IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v68y2009i4p733-739.html
   My bibliography  Save this article

Intergenerational class mobility and cardiovascular mortality among Swedish women: A population-based register study

Author

Listed:
  • Tiikkaja, Sanna
  • Hemström, Örjan
  • Vågerö, Denny

Abstract

Class inequalities in cardiovascular disease (CVD) mortality are well documented, but the impact of intergenerational class mobility on CVD mortality among women has not been studied thoroughly. We examined whether women's mobility trajectories might contribute to CVD mortality beyond what could be expected from their childhood and adult social class position. The Swedish Work and Mortality Data Base provided childhood (1960) and adulthood (1990) social indicators. Women born 1945-59 (N = 791[punctuation space]846) were followed up for CVD mortality 1990-2002 (2019 deaths) by means of logistic regression analysis. CVD mortality risks were estimated for 16 mobility trajectories. Gross and net impact of four childhood and four adult classes, based on occupation, were analysed for mortality in ischemic heart disease (IHD), stroke, other CVD, - and all CVD. Differences between the two most extreme trajectories were 10-fold, but the common trajectory of moving from manual to non-manual position was linked to only a slight excess mortality (OR = 1.26) compared to the equally common trajectory of maintaining a stable non-manual position (reference category). Moving into adult manual class resulted in an elevated CVD mortality whatever the childhood position (ORs varied between 1.42 and 2.24). After adjustment for adult class, childhood class had some effect, in particular there was a low risk of coming from a self-employed childhood class on all outcomes (all ORs around = 0.80). A woman's own education had a stronger influence on the mortality estimates than did household income. Social mobility trajectories among Swedish women are linked to their CVD mortality risk. Educational achievement seems to be a key factor for intergenerational continuity and discontinuity in class-related risk of CVD mortality among Swedish women. However, on mutual adjustment, adult class was much more closely related to CVD mortality than was class in childhood.

