Michelle Kelly-Irving
Datos Biográficos
| ID | 738044 |
|---|---|
| NOMBRE | Michelle Kelly-Irving |
| NOMBRES | Michelle |
| APELLIDO | Kelly-Irving |
| FIRMA | KELLY-IRVING M |
| AFILIACIONES | Inserm |
| ORCID | 0000-0001-5749-4791 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 44 |
| TOTAL DE CITAS | 113 |
| TOTAL COMO AUTOR | 44 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2005 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
Intersectional parental health inequities one year after childbirth
Social inequities in health are shaped by interlocking systems of oppression that differentially structure experiences across populations and over the life-course. This study examines intersectional inequities in parental health one-year post-birth, focusing on the articulation of race/ethnicity, sex/gender, and social class. Using data from a French population-based birth study, Elfe cohort, we applied intersectional multilevel analysis (I-MAIHD…
An intersectional approach to understanding systolic blood pressure distribution in a large French study
Inequities in systolic blood pressure (SBP), a widely used biomarker, have been shown to be patterned by age, sex, and socioeconomic position, but few studies have investigated how they combine to result in differential SBP risk. This study brings new insights by simultaneously considering sex, age, education, as well as race/ethnicity -a dimension seldom investigated in French health studies- in an intersectional perspective. Using data from the…
WHO launches global network of institutes to strengthen capacity for health inequality monitoring
This article introduces the global WHO-managed Health Inequality Monitoring Network, which is dedicated to strengthening and expanding health inequality monitoring practices at global, regional and country levels. Launched in 2025, the Health Inequality Monitoring Network consists of 12 inaugural institutional members, represented by over 140 affiliated individuals spanning all world regions. The Network aims to: strengthen capacities for health …
Social integration and mortality across the life course
Our study consolidates evidence on the relationship between social integration and mortality risk, especially in mid-adulthood, and suggests some potential underlying pathways. To reduce mortality risk inequalities, we encourage structurally addressing social marginalization
Gender and Social Class Inequalities in Child Psychomotor Development
During early childhood, the acquisition of bodily autonomy, language, and motor skills varies according to the social characteristics of children and their families.This article describes inequalities in child development by gender and social class, and at the intersection between these two social relationships.The study is based on ELFE (tude longitudinale franaise depuis l'enfance) survey data collected from a vast cohort of more than 18,000 ch…
A toolbox for studying health inequalities
Influence of sex on the incidence of colorectal cancer
Inégalités de genre et de classe sociale dans le développement psychomoteur des enfants
Au cours de la petite enfance, les apprentissages corporels, langagiers et moteurs varient selon les caractéristiques sociales des enfants et de leurs familles. Cet article propose une description des inégalités dans les apprentissages en fonction du genre, de la classe sociale et à l'intersection de ces deux rapports sociaux. L'étude s'appuie sur une vaste enquête portant sur plus de 18 000 enfants nés en France hexagonale, la cohorte Elfe dont …
Knowledge gaps in existing research exploring sexual fluidity and mental health among young adults
While there is a large body of evidence indicating that sexual minority youth experience inequitably high rates of mental health problems (eg, depression, suicidality), we know little about how temporal changes in sexual attractions, identities and behaviour may impact mental health (and other) outcomes. In this essay, we review existing research regarding sexual fluidity and mental health among young adults in order to identify critical knowledg…
Toward a conceptual framework of health and its operational definition
We proposed a method for measuring Health in mid-life in line with the concept of Health as the ability to adapt and self-manage and the concept of health reserves. This method may be applied and further developed within the field of social and positive epidemiology
The level of education is associated with an anxiety-depressive state among men and women – findings from France during the first quarter of the Covid-19 pandemic
In France, at the end of the first wave of COVID-19, individuals with a lower level of education had a higher risk of anxiety-depressive state. This association was more pronounced for women, highlighting a process of social inequality in health possibly related to gender. This should be considered in future prevention and public health interventions
Why are health and sickness socially patterned across human societies? The embodiment dynamic over the life course
Cet article est basé sur une conférence plénière lors du congrès de la Société d’Anthropologie de Paris en 2021. Il porte sur des recherches issues du domaine de l’épidémiologie sociale, abordant spécifiquement la question des inégalités sociales de santé. La distribution inégale de la santé entre les groupes socio-structurels de la population n’est pas un phénomène nouveau et reste un problème persistant de santé publique. Comprendre comment les…
Communication invitée du thèmeLes corps maladesWhy are health and sickness socially patterned across human societies?
