Instituto de Odontoestomatología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile; Millennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago, Chile.
Millennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago, Chile; Instituto de Sociología & Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile.
Adv Life Course Res. 2021 Sep;49:100415. doi: 10.1016/j.alcr.2021.100415. Epub 2021 Mar 24.
Drawing on life course theory and research, we explored how socioeconomic circumstances during childhood and adulthood shape self-reported health trajectories among older Mexican adults. We used data from the Mexican Health and Aging Study panel survey (2001-2015) and used sequence analysis to estimate types of self-reported health trajectories in older adulthood. We then explored the association between those health trajectories and socioeconomic determinants at different life stages, including education, occupation, employment, economic status, parental education, and adverse living conditions and illnesses during childhood. Our contributions are threefold. First, we identified four types of health trajectories for men and eight for women, representing a more nuanced longitudinal health status profile than previously shown. Second, we found that childhood and adult socioeconomic circumstances influence self-reported health trajectories at older age. Third, our results suggest there is no simple monotonic relationship between life course circumstances and self-reported health trajectories.
借鉴生命历程理论和研究，我们探讨了童年和成年时期的社会经济环境如何塑造老年墨西哥成年人的自我报告健康轨迹。我们使用了墨西哥健康与老龄化研究小组调查（2001-2015 年）的数据，并使用序列分析来估计成年后期自我报告健康轨迹的类型。然后，我们探讨了这些健康轨迹与不同生命阶段的社会经济决定因素之间的关联，包括教育、职业、就业、经济状况、父母教育以及童年时期的不良生活条件和疾病。我们的贡献有三点。首先，我们为男性确定了四种健康轨迹，为女性确定了八种，这比以前显示的更细致的纵向健康状况概况。其次，我们发现童年和成年时期的社会经济环境会影响老年时的自我报告健康轨迹。第三，我们的结果表明，生命历程环境与自我报告健康轨迹之间没有简单的单调关系。
