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Disparities in self-rated health across generations and through the life course

Author

Listed:
  • Link, Bruce G.
  • Susser, Ezra S.
  • Factor-Litvak, Pam
  • March, Dana
  • Kezios, Katrina L.
  • Lovasi, Gina S.
  • Rundle, Andrew G.
  • Suglia, Shakira F.
  • Fader, Kim M.
  • Andrews, Howard F.
  • Johnson, Eileen
  • Cirillo, Piera M.
  • Cohn, Barbara A.

Abstract

Extensive evidence leads us to expect that health disparities by race and socioeconomic status found in one generation might be reproduced in the next. To the extent that this occurs it is important to assess life course processes responsible for the reproduction. Prospective evidence concerning such life course processes is hard to come by as it requires long-term follow-up of individuals from childhood through adult life. We present data from the Child Health and Development Disparities study that provides evidence relevant to this issue with respect to self-rated health. Mothers and offspring recruited in California's Bay Area between 1959 and 1967 were assessed during pregnancy with follow-up exams of offspring along with in-person interviews with mothers (at offspring ages 5, 9–11, 15–17) and offspring (at ages 15–17, ∼50). Available data allow us to assess the importance of three potential life course pathways in the reproduction of inequalities in self-rated health – socioeconomic pathways, cognitive pathways and pathways involving emerging health itself. As expected we found that race and SES disparities in SRH are reproduced across generations. They are evident in mothers, not strong or significant in offspring at 15–17, but present once again in offspring at age ∼50. Concerning potential pathways, we found that indicators of child health were related to adult SRH and played some role in accounting for race but not SES disparities in adult SRH. Cognitive abilities were unrelated to adult SRH with childhood SES controlled. Childhood SES was associated with adult SRH independent of other childhood factors and is reduced to non-significance only when offspring college attainment is controlled. Race and SES disparities in self-reported health in one generation are re-expressed in the next with strongest support for SES pathways in this transmission.

Suggested Citation

  • Link, Bruce G. & Susser, Ezra S. & Factor-Litvak, Pam & March, Dana & Kezios, Katrina L. & Lovasi, Gina S. & Rundle, Andrew G. & Suglia, Shakira F. & Fader, Kim M. & Andrews, Howard F. & Johnson, Eile, 2017. "Disparities in self-rated health across generations and through the life course," Social Science & Medicine, Elsevier, vol. 174(C), pages 17-25.
  • Handle: RePEc:eee:socmed:v:174:y:2017:i:c:p:17-25
    DOI: 10.1016/j.socscimed.2016.11.035
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    References listed on IDEAS

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    1. Alberto Palloni, 2006. "Reproducing inequalities: Luck, wallets, and the enduring effects of childhood health," Demography, Springer;Population Association of America (PAA), vol. 43(4), pages 587-615, November.
    2. Seeman, Teresa E. & Crimmins, Eileen & Huang, Mei-Hua & Singer, Burton & Bucur, Alexander & Gruenewald, Tara & Berkman, Lisa F. & Reuben, David B., 2004. "Cumulative biological risk and socio-economic differences in mortality: MacArthur Studies of Successful Aging," Social Science & Medicine, Elsevier, vol. 58(10), pages 1985-1997, May.
    3. Ye Luo & Linda J. Waite, 2005. "The Impact of Childhood and Adult SES on Physical, Mental, and Cognitive Well-Being in Later Life," Journals of Gerontology: Series B, Gerontological Society of America, vol. 60(2), pages 93-101.
    4. 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.
    5. Haas, Steven, 2008. "Trajectories of functional health: The 'long arm' of childhood health and socioeconomic factors," Social Science & Medicine, Elsevier, vol. 66(4), pages 849-861, February.
    6. Mark Hayward & Bridget Gorman, 2004. "The long arm of childhood: The influence of early-life social conditions on men’s mortality," Demography, Springer;Population Association of America (PAA), vol. 41(1), pages 87-107, February.
    7. Geronimus, A.T. & Hicken, M. & Keene, D. & Bound, J., 2006. ""Weathering" and age patterns of allostatic load scores among blacks and whites in the United States," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 826-833.
    8. Steven A. Haas & Patrick M. Krueger & Leah Rohlfsen, 2012. "Race/Ethnic and Nativity Disparities in Later Life Physical Performance: The Role of Health and Socioeconomic Status Over the Life Course," Journals of Gerontology: Series B, Gerontological Society of America, vol. 67(2), pages 238-248.
    9. Mackenbach, Johan P. & Kulhánová, Ivana & Bopp, Matthias & Deboosere, Patrick & Eikemo, Terje A. & Hoffmann, Rasmus & Kulik, Margarete C. & Leinsalu, Mall & Martikainen, Pekka & Menvielle, Gwenn & Reg, 2015. "Variations in the relation between education and cause-specific mortality in 19 European populations: A test of the “fundamental causes” theory of social inequalities in health," Social Science & Medicine, Elsevier, vol. 127(C), pages 51-62.
    10. Brady, David W. & Bostic, Amie, 2015. "Paradoxes of Social Policy: Welfare Transfers, Relative Poverty, and Redistribution Preferences," EconStor Open Access Articles, ZBW - Leibniz Information Centre for Economics, pages 268-298.
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    Cited by:

    1. Doyle, David Matthew & Factor-Litvak, Pam & Link, Bruce G., 2018. "Modeling racial disparities in physical health via close relationship functioning: A life course approach," Social Science & Medicine, Elsevier, vol. 204(C), pages 31-38.
    2. Hannes Kröger & Rasmus Hoffmann & Lasse Tarkiainen & Pekka Martikainen, 2018. "Comparing Observed and Unobserved Components of Childhood: Evidence From Finnish Register Data on Midlife Mortality From Siblings and Their Parents," Demography, Springer;Population Association of America (PAA), vol. 55(1), pages 295-318, February.

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