儿童社会经济地位与晚年死亡率、发病率和自评健康:来自挪威历史人口登记和1950-2022年特罗姆瑟研究的相关研究

IF 2.1 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Petja L Langholz, Hilde L Sommerseth, Doris T Kristoffersen, Laila A Hopstock
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引用次数: 0

摘要

目的:以往关于儿童社会经济地位(CSEP)与健康的研究大多集中在早期到中年的结果或依赖于成年期的回忆CSEP。本研究的目的是调查挪威北部居民中,前瞻性测量的CSEP与各种健康结果之间的关系。方法:本研究将基于人群的特罗姆瑟研究的健康数据与挪威历史人口登记册联系起来。使用Cox比例风险模型、logistic和有序logistic回归,我们调查了在1930-1955年出生的特罗姆瑟研究参与者中,1950年父亲的职业与全因死亡率(n=7056)、50岁及以上的慢性疾病患病率和自估健康(n=4576)之间的性别特异性关联。结果:自评健康与CSEP的相关性最强,且社会梯度明显,在女性中更为明显。我们发现CSEP在全因死亡率和慢性病流行的不同模式上只有很小的差异。高CSEP与女性和男性慢性呼吸道疾病患病率较低以及女性患癌症的几率较高相关。当教育水平被纳入模型时,关联减弱。结论:前瞻性测量的CSEP与晚年健康相关,尽管其程度取决于所研究的健康指标。这项研究强调,除了二元疾病终点之外,一个广泛的指标,如自我评估健康,可以成为CSEP在晚年揭示健康不平等的重要工具,因为它总结了整个生命过程中健康和福祉的众多可能维度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Childhood socioeconomic position and later-life mortality, morbidity and self-rated health: a linked study from the Historical Population Register of Norway and the Tromsø Study 1950-2022.

Aims: Previous studies on childhood socioeconomic position (CSEP) and health have mostly focused on outcomes in early to mid-life or relied on recalled CSEP in adulthood. The objective of this study was to investigate the association of prospectively measured CSEP with a variety of health outcomes in mid to old age among residents in Northern Norway.

Methods: This study linked health data from the population-based Tromsø Study to the Historical Population Register of Norway. Using Cox proportional hazards models, logistic and ordinal logistic regression, we investigated sex-specific associations between fathers' occupation in 1950 and all-cause mortality (n=7056), as well as chronic disease prevalence and self-rated health (n=4576) at age 50 years and older among Tromsø Study participants born in 1930-1955.

Results: Self-rated health showed the strongest association with CSEP and a clear social gradient that was more pronounced among women. We found only minor differences in all-cause mortality and varying patterns for prevalence of chronic diseases by CSEP. High CSEP was associated with lower prevalence of chronic respiratory diseases for both women and men, and higher odds for cancer among women. Associations were attenuated when educational level was included in the models.

Conclusions: Prospectively measured CSEP was associated with later-life health, although to a varying degree depending on the health indicator under study. This study highlights that, beyond binary disease endpoints, a broad indicator such as self-rated health can be an important tool to uncover health inequalities by CSEP in later life, as it summarises a multitude of possible dimensions of health and wellbeing throughout the life course.

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来源期刊
Scandinavian Journal of Public Health
Scandinavian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.50
自引率
2.90%
发文量
135
审稿时长
4-8 weeks
期刊介绍: The Scandinavian Journal of Public Health is an international peer-reviewed journal which has a vision to: publish public health research of good quality; contribute to the conceptual and methodological development of public health; contribute to global health issues; contribute to news and overviews of public health developments and health policy developments in the Nordic countries; reflect the multidisciplinarity of public health.
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