Suggested Citation

  • Tiikkaja, Sanna & Hemström, Örjan & Vågerö, Denny, 2009. "Intergenerational class mobility and cardiovascular mortality among Swedish women: A population-based register study," Social Science & Medicine, Elsevier, vol. 68(4), pages 733-739, February.
    • Handle: RePEc:eee:socmed:v:68:y:2009:i:4:p:733-739
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(08)00605-9
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Hemmingsson, Tomas & Lundberg, Ingvar & Diderichsen, Finn, 1999. "The roles of social class of origin, achieved social class and intergenerational social mobility in explaining social-class inequalities in alcoholism among young men," Social Science & Medicine, Elsevier, vol. 49(8), pages 1051-1059, October.
    2. Lundberg, Olle, 1997. "Childhood conditions, sense of coherence, social class and adult ill health: Exploring their theoretical and empirical relations," Social Science & Medicine, Elsevier, vol. 44(6), pages 821-831, March.
    3. Thelin, Anders, 1991. "Morbidity in Swedish farmers, 1978-1983, according to national hospital records," Social Science & Medicine, Elsevier, vol. 32(3), pages 305-309, January.
    4. Manor, Orly & Matthews, Sharon & Power, Chris, 2003. "Health selection: the role of inter- and intra-generational mobility on social inequalities in health," Social Science & Medicine, Elsevier, vol. 57(11), pages 2217-2227, December.
    5. Hallqvist, Johan & Lynch, John & Bartley, Mel & Lang, Thierry & Blane, David, 2004. "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 Ep," Social Science & Medicine, Elsevier, vol. 58(8), pages 1555-1562, April.
    6. Robert Erikson & John H. Goldthorpe, 2002. "Intergenerational Inequality: A Sociological Perspective," Journal of Economic Perspectives, American Economic Association, vol. 16(3), pages 31-44, Summer.
    7. Heslop, Pauline & Davey Smith, George & Macleod, John & Hart, Carole, 2001. "The socioeconomic position of employed women, risk factors and mortality," Social Science & Medicine, Elsevier, vol. 53(4), pages 477-485, August.
    8. Koskinen, Seppo & Martelin, Tuija, 1994. "Why are socioeconomic mortality differences smaller among women than among men?," Social Science & Medicine, Elsevier, vol. 38(10), pages 1385-1396, May.
    9. van de Mheen, H. & Stronks, K. & Schrijvers, C. T. M. & Mackenbach, J. P., 1999. "The influence of adult ill health on occupational class mobility and mobility out of and into employment in The Netherlands," Social Science & Medicine, Elsevier, vol. 49(4), pages 509-518, August.
    10. Power, C. & Hyppönen, E. & Smith, G.D., 2005. "Socioeconomic position in childhood and early adult life and risk of mortality: A prospective study of the mothers of the 1958 British birth cohort," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1396-1402.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Dayse Rodrigues Sousa Andrade & Lidyane V. Camelo & Rodrigo Citton P. Reis & Itamar S. Santos & Antonio Luiz Ribeiro & Luana Giatti & Sandhi Maria Barreto, 2017. "Life course socioeconomic adversities and 10-year risk of cardiovascular disease: cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(2), pages 283-292, March.
    2. Okamoto, Shohei & Avendano, Mauricio & Kawachi, Ichiro, 2019. "Intergenerational income mobility and health in Japan: A quasi-experimental approach," Social Science & Medicine, Elsevier, vol. 230(C), pages 37-48.
    3. Tiikkaja, Sanna & Olsson, Marita & Malki, Ninoa & Modin, Bitte & Sparén, Pär, 2012. "Familial risk of premature cardiovascular mortality and the impact of intergenerational occupational class mobility," Social Science & Medicine, Elsevier, vol. 75(10), pages 1883-1890.
    4. Chen-Mao Liao & Chih-Ming Lin, 2018. "Life Course Effects of Socioeconomic and Lifestyle Factors on Metabolic Syndrome and 10-Year Risk of Cardiovascular Disease: A Longitudinal Study in Taiwan Adults," IJERPH, MDPI, vol. 15(10), pages 1-15, October.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tiikkaja, Sanna & Olsson, Marita & Malki, Ninoa & Modin, Bitte & Sparén, Pär, 2012. "Familial risk of premature cardiovascular mortality and the impact of intergenerational occupational class mobility," Social Science & Medicine, Elsevier, vol. 75(10), pages 1883-1890.
    2. Guimarães, Joanna M.N. & Clarke, Philippa & Tate, Denise & Coeli, Claudia Medina & Griep, Rosane Harter & Fonseca, Maria de Jesus Mendes da & Santos, Itamar S. & Melo, Enirtes Caetano Prates & Chor, D, 2016. "Social mobility and subclinical atherosclerosis in a middle-income country: Association of intra- and inter-generational social mobility with carotid intima-media thickness in the Brazilian Longitudin," Social Science & Medicine, Elsevier, vol. 169(C), pages 9-17.
    3. Modin, Bitte & Koupil, Ilona & Vågerö, Denny, 2009. "The impact of early twentieth century illegitimacy across three generations. Longevity and intergenerational health correlates," Social Science & Medicine, Elsevier, vol. 68(9), pages 1633-1640, May.
    4. Halleröd, Björn & Gustafsson, Jan-Eric, 2011. "A longitudinal analysis of the relationship between changes in socio-economic status and changes in health," Social Science & Medicine, Elsevier, vol. 72(1), pages 116-123, January.
    5. Mel Bartley & Ian Plewis, 2007. "Increasing social mobility: an effective policy to reduce health inequalities," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 170(2), pages 469-481, March.
    6. Campos-Matos, Inês & Kawachi, Ichiro, 2015. "Social mobility and health in European countries: Does welfare regime type matter?," Social Science & Medicine, Elsevier, vol. 142(C), pages 241-248.
    7. Evans-Polce, Rebecca J. & Staff, Jeremy & Maggs, Jennifer L., 2016. "Alcohol abstention in early adulthood and premature mortality: Do early life factors, social support, and health explain this association?," Social Science & Medicine, Elsevier, vol. 163(C), pages 71-79.
    8. Michelle Kelly-Irving & Silke Tophoven & David Blane, 2015. "Life course research: new opportunities for establishing social and biological plausibility," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 629-630, September.
    9. Jake M. Najman & William Wang & Maria Plotnikova & Abdullah A. Mamun & David McIntyre & Gail M. Williams & James G. Scott & William Bor & Alexandra M. Clavarino, 0. "Poverty over the early life course and young adult cardio-metabolic risk," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 0, pages 1-10.
    10. Hannelore Grande & Patrick Deboosere & Hadewijch Vandenheede, 2013. "Evolution of educational inequalities in mortality among young adults in an urban setting," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 825-835, December.
    11. Timothy Smeeding, 2005. "Government Programs and Social Outcomes: The United States in Comparative Perspective," LIS Working papers 426, LIS Cross-National Data Center in Luxembourg.
    12. Mäkinen, Tomi & Laaksonen, Mikko & Lahelma, Eero & Rahkonen, Ossi, 2006. "Associations of childhood circumstances with physical and mental functioning in adulthood," Social Science & Medicine, Elsevier, vol. 62(8), pages 1831-1839, April.
    13. Ana I. Moro Egido & Maria Navarro, 2023. "Intergenerational Transmission of Economic Strain and High School Dropout," ThE Papers 23/07, Department of Economic Theory and Economic History of the University of Granada..
    14. Martin Gaechter & Peter Schwazer & Engelbert Theurl, 2012. "Stronger Sex but Earlier Death: A Multi-level Socioeconomic Analysis of Gender Differences in Mortality in Austria," DANUBE: Law and Economics Review, European Association Comenius - EACO, issue 1, pages 1-23, March.
    15. Tetyana Pudrovska & Benedicta Anikputa, 2014. "Editor's choice Early-Life Socioeconomic Status and Mortality in Later Life: An Integration of Four Life-Course Mechanisms," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(3), pages 451-460.
    16. Wölfel, Oliver & Heineck, Guido, 2012. "Parental risk attitudes and children's secondary school track choice," Economics of Education Review, Elsevier, vol. 31(5), pages 727-743.
    17. Vladimir M. Shkolnikov & Evgeny M. Andreev & Dmitri A. Jdanov & Domantas Jasilionis & Tapani Valkonen, 2009. "To what extent do rising mortality inequalities by education and marital status attenuate the general mortality decline? The case of Finland in 1971-2030," MPIDR Working Papers WP-2009-018, Max Planck Institute for Demographic Research, Rostock, Germany.
    18. Valentino Dardanoni & Mario Fiorini & Antonio Forcina, 2012. "Stochastic monotonicity in intergenerational mobility tables," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 27(1), pages 85-107, January.
    19. Konttinen, Hanna & Haukkala, Ari & Uutela, Antti, 2008. "Comparing sense of coherence, depressive symptoms and anxiety, and their relationships with health in a population-based study," Social Science & Medicine, Elsevier, vol. 66(12), pages 2401-2412, June.
    20. Elisa Jácome & Ilyana Kuziemko & Suresh Naidu, 2021. "Mobility for All: Representative Intergenerational Mobility Estimates over the 20th Century," Working Papers 302, Princeton University, Department of Economics, Center for Economic Policy Studies..

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:68:y:2009:i:4:p:733-739. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.