境的影响。本文研究了童年条件与晚年健康之间的关系，并检验了这种关系是否受到晚年经济生活水平的中介作用。
方法
本研究将一项老龄化纵向研究的数据与来自新西兰健康、工作和退休研究的 787 名参与者的回溯性生活史数据相结合。
结果
发现童年条件与晚年健康之间存在显著关系。这些关系受老年时经济生活水平的中介作用，但在早期老年时发现的童年条件对健康的部分直接影响，在 10 年后完全受到中介作用的影响。
结论
虽然童年环境是这种复杂关系的一部分，但晚年的社会经济条件对于确保进入老年后持续的健康至关重要。
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