If we want to understand why health and sickness are socially patterned across human societies, we need to examine how the socially structured environment becomes embodied. I will describe a framework for research on social-to-biological processes and define two broad sets of mechanisms that may help understand how socially structured exposures become embodied: mechanisms of exogenous and endogenous origin. Using empirical examples, I will explai…
Measuring education in the context of health inequalities
Health Impacts of the Covid-19 Lockdown Measure in a Low Socio-Economic Setting
In March 2020, the French government implemented nation-wide measures to reduce social contact and slow the progression of the emerging coronavirus responsible for COVID-19, the most significant being a complete home lockdown that lasted 8 weeks. Reunion Island is a French overseas department marked by large social inequalities. We draw the hypothesis that distancing and lockdown measures may have contributed to an increase in the social inequali…
Falling down the rabbit hole? Methodological, conceptual and policy issues in current health inequalities research
Persistent health inequalities pose a challenge to researchers and policymakers. Decades of research have illuminated mechanisms that underlie health inequalities, now we must move beyond these observations to enable policies that can reduce them. In this paper, we highlight tensions in the field of health inequalities research regarding the relationship between social determinants and health outcomes, and the effectiveness of welfare policies. W…
Towards a Political Sociology of Social Health Inequalities
In late 2021, in issue 3 of the Revue française des affaires sociales, Jean-Charles Basson, Nadine Haschar-Noé and Marina Honta devoted a dossier to "The Production of Social Health Inequalities" in which they emphasised the social construction of health inequalities, the undermining of the legitimate access to health-related rights and healthcare use, and lastly the political production of health. In light of the Covid-19 pandemic, the authors r…
Adverse Childhood Events and Health Biomarkers
Background: This systematic review aimed to summarize evidence reporting epigenetic and/or neuro-immuno-endocrine embedding of adverse childhood events (ACEs) in children, with a particular focus on the short-term biological effect of those experiences. Methods: A search was conducted in PsycINFO®, PubMed®, Isi Web of Knowledge and Scopus, until July 2019, to identify papers reporting the short-term biological effects of exposure to ACEs. Results…
Framework for understanding health inequalities over the life course
Understanding how structural, social and psychosocial factors come to affect our health resulting in health inequalities is more relevant now than ever as trends in mortality gaps between rich and poor appear to have widened over the past decades. To move beyond description, we need to hypothesise about how structural and social factors may cause health outcomes. In this paper, we examine the construction of health over the life course through th…
Social protection expenditure on health in later life in 20 European countries
Higher social spending reduces life-course socioeconomic inequalities in women's subjective health and in men's and women's objective health. However, some specific social protection policies may have the unintentional effect of increasing inequalities in people's evaluation of their own health
Special Report
Funded by the European Commission Horizon2020 programme, the Lifepath research consortium aimed to understand the impacts of socioeconomic inequalities on the biology of healthy ageing. The main research questions included the impact of inequalities on health, the role of behavioural and other risk factors, the underlying biological mechanisms, the efficacy of selected policies, and the general implications of our findings for theories and polici…
Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data
Our research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes
Importance of collecting data on socioeconomic determinants from the early stage of the Covid-19 outbreak onwards
Disadvantaged socioeconomic position (SEP) is widely associated with disease and mortality, and there is no reason to think this will not be the case for the newly emerged coronavirus disease 2019 (COVID-19) that has reached a pandemic level. Individuals with a more disadvantaged SEP are more likely to be affected by most of the known risk factors of COVID-19. SEP has been previously established as a potential determinant of infectious diseases i…
Mechanisms of life-course socioeconomic inequalities in adult systemic inflammation
Health inequalities
The Mortality Divide in India
Objectives. We investigated the contributions of gender, caste, and standard of living to inequalities in mortality across the life course in India. Methods. We conducted a multilevel cross-sectional analysis of individual mortality, using the 1998–1999 Indian National Family Health Survey data for 529321 individuals from 26 states. Results. Substantial mortality differentials were observed between the lowest and highest standard-of-living quinti…
