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A life course model of self-rated health through adolescence and young adulthood

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  • Bauldry, Shawn
  • Shanahan, Michael J.
  • Boardman, Jason D.
  • Miech, Richard A.
  • Macmillan, Ross

Abstract

This paper proposes and tests a life course model of self-rated health (SRH) extending from late childhood to young adulthood, drawing on three waves of panel data from the National Longitudinal Study of Adolescent Health (Add Health). Very little research has examined SRH during the early decades, or whether and how these self-assessments reflect experiences in the family of origin. Background characteristics (parental education, income, and family structure), parental health conditions (asthma, diabetes, obesity, migraines), and early health challenges (physical abuse, presence of a disability, and parental alcoholism and smoking) predict SRH from adolescence to young adulthood. These experiences in the family-of-origin are substantially mediated by the young person’s health and health behaviors (as indicated by obesity, depression, smoking, drinking, and inactivity), although direct effects remain (especially for early health challenges). Associations between SRH and these mediators (especially obesity) strengthen with age. In turn, efforts to promote healthy behaviors in young adulthood, after the completion of secondary school, may be especially strategic in the promotion of health in later adulthood.

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  • Bauldry, Shawn & Shanahan, Michael J. & Boardman, Jason D. & Miech, Richard A. & Macmillan, Ross, 2012. "A life course model of self-rated health through adolescence and young adulthood," Social Science & Medicine, Elsevier, vol. 75(7), pages 1311-1320.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:7:p:1311-1320
    DOI: 10.1016/j.socscimed.2012.05.017
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    7. Huong Thu Le & Ha Trong Nguyen, 2015. "Intergenerational Transmission in Health: Causal estimates from fixed effects instrumental variables models for two cohorts of Australian children," Bankwest Curtin Economics Centre Working Paper series WP1509, Bankwest Curtin Economics Centre (BCEC), Curtin Business School.
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    11. Zhang, Anao & De Luca, Susan & Oh, Sehun & Liu, Chun & Song, Xiaocan, 2019. "The moderating effect of gender on the relationship between bullying victimization and adolescents' self-rated health: An exploratory study using the Fragile Families and Wellbeing Study," Children and Youth Services Review, Elsevier, vol. 96(C), pages 155-162.
    12. Vie, Tina Løkke & Hufthammer, Karl Ove & Holmen, Turid Lingaas & Meland, Eivind & Breidablik, Hans Johan, 2014. "Is self-rated health a stable and predictive factor for allostatic load in early adulthood? Findings from the Nord Trøndelag Health Study (HUNT)," Social Science & Medicine, Elsevier, vol. 117(C), pages 1-9.
    13. Meyrose, Ann-Katrin & Klasen, Fionna & Otto, Christiane & Gniewosz, Gabriela & Lampert, Thomas & Ravens-Sieberer, Ulrike, 2018. "Benefits of maternal education for mental health trajectories across childhood and adolescence," Social Science & Medicine, Elsevier, vol. 202(C), pages 170-178.
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