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Socioeconomic status and age trajectories of health

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  • Kim, Jinyoung
  • Durden, Emily

Abstract

The cumulative advantage hypothesis suggests diverging socioeconomic status (SES) based gaps in health with age. However, previous studies yield inconsistent findings regarding the association between SES and health across the adult life span. Dealing with the issue of mortality selection bias, this study utilizes latent growth-curve modeling to comprehensively examine age trajectories of both physical and mental health by SES using panel data based on a national probability sample of 3617 US adults. We find that education- and income-based gaps in physical impairment and the education-based gap in depression diverge over time for all adult age groups, supporting the hypothesis of cumulative advantage. In contrast, we find that the income-based gap in depression converges in older age, supporting the hypothesis of age-as-leveler. Mortality selection bias is unlikely to be a major part of the explanation for the convergence. These results indicate that age-related patterns in health trajectories may differ by various dimensions of SES and health. Finally, we take into account persistence or change in income over time to examine the relationship between trajectories of income and health across adulthood, highlighting the importance of considering the temporal patterns of income in understanding age trajectories of health.

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 65 (2007)
Issue (Month): 12 (December)
Pages: 2489-2502

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Handle: RePEc:eee:socmed:v:65:y:2007:i:12:p:2489-2502

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Related research

Keywords: USA Socioeconomic status (SES) Health disparities Latent growth-curve modeling Cumulative advantage Mortality selection;

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Cited by:
  1. Asakawa, Keiko & Senthilselvan, Ambikaipakan & Feeny, David & Johnson, Jeffrey & Rolfson, Darryl, 2012. "Trajectories of health-related quality of life differ by age among adults: Results from an eight-year longitudinal study," Journal of Health Economics, Elsevier, vol. 31(1), pages 207-218.
  2. van Kippersluis, Hans & O'Donnell, Owen & van Doorslaer, Eddy & Van Ourti, Tom, 2010. "Socioeconomic differences in health over the life cycle in an Egalitarian country," Social Science & Medicine, Elsevier, vol. 70(3), pages 428-438, February.
  3. van Kippersluis, Hans & Van Ourti, Tom & O'Donnell, Owen & van Doorslaer, Eddy, 2009. "Health and income across the life cycle and generations in Europe," Journal of Health Economics, Elsevier, vol. 28(4), pages 818-830, July.
  4. Hans van Kippersluis & Tom van Ourti & Owen O'Donnell & Eddy van Doorslaer, 2008. "Health and Income across the Life Cycle and Generations in Europe," Tinbergen Institute Discussion Papers 08-009/3, Tinbergen Institute.
  5. Ovrum, Arnstein & Gustavsen, Geir Waehler & Rickertsen, Kyrre, 2012. "Health inequalities over the adult life course: the role of lifestyle choices," 2012 Conference, August 18-24, 2012, Foz do Iguacu, Brazil 125862, International Association of Agricultural Economists.

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