童年长臂的地理变化
1Harvard University, Social and Behavioral Sciences, 677 Huntington Ave, Boston, MA, 02215, USA.
Health & place
|January 25, 2025
概括
儿童社会经济地位 (SES) 影响成人健康,国家经济条件,如收入不平等和失业,在整个美国不同影响这种关系. 这些因素揭示了健康结果在州一级的显著差异.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 卫生经济学 卫生经济学
背景情况:
- 儿童社会经济地位 (SES) 是长期健康轨迹的一个已知的决定因素.
- 有限的研究已经探索了童年时期的州级背景如何改变整个生命过程中的SES-健康关系.
研究的目的:
- 检查儿童SES和成年人自我评估健康之间的关联中的状态变化.
- 评估童年国家级经济因素对SES-健康梯度的调节作用.
主要方法:
- 利用了来自收入动态小组研究 (2009-2021) 的纵向数据,对18-41岁的成年人进行了18227人/年观察.
- 采用后勤回归模型来分析童年SES和成人自我评估健康之间的关系,并纳入州级收入不平等和失业率.
主要成果:
- 证实了早期儿童SES与较差的成年人自我评估健康之间的已确定的联系 (OR=1.79).
- 在37个纳入的州中,在14个州中发现了这种关系的显著州级差异.
- 发现较高的童年收入不平等加剧了较高SES个体的负面健康影响,而较高的失业率不成比例地损害了较低SES个体.
结论:
- 童年SES与成年人健康之间的关系并不统一,并且因州而异.
- 国家一级的经济因素,特别是收入不平等和失业率,在缓解童年SES的长期健康后果方面发挥着至关重要的作用.
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