Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men

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 ( n = 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, p < .001), middle (OR 2.20, p = .006), and declining lifetime SES (OR 2.41, p = .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

Cohort · Cohort study · Developmental psychology · Environmental health · Life course approach · Logistic regression · Mental health · Population · Psychiatry · Public health · Quality of life (healthcare · Social class · Social determinants of health · Social mobility · Socioeconomic status · Demography · Global Health Care Issues · Health disparities and outcomes · Health, psychology, and well-being · Medicine · Psychology · Gerontology

• Social Determinants of Health

  M G Marmot, Monique Bégin et al.•SOCIAL DETERMINANTS OF HEALTH;…•2005

  Incluir item

• Determining Clinically Important Differences in Health Status Measures

  Open Access•Greg Samsa, David Edelman et al.•PharmacoEconomics•1999

  Incluir item

• Association between socioeconomic status and the development of mental and physical health conditions in adulthood

  Open Access•Mika Kivimäki, George David Batty et al.•The Lancet Public Health•2020

  Incluir item

• Socioeconomic status and smoking

  Open Access•Rosemary Hiscock, Linda Bauld et al.•Annals of the New York Academy of…•2012

  Incluir item

• Childhood socioeconomic status and adult health

  Open Access•Sheldon Cohen, Denise Janicki‐Deverts et al.•Annals of the New York Academy of…•2010

  Incluir item

• Overview of the SF-36 Health Survey and the International Quality of Life Assessment (Iqola) Project

  Open Access•John E Ware, Barbara Gandek•Journal of Clinical Epidemiology•1998

  Incluir item

• The Rand-36 measure of health-related quality of life

  Open Access•Ron D Hays, Leo S Morales•Annals of Medicine•2001

  Incluir item

• Prediction of institutionalization in the elderly. A systematic review

  M Luppa, T Luck et al.•Age and Ageing•2010

  Incluir item

• Influences of socioeconomic status, social network, and competence on subjective well-being in later life

  Martin Pinquart, Sheiva Sorensen•Psychology and Aging•2000

  Incluir item

• The MOS 36-ltem Short-Form Health Survey (SF-36)

  John E Ware, Cathy Donald Sherbourne•Medical Care•1992

  Incluir item

• Socioeconomic Status and Access to Healthcare

  Open Access•Darcy Jones Mcmaughan, Oluyomi Oloruntoba et al.•Frontiers in Public Health•2020

  Incluir item

• Effects of Socioeconomic Status on Physical and Psychological Health

  Open Access•Jian Wang, Liuna Geng•International Journal of…•2019

  Incluir item

• One slope does not fit all

  Open Access•Ágnes Szabó, Martin Hyde et al.•Quality of Life Research•2021

  Incluir item

• A comparison of SF-36 summary measures of physical and mental health for women across the life course

  Open Access•Gita D Mishra, Richard Hockey et al.•Quality of Life Research•2013

  Incluir item

• Factors Associated with Change in Physical Functioning in the Elderly

  Open Access•George A Kaplan, William J Strawbridge et al.•Journal of Aging and Health•1993

  Incluir item

• Quality of Life Trajectories Predict Mortality in Older Men

  Open Access•Philip St John, Philip D St John et al.•Journal of Aging and Health•2016

  Incluir item

• The Impact of Childhood and Adult SES on Physical, Mental, and Cognitive Well-Being in Later Life

  Ye Luo, L J Waite•The Journals of Gerontology…•2005

  Incluir item

• Childhood Socioeconomic Status and Late-Adulthood Mental Health

  Open Access•Viola Angelini, Daniel Howdon et al.•The Journals of Gerontology…•2018

  Incluir item

• Constructing socio-economic status indices

  Open Access•Sanchita Vya, S Vyas et al.•Health Policy and Planning•2006

  Incluir item

• Early-life socioeconomic circumstances explain health differences in old age, but not their evolution over time

  Boris Cheval, Thomas E Janzen et al.•Journal of Epidemiology and…•2019

  Incluir item

• Trajectories of health-related quality of life by socio-economic status in a nationally representative Canadian cohort

  Nancy A Ro, NANCY A ROSS et al.•Journal of Epidemiology and…•2012

  Incluir item

• Life-course socioeconomic position and change in quality of life among older adults

  Andrea Otero-Rodríguez, Luz María León-Muñoz et al.•Journal of Epidemiology and…•2011

  Incluir item

• The impact of socioeconomic status on health functioning as assessed by the SF-36 questionnaire

  Harry Hemingway, A Nicholson et al.•American Journal of Public Health•1997

  Incluir item

• The long arm of childhood

  Open Access•M D Hayward, Bridget K Gorman•Demography•2004

  Incluir item

• Intergenerational educational mobility and health satisfaction across the life course

  Open Access•Nadia Steiber•Social Science & Medicine•2019

  Incluir item

• Gender differences in health-related quality of life among the elderly

  Open Access•Francesc Orfila, Mariona Ferrer et al.•Social Science & Medicine•2006

  Incluir item

• Can we disentangle life course processes of accumulation, critical period and social mobility? An analysis of disadvantaged socio-economic positions and myocardial infarction in the Stockholm Heart Epidemiology Program

  Open Access•Johan Hallqvist, John Lynch et al.•Social Science & Medicine•2004

  Incluir item

• Is well-being U-shaped over the life cycle

  Open Access•David G Blanchflower, Andrew J Oswald•Social Science & Medicine•2008

  Incluir item

• Multiple measures of socioeconomic circumstances and common mental disorders

  Open Access•Elina Lahelma, Eero Lahelma et al.•Social Science & Medicine•2006

  Incluir item

• Trajectories of functional health

  Open Access•Steven A Haa, Steven Haa et al.•Social Science & Medicine•2008

  Incluir item

• A comparison of socioeconomic differences in physical functioning and perceived health among male and female employees in Britain, Finland and Japan

  Open Access•Pekka Martikainen, Elina Lahelma et al.•Social Science & Medicine•2004

  Incluir item

• Childhood socioeconomic status, adult socioeconomic status, and old-age health trajectories

  Open Access•Z Zimmer, Heidi A Hanson et al.•Demographic Research•2016

  Incluir item

• Social Class Differentials in Health and Mortality

  Irma T Elo•Annual Review of Sociology•2009

  Incluir item