Cabib Ignacio, Valencia Rocío, Olea-Durán Bastián
Instituto de Sociología, 28033Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile.
J Appl Gerontol. 2023 Mar;42(3):474-486. doi: 10.1177/07334648221137055. Epub 2022 Nov 8.
Relying on a life course perspective, we explored the association between childhood socioeconomic position (SEP), adulthood employment trajectories, and their interactions, with different domains of functional limitations among older people in Chile. We used data from a face-to-face, comprehensive and representative life history survey of older people ( = 802), and weighted bivariate, multivariate, and longitudinal quantitative methods. As a way to address potential problems of reverse causality, we adjust multivariate analyses by lifetime health indicators. Our results show that low childhood SEP and non-standard adulthood employment trajectories characterized by part-time work negatively affect later life functional limitations. The increased risk among people with low childhood SEP is higher if they follow a "part-time employment trajectory" in adulthood. In the conclusion, we emphasize that analyzing life course determinants of functional limitations serves to inform and help design strategies to reduce dependency in later life and promote healthy aging.
基于生命历程视角,我们探讨了智利老年人童年社会经济地位(SEP)、成年期就业轨迹及其相互作用与不同功能受限领域之间的关联。我们使用了来自一项针对老年人的面对面、全面且具有代表性的生活史调查(n = 802)的数据,以及加权双变量、多变量和纵向定量方法。作为解决潜在反向因果关系问题的一种方式,我们通过终生健康指标对多变量分析进行了调整。我们的结果表明,童年SEP较低以及以兼职工作为特征的非标准成年期就业轨迹会对晚年的功能受限产生负面影响。童年SEP较低的人群若在成年期遵循“兼职就业轨迹”,其风险增加得更高。在结论中,我们强调分析功能受限的生命历程决定因素有助于为减少晚年依赖性和促进健康老龄化的策略提供信息并帮助设计这些策略。