Importance of collecting data on socioeconomic determinants from the early stage of the Covid-19 outbreak onwards
Disadvantaged socioeconomic position (SEP) is widely associated with disease and mortality, and there is no reason to think this will not be the case for the newly emerged coronavirus disease 2019 (COVID-19) that has reached a pandemic level. Individuals with a more disadvantaged SEP are more likely to be affected by most of the known risk factors of COVID-19. SEP has been previously established as a potential determinant of infectious diseases i…
A Critique of the Adverse Childhood Experiences Framework in Epidemiology and Public Health
Adverse childhood experiences (ACEs) have emerged as a major research theme. They make reference to an array of potentially harmful exposures occurring from birth to eighteen years of age and may be involved in the construction of health inequalities over the lifecourse. As with many simplified concepts, ACEs present limitations. They include diverse types of exposures, are often considered cumulatively, can be identified using prospective and re…
Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data
Our research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes
Mediating pathways between parental socio-economic position and allostatic load in mid-life
Framework for understanding health inequalities over the life course
Understanding how structural, social and psychosocial factors come to affect our health resulting in health inequalities is more relevant now than ever as trends in mortality gaps between rich and poor appear to have widened over the past decades. To move beyond description, we need to hypothesise about how structural and social factors may cause health outcomes. In this paper, we examine the construction of health over the life course through th…
Health inequalities
The biological embedding of social differences in ageing trajectories
International audience
Integrating Multidisciplinary Results to Produce New Knowledge About the Physician–Patient Relationship
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds …
Life-Course Circumstances and Frailty in Old Age Within Different European Welfare Regimes
These findings suggest that childhood misfortune is linked to frailty in old age. Such a disadvantaged start in life does not seem to be compensated by a person's life-course socioeconomic trajectory, though certain types of welfare regimes affected this relationship. Apart from main occupational position, our findings do not support the cumulative dis/advantage theory, but rather show narrowing differences
Early-life inequalities and biological ageing
Social position is known to play a role in the quality of ageing, notably through the stimulation/dysregulation of key physiological systems in response to external stresses. Using data from one wave of Understanding Society including 9088 participants, we defined, as an extension of the allostatic load, a synthetic Biological Health Score (BHS) capturing the wear-and-tear of four physiological systems (endocrine, inflammatory, cardiovascular and…
Towards a Political Sociology of Social Health Inequalities
In late 2021, in issue 3 of the Revue française des affaires sociales, Jean-Charles Basson, Nadine Haschar-Noé and Marina Honta devoted a dossier to "The Production of Social Health Inequalities" in which they emphasised the social construction of health inequalities, the undermining of the legitimate access to health-related rights and healthcare use, and lastly the political production of health. In light of the Covid-19 pandemic, the authors r…
Social protection expenditure on health in later life in 20 European countries
Higher social spending reduces life-course socioeconomic inequalities in women's subjective health and in men's and women's objective health. However, some specific social protection policies may have the unintentional effect of increasing inequalities in people's evaluation of their own health
Mechanisms of life-course socioeconomic inequalities in adult systemic inflammation
Do general practitioners overestimate the health of their patients with lower education
Inégalités de genre et de classe sociale dans le développement psychomoteur des enfants
Au cours de la petite enfance, les apprentissages corporels, langagiers et moteurs varient selon les caractéristiques sociales des enfants et de leurs familles. Cet article propose une description des inégalités dans les apprentissages en fonction du genre, de la classe sociale et à l'intersection de ces deux rapports sociaux. L'étude s'appuie sur une vaste enquête portant sur plus de 18 000 enfants nés en France hexagonale, la cohorte Elfe dont …
Why are health and sickness socially patterned across human societies? The embodiment dynamic over the life course
