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Health selection: the role of inter- and intra-generational mobility on social inequalities in health

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  • Manor, Orly
  • Matthews, Sharon
  • Power, Chris

Abstract

This paper investigates the effect of health selection and its contribution to the social class gradient in health. Both inter- and intra-generational mobility were examined. Longitudinal data on health and social class at three life stages (16, 23, 33 years) are from the 1958 British birth cohort. Individuals with poor health were more likely to move down and less likely to move up the social scale, especially at the inter-generational transition. The effect of health selection on the social gradient was variable, of modest size and cannot be regarded as a major explanation for inequalities in health in early adulthood.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:57:y:2003:i:11:p:2217-2227
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    Cited by:

    1. Carter, Jennifer L. & Richards, Marcus & Hotopf, Matthew & Hatch, Stephani L., 2019. "The roles of non-cognitive and cognitive skills in the life course development of adult health inequalities," Social Science & Medicine, Elsevier, vol. 232(C), pages 190-198.
    2. Hammarström, Anne & Janlert, Urban, 2005. "Health selection in a 14-year follow-up study--A question of gendered discrimination?," Social Science & Medicine, Elsevier, vol. 61(10), pages 2221-2232, November.
    3. Boyle, Paul J. & Norman, Paul & Popham, Frank, 2009. "Social mobility: Evidence that it can widen health inequalities," Social Science & Medicine, Elsevier, vol. 68(10), pages 1835-1842, May.
    4. Hongjo Choi & Haejoo Chung & Carles Muntaner, 2019. "Social selection in historical time: The case of tuberculosis in South Korea after the East Asian financial crisis," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-13, May.
    5. Meinzer, Nicholas J., 2017. "Social mobility in the early middle ages," Explorations in Economic History, Elsevier, vol. 64(C), pages 111-120.
    6. Palloni, Alberto & Milesi, Carolina & White, Robert G. & Turner, Alyn, 2009. "Early childhood health, reproduction of economic inequalities and the persistence of health and mortality differentials," Social Science & Medicine, Elsevier, vol. 68(9), pages 1574-1582, May.
    7. Hoffmann, Rasmus & Kröger, Hannes & Pakpahan, Eduwin, 2018. "Pathways between socioeconomic status and health: Does health selection or social causation dominate in Europe?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 36, pages 23-36.
    8. Rajeev Gupta & Prakash C Deedwania & Krishnakumar Sharma & Arvind Gupta & Soneil Guptha & Vijay Achari & Arthur J Asirvatham & Anil Bhansali & Balkishan Gupta & Sunil Gupta & Mallikarjuna V Jali & Tul, 2012. "Association of Educational, Occupational and Socioeconomic Status with Cardiovascular Risk Factors in Asian Indians: A Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 7(8), pages 1-10, August.
    9. Hannelore De Grande & Hadewijch Vandenheede & Patrick Deboosere, 2015. "Educational Inequalities in the Transition to Adulthood in Belgium: The Impact of Intergenerational Mobility on Young-Adult Mortality in 2001-2009," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-18, December.
    10. Rasmus Hoffmann & Hannes Kröger & Siegfried Geyer, 2019. "Social Causation Versus Health Selection in the Life Course: Does Their Relative Importance Differ by Dimension of SES?," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 141(3), pages 1341-1367, February.
    11. John Hobcraft, 2007. "Child Development, the Life Course, and Social Exclusion: Are the Frameworks Used in the UK Relevant for Developing Countries?," Working Papers id:1060, eSocialSciences.
    12. 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.
    13. 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.
    14. Janne Mikkonen & Hanna Remes & Heta Moustgaard & Pekka Martikainen, 2020. "Evaluating the Role of Parental Education and Adolescent Health Problems in Educational Attainment," Demography, Springer;Population Association of America (PAA), vol. 57(6), pages 2245-2267, December.
    15. Stonington, Scott D., 2012. "On ethical locations: The good death in Thailand, where ethics sit in places," Social Science & Medicine, Elsevier, vol. 75(5), pages 836-844.
    16. Dawid Gondek & Ke Ning & George B Ploubidis & Bilal Nasim & Alissa Goodman, 2018. "The impact of health on economic and social outcomes in the United Kingdom: A scoping literature review," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-21, December.
    17. Leslie Roos & Brett Hiebert & Phongsack Manivong & Jason Edgerton & Randy Walld & Leonard MacWilliam & Janelle Rocquigny, 2013. "What is Most Important: Social Factors, Health Selection, and Adolescent Educational Achievement," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 110(1), pages 385-414, January.
    18. 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.
    19. Rasmus Hoffmann & Hannes Kröger & Eduwin Pakpahan, 2018. "The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA," European Journal of Ageing, Springer, vol. 15(4), pages 379-391, December.
    20. Hoffmann, Rasmus & Kröger, Hannes & Geyer, Siegfried, 2019. "Social Causation Versus Health Selection in the Life Course: Does Their Relative Importance Differ by Dimension of SES?," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 141(3), pages 1341-1367.

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