Childhood socioeconomic status and racial differences in disability: Evidence from the Health and Retirement Study (1998-2006)

被引:38
作者
Bowen, Mary Elizabeth [1 ]
机构
[1] Wayne State Univ, Inst Gerontol, Detroit, MI 48202 USA
基金
美国医疗保健研究与质量局;
关键词
USA; Race; Life course; Socioeconomic status (SES); Disability; Activities of daily living; Instrumental activities of daily living; LIFE-COURSE APPROACH; SOCIAL-CLASS; ETHNIC-DIFFERENCES; UNITED-STATES; ADULT HEALTH; MORTALITY; DISEASE; RACE; DISPARITIES; EDUCATION;
D O I
10.1016/j.socscimed.2009.06.006
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study used a life course approach to examine the ways in which childhood socioeconomic status (SES) may account for some of the racial differences in disability in later life. Eight years (5 waves) of longitudinal data from the US Health and Retirement Study (HRS; 1998-2006), a nationally representative sample of community-dwelling Black and White Americans over age 50 (N = 14,588), were used in nonlinear multilevel models. Parental education and father's occupation were used to predict racial differences in activities of daily living (ADL) and instrumental activities of daily living (IADL). The role of adult SES (education, income, and wealth) and health behaviors (smoking, drinking alcohol, exercising, and being obese) were also examined and models were adjusted for health conditions (heart problems, diabetes, stroke, hypertension, cancer, lung disease, and arthritis). With the inclusion of childhood SES indicators, racial differences in ADL and IADL disability were reduced. Adult SES and health behaviors mediated some of the relationship between low childhood SES and disability, though low childhood SES continued to be associated with disability net of these. In support of a life course approach, these findings suggest that socioeconomic conditions in early life may have implications for racial differences in disability between older Black and older White adults. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:433 / 441
页数:9
相关论文
共 61 条
[1]   Socioeconomic status and health: What we know and what we don't [J].
Adler, NE ;
Ostrove, JM .
SOCIOECONOMIC STATUS AND HEALTH IN INDUSTRIAL NATIONS: SOCIAL, PSYCHOLOGICAL, AND BIOLOGICAL PATHWAYS, 1999, 896 :3-15
[2]  
[Anonymous], DR002 HRSAHEAD
[3]  
[Anonymous], 2008, Multilevel and longitudinal modeling using Stata, DOI DOI 10.1093/GERONI/IGZ038.1816
[4]  
[Anonymous], HLTH US CHARTB TREND
[5]   Fetal and infant origins of adult disease [J].
Barker, DJP .
MONATSSCHRIFT KINDERHEILKUNDE, 2001, 149 (Suppl 1) :S2-S6
[6]  
BARKER DJP, 1986, LANCET, V1, P1077
[7]   A life course approach to chronic disease epidemiology: conceptual models, empirical challenges and interdisciplinary perspectives [J].
Ben-Shlomo, Y ;
Kuh, D .
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY, 2002, 31 (02) :285-293
[8]   Does childhood health affect chronic morbidity in later life? [J].
Blackwell, DL ;
Hayward, MD ;
Crimmins, EM .
SOCIAL SCIENCE & MEDICINE, 2001, 52 (08) :1269-1284
[9]   Racial/Ethnic Differences in the Relationship Between the Use of Health Care Services and Functional Disability: The Health and Retirement Study (1992-2004) [J].
Bowen, Mary Elizabeth ;
Gonzalez, Hector M. .
GERONTOLOGIST, 2008, 48 (05) :659-667
[10]  
BOWEN ME, AM J PUBLIC IN PRESS