Eleanor M Winpenny, Jan Stochl, Alun Hughes, Kate Tilling, Laura D Howe
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引用次数: 0
Abstract
Introduction: Socioeconomic position is strongly associated with cardiovascular health. However, little is known about the short-term health impacts of socioeconomic exposures during early adulthood. In this study we describe socioeconomic trajectories of early adulthood (age 16-24y), and assess associations of these trajectories with cardiometabolic health at age 24y.
Methods: Participants of the Avon Longitudinal Study of Parents and Children (ALSPAC), with data across age 16y to 24y (2007-2017) were included (n = 7568). Longitudinal latent class analysis identified socioeconomic trajectories, based on education and employment data across ages 16-24y. Cardiometabolic outcomes at age 24y comprised anthropometric, vascular, metabolic and cardiovascular structure and function measures. We modelled differences in cardiometabolic outcomes at age 24y across the socioeconomic trajectory classes, adjusting for childhood socioeconomic position, adolescent health behaviours and adolescent health.
Results: Four early adulthood socioeconomic trajectories were identified: (1) Higher Education (41% of the population), (2) Extended Education (9%), (3) Part-Time Employment (21%), and (4) Early Employment (29%). Associations between socioeconomic trajectories and cardiometabolic outcomes differed by sex. Among males, the Higher Education and Extended Education trajectories showed a healthier profile across cardiometabolic risk factors at age 24y, and the Part-time Employment trajectory the least healthy profile. Among females there was less clear distinction between the trajectories, and the pattern across different outcomes was not consistent.
Conclusion: The newly identified 'Part-time Employment' trajectory showed the least healthy cardiometabolic profile. Further research should focus on this group to understand the exposures contributing to poor cardiometabolic health in this sector of the population.
期刊介绍：
Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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