Life-course socioeconomic differences and social mobility in preventable and non-preventable mortality: a study of Swedish twins

被引:15
作者
Ericsson, Malin [1 ]
Pedersen, Nancy L. [1 ]
Johansson, Anna L., V [1 ,2 ]
Fors, Stefan [3 ,4 ]
Aslan, Anna K. Dahl [1 ,5 ]
机构
[1] Karolinska Inst, Dept Med Epidemiol & Biostat, POB 281, SE-17177 Stockholm, Sweden
[2] Canc Registry Norway, Oslo, Norway
[3] Karolinska Inst, Aging Res Ctr, Solna, Sweden
[4] Stockholm Univ, Solna, Sweden
[5] Jonkoping Univ, Sch Hlth & Welf, Inst Gerontol & Aging Res Network Jonkoping ARN J, Jonkoping, Sweden
基金
瑞典研究理事会;
关键词
Mortality; socioeconomic status; social mobility; social gradient; social selection; co-twin control; MODERN WELFARE STATES; HEALTH INEQUALITIES; FUNDAMENTAL CAUSES; CHILDHOOD; EXPLANATION; PERSISTENCE; ADULTHOOD; REGISTRY; IMPACT; LONG;
D O I
10.1093/ije/dyz042
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Despite advances in life expectancy, low socioeconomic status is associated with a shorter lifespan. This study was conducted to investigate socioeconomic differences in mortality by comparing preventable with non-preventable causes of death in 39 506 participants from the Swedish Twin Registry born before 1935. Methods: Childhood social class, own education, own social class and social mobility were used as separate indicators of socioeconomic status. These data were linked to the Swedish Cause of Death Register. Cause of death was categorized as preventable or non-preventable mortality according to indicators presented in the Avoidable Mortality in the European Union (AMIEHS) atlas. Using Cox proportional hazard models, we tested the association between the socioeconomic measures and all-cause mortality, preventable mortality and non-preventable mortality. Additional co-twin control analyses indicated whether the associations reflected genetic confounding. Results: The social gradient for mortality was most prominent for the adult socioeconomic measures. There was a social gradient in both preventable mortality and non-preventable mortality, but with an indication of a moderately stronger effect in preventable causes of death. In analyses of social mobility, those who experienced life-time low socioeconomic status (SES) or downward social mobility had an increased mortality risk compared with those with life-time high SES and upward social mobility. Adjustments for genetic confounding did not change the observed associations for education, social class or social mobility and mortality. In the co-twin control analyses of reared-apart twins, the association between childhood social class and mortality weakened, indicating possible genetic influences on this association. Conclusions: Our results indicate that there is an association between low adult socioeconomic status and increased mortality independent of genetic endowment. Thus, we do not find support for indirect social selection as the basis for mortality inequalities in Sweden
引用
收藏
页码:1701 / 1709
页数:9
相关论文
共 29 条
[1]  
[Anonymous], 2015, Stata Statistical Software: Release 14
[2]   Does More Schooling Reduce Hospitalization and Delay Mortality? New Evidence Based on Danish Twins [J].
Behrman, Jere R. ;
Kohler, Hans-Peter ;
Jensen, Vibeke Myrup ;
Pedersen, Dorthe ;
Petersen, Inge ;
Bingley, Paul ;
Christensen, Kaare .
DEMOGRAPHY, 2011, 48 (04) :1347-1375
[3]   The effects of social origins and cognitive ability on educational attainment: Evidence from Britain and Sweden [J].
Bukodi, Erzsebet ;
Erikson, Robert ;
Goldthorpe, John H. .
ACTA SOCIOLOGICA, 2014, 57 (04) :293-310
[4]   Health selection in the Whitehall II study, UK [J].
Chandola, T ;
Bartley, M ;
Sacker, A ;
Jenkinson, C ;
Marmot, M .
SOCIAL SCIENCE & MEDICINE, 2003, 56 (10) :2059-2072
[5]   The Association Between Income and Life Expectancy in the United States, 2001-2014 [J].
Chetty, Raj ;
Stepner, Michael ;
Abraham, Sarah ;
Lin, Shelby ;
Scuderi, Benjamin ;
Turner, Nicholas ;
Bergeron, Augustin ;
Cutler, David .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2016, 315 (16) :1750-1766
[6]   Live long and prosper? Childhood living conditions, marital status, social class in adulthood and mortality during mid-life: A cohort study [J].
Fors, Stefan ;
Lennartsson, Carin ;
Lundberg, Olle .
SCANDINAVIAN JOURNAL OF PUBLIC HEALTH, 2011, 39 (02) :179-186
[7]   Childhood socioeconomic circumstances and cause-specific mortality in adulthood: Systematic review and interpretation [J].
Galobardes, B ;
Lynch, JW ;
Smith, GD .
EPIDEMIOLOGIC REVIEWS, 2004, 26 :7-21
[8]  
Goldman N, 2001, ANN NY ACAD SCI, V954, P118
[9]  
Haldorson L., 2008, Fokus pa naringsliv och arbetsmarknad, V8, P69
[10]   The long arm of childhood: The influence of early-life social conditions on men's mortality [J].
Hayward, MD ;
Gorman, BK .
DEMOGRAPHY, 2004, 41 (01) :87-107