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A longitudinal analysis of the relationship between changes in socio-economic status and changes in health

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  • Halleröd, Björn
  • Gustafsson, Jan-Eric

Abstract

In this paper we contribute to discussion on the relationship between different aspects of socio-economic status (SES) and health. Separating different aspects of SES facilitates the specification of a structural relationship between SES indicators and morbidity. Longitudinal data and the utilization of growth curve modelling enable an empirical analysis of the direct relationship between changes over time in SES indicators and changes in morbidity. Our empirical analysis is based on panel data (N = 2976) derived from the annual Swedish Survey of Living Conditions. The panel, which consists of respondents that at the first panel wave were between 31 and 47 years old, is followed for 16 years, starting in 1979. Data are gathered at three points of time. A growth curve model is set up using structural equation modelling. The structural relationship and changes over time are simultaneously estimated. It is shown that in relation to health occupational position is crucial, canalising the effects of class of origin and education. More prestigious jobs are related to initially good health and to a less rapid deterioration in health. At the same time initial health affects occupational mobility, confirming a health selection into less prestigious jobs. It is also shown that change of occupation and income are related to change in health. The analysis confirms a strong relationship between SES and morbidity and shows that initial SES affects later changes in morbidity, i.e., a causal relationship exists between SES and morbidity. But, the analysis also demonstrates the existence of selection effects, meaning that initial morbidity causes less favourable changes in SES. It is finally revealed that changes in occupational prestige and income changes co-vary with changes in morbidity. Hence, the analysis provides basic information necessary to make any assumption about causality and selection in relation to SES and health.

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  • 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.
    • Handle: RePEc:eee:socmed:v:72:y:2011:i:1:p:116-123
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    as
    1. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    2. Petrie, Dennis & Allanson, Paul & Gerdtham, Ulf-G., 2011. "Accounting for the dead in the longitudinal analysis of income-related health inequalities," Journal of Health Economics, Elsevier, vol. 30(5), pages 1113-1123.
    3. Cardano, Mario & Costa, Giuseppe & Demaria, Moreno, 2004. "Social mobility and health in the Turin longitudinal study," Social Science & Medicine, Elsevier, vol. 58(8), pages 1563-1574, April.
    4. Giordano, Giuseppe N. & Lindstrom, Martin, 2010. "The impact of changes in different aspects of social capital and material conditions on self-rated health over time: A longitudinal cohort study," Social Science & Medicine, Elsevier, vol. 70(5), pages 700-710, March.
    5. Kim, Jinyoung & Miech, Richard, 2009. "The Black-White difference in age trajectories of functional health over the life course," Social Science & Medicine, Elsevier, vol. 68(4), pages 717-725, February.
    6. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    7. Allanson, Paul & Gerdtham, Ulf-G. & Petrie, Dennis, 2010. "Longitudinal analysis of income-related health inequality," Journal of Health Economics, Elsevier, vol. 29(1), pages 78-86, January.
    8. 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.
    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. Bengt Muthén & David Kaplan & Michael Hollis, 1987. "On structural equation modeling with data that are not missing completely at random," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 431-462, September.
    11. Garbarski, Dana, 2010. "Perceived social position and health: Is there a reciprocal relationship?," Social Science & Medicine, Elsevier, vol. 70(5), pages 692-699, March.
    12. Eddy van Doorslaer & Xander Koolman, 2004. "Explaining the differences in income‐related health inequalities across European countries," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 609-628, July.
    13. Haas, Steven & Rohlfsen, Leah, 2010. "Life course determinants of racial and ethnic disparities in functional health trajectories," Social Science & Medicine, Elsevier, vol. 70(2), pages 240-250, January.
    14. Thiede, Michael & Traub, Stefan, 1997. "Mutual influences of health and poverty evidence from German panel data," Social Science & Medicine, Elsevier, vol. 45(6), pages 867-877, September.
    15. 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.
    16. 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.
    17. repec:dau:papers:123456789/10510 is not listed on IDEAS
    18. Ellen L. Hamaker, 2005. "Conditions for the Equivalence of the Autoregressive Latent Trajectory Model and a Latent Growth Curve Model With Autoregressive Disturbances," Sociological Methods & Research, , vol. 33(3), pages 404-416, February.
    Full references (including those not matched with items on IDEAS)

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    15. Kjellsson, Sara, 2013. "Accumulated occupational class and self-rated health. Can information on previous experience of class further our understanding of the social gradient in health?," Social Science & Medicine, Elsevier, vol. 81(C), pages 26-33.

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