老年女性和男性的社会流动性与健康相关生活质量轨迹类别
Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.
作者信息
Lahti Anna-Maria, Mikkola Tuija M, Wasenius Niko S, Törmäkangas Timo, Ikonen Jenni N, Siltanen Sini, Eriksson Johan G, von Bonsdorff Mikaela B
机构信息
Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyvaskyla, Finland.
Folkhälsan Research Center, Helsinki, Finland.
出版信息
J Aging Health. 2025 Mar;37(3-4):220-232. doi: 10.1177/08982643241242513. Epub 2024 Apr 1.
OBJECTIVES
Changes in socioeconomic status (SES) during life may impact health in old age. We investigated whether social mobility and childhood and adulthood SES are associated with trajectories of health-related quality of life (HrQoL) over a 17-year period.
METHODS
We used data from the Helsinki Birth Cohort Study ( = 2003, 46% men, mean age 61.5 years). Social mobility was derived from childhood SES, obtained from healthcare records, and register-based adulthood SES.
RESULTS
Logistic regression models showed that lower adulthood SES was associated with lower physical HrQoL trajectories. Among men low (OR 3.95, < .001), middle (OR 2.20, = .006), and declining lifetime SES (OR 2.41, = .001) were associated with lower physical HrQoL trajectories compared to men with high SES. Socioeconomic status was not associated with mental HrQoL trajectories.
DISCUSSION
Declining SES during life course may have negative health consequences, while improving SES is potentially as beneficial as high SES to later-life health among men.
目的
一生中社会经济地位（SES）的变化可能会影响老年健康。我们调查了社会流动性以及儿童期和成年期的SES是否与17年期间与健康相关的生活质量（HrQoL）轨迹相关。
方法
我们使用了赫尔辛基出生队列研究的数据（n = 2003，46%为男性，平均年龄61.5岁）。社会流动性源自儿童期SES（从医疗记录中获取）以及基于登记的成年期SES。
结果
逻辑回归模型显示，较低的成年期SES与较低的身体HrQoL轨迹相关。在男性中，与高SES男性相比，低SES（优势比3.95，P <.001）、中等SES（优势比2.20，P =.006）以及一生SES下降（优势比2.41，P =.001）与较低的身体HrQoL轨迹相关。社会经济地位与心理HrQoL轨迹无关。
讨论
一生中SES下降可能会对健康产生负面影响，而在男性中，提高SES可能与高SES对晚年健康一样有益。
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