Intergenerational transmission of health inequalities: research agenda for a life course approach to socioeconomic inequalities in health.

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Community Health Pub Date : 2024-08-25 DOI:10.1136/jech-2022-220163

Tanja A J Houweling, Ilona Grünberger

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Abstract

Explanations for socioeconomic inequalities in adult health are usually sought in behaviours and environments in adulthood. Yet, there is compelling evidence that the first two decades of life contribute substantially to both adult socioeconomic position (SEP) and adult health. This has implications for explanatory health inequalities research.We propose an analytical framework to advance research on the intergenerational transmission of health inequalities, that is, on intergenerational transmission of socioeconomic and associated health (dis)advantages at the family level, and its contribution to health inequalities at the population level. The framework distinguishes three transmission pathways: (1) intergenerational transmission of SEP, with effects on offspring health fully mediated by offspring SEP; (2) intergenerational transmission of health problems affecting SEP and (3) intergenerational transmission of both SEP and health, without a causal relationship between offspring adult SEP and health. We describe areas for future research along this framework and discuss the challenges and opportunities to advance this field.

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健康不平等的代际传递：以生命过程方法研究社会经济健康不平等的研究议程。

人们通常从成年后的行为和环境中寻找成人健康中社会经济不平等的原因。然而，有令人信服的证据表明，人生的前二十年对成年后的社会经济地位（SEP）和成年后的健康都有很大的影响。我们提出了一个分析框架，以推动有关健康不平等代际传递的研究，即社会经济和相关健康（不）优势在家庭层面的代际传递，及其对人口层面健康不平等的贡献。该框架区分了三种传播途径：(1) SEP 的代际传播，对后代健康的影响完全由后代 SEP 介导；(2) 影响 SEP 的健康问题的代际传播；(3) SEP 和健康的代际传播，后代成人 SEP 和健康之间没有因果关系。我们根据这一框架描述了未来的研究领域，并讨论了推进这一领域研究的挑战和机遇。

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来源期刊

Journal of Epidemiology and Community Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

11.10

自引率

0.00%

发文量

100

审稿时长

3-6 weeks

期刊介绍： The Journal of Epidemiology and Community Health is a leading international journal devoted to publication of original research and reviews covering applied, methodological and theoretical issues with emphasis on studies using multidisciplinary or integrative approaches. The journal aims to improve epidemiological knowledge and ultimately health worldwide.