Cet article est basé sur une conférence plénière lors du congrès de la Société d’Anthropologie de Paris en 2021. Il porte sur des recherches issues du domaine de l’épidémiologie sociale, abordant spécifiquement la question des inégalités sociales de santé. La distribution inégale de la santé entre les groupes socio-structurels de la population n’est pas un phénomène nouveau et reste un problème persistant de santé publique. Comprendre comment les…
Growth of Jersey Schoolchildren During the 1940-1945 German Occupation
The 1940-45 German occupation of the Channel Islands was accompanied by a gradual deterioration in food availability and culminated in a nine-month siege with severe food shortages after supplies from France were cut off following the liberation of Normandy in 1944. The aim of this study was to compare the growth rates of schoolchildren resident on one of the Channel Islands (Jersey) with children growing up on mainland Britain. Secondary analyse…
Growth of Jersey Schoolchildren During the 1940-1945 German Occupation
The 1940-45 German occupation of the Channel Islands was accompanied by a gradual deterioration in food availability and culminated in a nine-month siege with severe food shortages after supplies from France were cut off following the liberation of Normandy in 1944. The aim of this study was to compare the growth rates of schoolchildren resident on one of the Channel Islands (Jersey) with children growing up on mainland Britain. Secondary analyse…
The Mortality Divide in India
Objectives. We investigated the contributions of gender, caste, and standard of living to inequalities in mortality across the life course in India. Methods. We conducted a multilevel cross-sectional analysis of individual mortality, using the 1998–1999 Indian National Family Health Survey data for 529321 individuals from 26 states. Results. Substantial mortality differentials were observed between the lowest and highest standard-of-living quinti…
P61 Could disagreement between doctors and patients on evaluating patient's health contribute to worsening health inequalities? The Intermede study
Objective To determine whether disagreement between doctors and patients may be linked to the production of health inequalities. Methods INTERMEDE is a multidisciplinary study of doctor/patient interaction. These results are from the quantitative cross-sectional phase. 27 GPs located in Paris, Nantes and Toulouse volunteered to participate in the study. 585 eligible patients were included after being approached in the GP's waiting room. Pre-consu…
Linking hospital workers' organisational work environment to depressive symptoms
Do general practitioners overestimate the health of their patients with lower education
SRH and HrQOL
Both SRH and HRQoL were lower among those reporting functional limitations or chronic low back pain. However, the change varied according SEP and the measure. In relative term, the negative impact of a given health condition seems to be greater on SRH and lower on HRQoL for people with higher SEP in comparison with people with low SEP. Using SRH could thus decrease socioeconomic differences. In contrast using HRQoL could increase these difference…
Childhood adversity as a risk for cancer
These findings suggest that cancer risk may be influenced by exposure to stressful conditions and events early on in life. This is potentially important in furthering our understanding of cancer aetiology, and consequently in redirecting scientific research and developing appropriate prevention policies
Evaluation d’impact sur la santé et évaluation d’impact sur l’équité en santé
L'Evaluation d'Impact sur la Santé (EIS) se développe au niveau international et est encore au stade émergent en France. Elle vise à évaluer les effets positifs et négatifs potentiels d'un projet, d'un programme ou d'une politique sur la santé. L'objectif est de produire des recommandations en direction des décideurs, afin d'en maximiser les effets positifs et d'en diminuer les effets négatifs. L'EIS est un moyen particulièrement intéressant d'ac…
Integrating Multidisciplinary Results to Produce New Knowledge About the Physician–Patient Relationship
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds …
The early life nutritional environment and early life stress as potential pathways towards the metabolic syndrome in mid-life? A lifecourse analysis using the 1958 British Birth cohort
The early nutritional environment, represented by mother's pre-pregnancy BMI, was associated with the risk of MetS in midlife. An important mechanism involves a mother-to-child BMI transmission, independent of birth or perinatal conditions, socioeconomic characteristics and health behaviors over the lifecourse. However this mechanism is not sufficient for explaining the influence of mother's pre-pregnancy BMI which implies the need to further exp…
The biological embedding of social differences in ageing trajectories
International audience
Mediating pathways between parental socio-economic position and allostatic load in mid-life
Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality
