Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-04-01 DOI:10.1177/08982643241242513

Anna-Maria Lahti, Tuija M Mikkola, Niko S Wasenius, Timo Törmäkangas, Jenni N Ikonen, Sini Siltanen, Johan G Eriksson, Mikaela B von Bonsdorff

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Abstract

Objectives: Changes in socioeconomic status (SES) during life may impact health in old age. We investigated whether social mobility and childhood and adulthood SES are associated with trajectories of health-related quality of life (HrQoL) over a 17-year period.

Methods: We used data from the Helsinki Birth Cohort Study (n = 2003, 46% men, mean age 61.5 years). Social mobility was derived from childhood SES, obtained from healthcare records, and register-based adulthood SES.

Results: Logistic regression models showed that lower adulthood SES was associated with lower physical HrQoL trajectories. Among men low (OR 3.95, p < .001), middle (OR 2.20, p = .006), and declining lifetime SES (OR 2.41, p = .001) were associated with lower physical HrQoL trajectories compared to men with high SES. Socioeconomic status was not associated with mental HrQoL trajectories.

Discussion: Declining SES during life course may have negative health consequences, while improving SES is potentially as beneficial as high SES to later-life health among men.

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老年女性和男性的社会流动性与与健康相关的生活质量轨迹等级。

目的：人一生中社会经济地位（SES）的变化可能会影响老年期的健康。我们研究了社会流动性以及童年和成年期的社会经济地位是否与 17 年间与健康相关的生活质量（HrQoL）轨迹有关：我们使用了赫尔辛基出生队列研究的数据（n = 2003，46% 为男性，平均年龄 61.5 岁）。社会流动性来源于医疗记录中的童年社会经济地位和登记的成年社会经济地位：逻辑回归模型显示，成年后较低的社会经济地位与较低的身体健康质量相关。与社会经济地位高的男性相比，社会经济地位低（OR 3.95，p < .001）、社会经济地位中等（OR 2.20，p = .006）和社会经济地位下降（OR 2.41，p = .001）的男性与较低的身体健康质量生活轨迹相关。社会经济地位与心理健康质量相关性不大：讨论：在生命过程中，社会经济地位的下降可能会对健康产生负面影响，而社会经济地位的提高则可能与高社会经济地位一样有益于男性的晚年健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.