老年人的一生社会经济不平等,社会流动性和健康老龄化:一个多队列研究

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Ziting Huang¹, Eric T C Lai², Hideki Hashimoto³

¹Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.

Archives of gerontology and geriatrics

|March 23, 2025

概括

整个生命的社会经济地位,包括童年,教育和财富,显著影响健康的衰老. 上升的社会流动可以提高内在能力,而下降的社会流动会使它变得更糟.

科学领域:

老年学与公共卫生
社会流行病学社会流行病学
生命历程卫生研究研究

背景情况:

在整个生命过程中,社会经济地位 (SEP) 是健康结果的关键决定因素.
了解SEP和社会流动性对健康衰老的影响对于公共卫生干预至关重要.
内在能力 (IC) 是对老年人健康衰老的综合衡量.

研究的目的:

检查不同生活阶段的社会经济地位和社会流动性如何影响老年人的内在能力 (IC).
为了比较早期生命,早期成年期和晚年成年期SEP在IC上的相对重要性.
调查社会流动性对全球不同地区的IC的影响.

主要方法:

分析了来自美国,英国,欧洲,中国,日本等五个国家代表队伍的54,217名参与者.
对终身SEP的评估:童年SEP,教育 (成年早期) 和家庭财富 (成年后期).
通过使用线性混合模型,通过内在能力 (认知,心理健康,运动,活力,感官功能) 来衡量健康的衰老.

主要成果:

高等教育和财富显著与所有队列的更好的内在能力有关 (p <0.05).
在大多数被研究的地区,教育对IC的影响比财富更大.
优势的儿童社会经济地位和上升的社会流动性与更好的内在能力有关,而下降的流动性与更差的IC有关.

结论:

整个生命过程中的社会经济因素是美国,欧洲和亚洲健康衰老的重要预测因素.
上升的社会流动性可以部分减轻不利的儿童社会经济地位对健康衰老的长期负面影响.
政策应旨在减少早期社会不平等,防止下行流动,以促进公平健康的老龄化.

关键词:

健康的衰老健康的衰老生活过程的视角生命过程的视角社会流动性社会流动性健康方面的社会经济差异.

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