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Health selection operating between classes and across employment statuses
Myung Ki1, Amanda Sacker, Yvonne Kelly
1UCL Institute of Child Health, University College London, 30 Guilford Street, London, UK. m.ki@ucl.ac.uk
Journal of Epidemiology and Community Health
|September 7, 2010
Summary
Health significantly impacts social mobility, particularly when entering or leaving employment. However, its effect on transitions between social classes is minimal, suggesting health
Area of Science:
- Sociology
- Public Health
- Epidemiology
Background:
- Health selection, the influence of health on social mobility, is a debated topic.
- Previous research has not conclusively determined the extent to which health influences socio-economic position (SEP) changes.
Purpose of the Study:
- To investigate the effect of previous health status on changes in socio-economic position (SEP).
- To examine health selection's influence on social mobility across different transitions.
Main Methods:
- Utilized data from 13 waves (1991-2003) of the British Household Panel Survey (BHPS).
- Employed a multilevel multinomial approach to concurrently test health selection between social classes and into/out of employment.
Main Results:
- Poor health was associated with downward social mobility, and good health with upward mobility in descriptive analyses.
- Multilevel analysis revealed health predicts social mobility for employment transitions (entering/leaving), but minimally for inter-class transitions.
Conclusions:
- Health's impact on social mobility is concentrated on transitions related to employment status, not inter-class movement.
- Health and age are key predictors for labor force participation changes, while education influences movement into/out of upper social classes.
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