Cancer and Public Health Area, Foundation for the Promotion of the Research in Healthcare and Biomedicine (FISABIO-Salud Pública), Valencia, Valencian Community, Spain.
Inequalities Area, Foundation for the Promotion of the Research in Healthcare and Biomedicine (FISABIO-Salud Pública), Valencia, Valencian Community, Spain.
PLoS One. 2021 May 12;16(5):e0251447. doi: 10.1371/journal.pone.0251447. eCollection 2021.
There is evidence for the influence of socioeconomic status (SES) on healthy behaviours but the effect of social mobility (SM) is not yet well known. This study aims to analyse the influence of origin and destination SES (O-SES and D-SES) and SM on healthy behaviours and co-occurrence, from an integrated gender and age perspective. Data were obtained from the controls of MCC-Spain between 2008-2013 (3,606 participants). Healthy behaviours considered: healthy diet, moderate alcohol consumption, non-smoking and physical activity. SM was categorized as stable high, upward, stable medium, downward or stable low. Binary and multinomial logistic regression models were adjusted. Those aged <65, with a low O-SES, D-SES and stable low SM are less likely to have healthy behaviours in the case of both women (physically active: OR = 0.65 CI = 0.45-0.94, OR = 0.71 CI = 0.52-0.98, OR = 0.61 CI = 0.41-0.91) and men (non-smokers: OR = 0.44 CI = 0.26-0.76, OR = 0.54 CI = 0.35-0.83, OR = 0.41 CI 0.24-0.72; physically active: OR = 0.57 CI = 0.35-0.92, OR = 0.64 CI = 0.44-0.95, OR = 0.53 CI = 0.23-0.87). However, for those aged ≥65, this probability is higher in women with a low O-SES and D-SES (non-smoker: OR = 8.09 CI = 4.18-15.67, OR = 4.14 CI = 2.28-7.52; moderate alcohol consumption: OR = 3.00 CI = 1.45-6.24, OR = 2.83 CI = 1.49-5.37) and in men with a stable low SM (physically active: OR = 1.52 CI = 1.02-1.26). In the case of men, the same behaviour pattern is observed in those with a low O-SES as those with upward mobility, with a higher probability of co-occurring behaviours (three-to-four behaviours: OR = 2.00 CI = 1.22-3.29; OR = 3.13 CI = 1.31-7.48). The relationship of O-SES, D-SES and SM with healthy behaviours is complex and differs according to age and gender.
有证据表明社会经济地位（SES）会影响健康行为，但社会流动（SM）的影响尚不清楚。本研究旨在从综合性别和年龄的角度分析原籍和目的地 SES（O-SES 和 D-SES）和 SM 对健康行为和共现的影响。数据来自 2008-2013 年 MCC-Spain 的对照组（3606 名参与者）。考虑的健康行为包括健康饮食、适度饮酒、不吸烟和体育活动。SM 分为稳定高、上升、稳定中、下降或稳定低。调整了二元和多项逻辑回归模型。对于年龄<65 岁、O-SES、D-SES 和稳定低 SM 较低的女性（体育活动：OR = 0.65，CI = 0.45-0.94，OR = 0.71，CI = 0.52-0.98，OR = 0.61，CI = 0.41-0.91）和男性（不吸烟者：OR = 0.44，CI = 0.26-0.76，OR = 0.54，CI = 0.35-0.83，OR = 0.41，CI = 0.24-0.72；体育活动：OR = 0.57，CI = 0.35-0.92，OR = 0.64，CI = 0.44-0.95，OR = 0.53，CI = 0.23-0.87），不太可能有健康行为。然而，对于年龄≥65 岁的人，女性 O-SES 和 D-SES 较低（不吸烟者：OR = 8.09，CI = 4.18-15.67，OR = 4.14，CI = 2.28-7.52；适度饮酒：OR = 3.00，CI = 1.45-6.24，OR = 2.83，CI = 1.49-5.37）和男性 SM 稳定较低（体育活动：OR = 1.52，CI = 1.02-1.26）的情况下，这种可能性更高。对于男性，在低 O-SES 组和上升流动组中观察到与低 SES 相同的行为模式，共存行为的可能性更高（三种至四种行为：OR = 2.00，CI = 1.22-3.29；OR = 3.13，CI = 1.31-7.48）。O-SES、D-SES 和 SM 与健康行为的关系是复杂的，并且根据年龄和性别而有所不同。
