Lifetime Socioeconomic Status and Late-life Health Trajectories: Longitudinal Results From the Mexican Health and Aging Study

被引:31
作者
Torres, Jacqueline M. [1 ]
Rizzo, Shemra [2 ]
Wong, Rebeca [3 ]
机构
[1] Univ Calif San Francisco, Ctr Hlth & Community, 3333 Calif St, San Francisco, CA 94118 USA
[2] Univ Calif Riverside, Dept Stat, Riverside, CA 92521 USA
[3] Univ Texas Med Branch, Sealy Ctr Aging, Dept Prevent Med & Community Hlth, Galveston, TX 77555 USA
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2018年 / 73卷 / 02期
基金
美国国家卫生研究院;
关键词
Aging; Cumulative disadvantage; Health trajectories; Mental health; Mexico; MHAS; Socioeconomic status; DEPRESSIVE SYMPTOMS; OLDER-ADULTS; CHILDHOOD POVERTY; POSITION; AGE; STRATIFICATION; EPIDEMIOLOGY; VALIDATION; OBESITY; WEALTH;
D O I
10.1093/geronb/gbw048
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Objective: This article examines the association between childhood and adult socioeconomic status (SES) and late-life health trajectories for older adults in Mexico. Method: Data are from the Mexican Health and Aging Study, a panel survey that began with a nationally representative sample of Mexican adults 50 years and older at baseline (2001), with follow-up in 2003 and 2012. We use a hierarchical repeated measures model to estimate the relationship between SES and depressive symptoms, functional limitations, and self-rated health, respectively. We tested both discrete measures of SES in childhood and adulthood, as well as a combined indicator of lifetime SES. Results: Childhood SES was significantly associated with later-life health trajectories net of adulthood SES indicators. Adult SES was significantly associated with late-life health trajectories, with some differences by gender and outcome. There were significant SES disparities in health outcomes over the 11-year study period. However, there were no significant multiplicative interactions between SES and age, which would have indicated either diminishing or widening SES health disparities with age. Discussion: Socioeconomic disparities in health appear to persist into old age in the Mexican context. Efforts to reduce late-life health disparities in Mexico should target socioeconomic and material conditions across the life course.
引用
收藏
页码:349 / 360
页数:12
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