Devenir et être parent en situation de précarité
La précarité est une situation qui n’est pas sans effet sur le devenir et l’être parent et, bien souvent, ce sont les conséquences négatives qui sont mises en avant. Cette catégorisation vise moins à comprendre, à expliquer, qu’à juger. C’est pourquoi nous avons réalisé une revue de la littérature. Après avoir défini les notions de précarité et de parentalité, nous proposons une réflexion sur l’identité parentale et sur les conséquences spécifiqu…
Big Data and the Study of Social Inequalities in Health
Understanding the construction of the social gradient in health is a major challenge in the field of social epidemiology, a branch of epidemiology that seeks to understand how society and its different forms of organization influence health at a population level. Attempting to answer these questions involves large datasets of varied heterogeneous data suggesting that Big Data approaches could be then particularly relevant to the study of social i…
The role of adult socioeconomic and relational reserves regarding the effect of childhood misfortune on late-life depressive symptoms
Childhood socioeconomic disadvantage can be mitigated more easily over the life course than adverse childhood events and poor childhood health, especially in men. Perceived relational reserves work primarily as a protective force against late-life depressive symptoms and may be particularly important in the context of the cumulative effect of childhood adversities
A Critique of the Adverse Childhood Experiences Framework in Epidemiology and Public Health
Adverse childhood experiences (ACEs) have emerged as a major research theme. They make reference to an array of potentially harmful exposures occurring from birth to eighteen years of age and may be involved in the construction of health inequalities over the lifecourse. As with many simplified concepts, ACEs present limitations. They include diverse types of exposures, are often considered cumulatively, can be identified using prospective and re…
Life-Course Circumstances and Frailty in Old Age Within Different European Welfare Regimes
These findings suggest that childhood misfortune is linked to frailty in old age. Such a disadvantaged start in life does not seem to be compensated by a person's life-course socioeconomic trajectory, though certain types of welfare regimes affected this relationship. Apart from main occupational position, our findings do not support the cumulative dis/advantage theory, but rather show narrowing differences
Early-life inequalities and biological ageing
Social position is known to play a role in the quality of ageing, notably through the stimulation/dysregulation of key physiological systems in response to external stresses. Using data from one wave of Understanding Society including 9088 participants, we defined, as an extension of the allostatic load, a synthetic Biological Health Score (BHS) capturing the wear-and-tear of four physiological systems (endocrine, inflammatory, cardiovascular and…
Special Report
Funded by the European Commission Horizon2020 programme, the Lifepath research consortium aimed to understand the impacts of socioeconomic inequalities on the biology of healthy ageing. The main research questions included the impact of inequalities on health, the role of behavioural and other risk factors, the underlying biological mechanisms, the efficacy of selected policies, and the general implications of our findings for theories and polici…
Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data
Our research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes
Importance of collecting data on socioeconomic determinants from the early stage of the Covid-19 outbreak onwards
Disadvantaged socioeconomic position (SEP) is widely associated with disease and mortality, and there is no reason to think this will not be the case for the newly emerged coronavirus disease 2019 (COVID-19) that has reached a pandemic level. Individuals with a more disadvantaged SEP are more likely to be affected by most of the known risk factors of COVID-19. SEP has been previously established as a potential determinant of infectious diseases i…
Mechanisms of life-course socioeconomic inequalities in adult systemic inflammation
Health inequalities
Adverse Childhood Events and Health Biomarkers
Background: This systematic review aimed to summarize evidence reporting epigenetic and/or neuro-immuno-endocrine embedding of adverse childhood events (ACEs) in children, with a particular focus on the short-term biological effect of those experiences. Methods: A search was conducted in PsycINFO®, PubMed®, Isi Web of Knowledge and Scopus, until July 2019, to identify papers reporting the short-term biological effects of exposure to ACEs. Results…
Medicine (28 obras) · Health disparities and outcomes (19 obras) · Public health (18 obras) · Sociology (18 obras) · Environmental health (16 obras) · Gerontology (15 obras) · Psychology (15 obras) · Population (14 obras) · Inequality (13 obras) · Demography (12 obras)