成年人的功能限制中的童年SES梯度:国家层面的宏观经济背景是否重要?
Thomas E Fuller-Rowell1, Samia Sultana1, Carol D Ryff2
1Department of Human Development and Family Science, Auburn University, Auburn, AL, USA.
Social science & medicine (1982)
|October 14, 2025
概括
国家经济条件,包括收入和收入不平等,显著影响儿童社会经济地位 (SES) 和成人功能限制之间的联系. 较高的州收入通常会改善成年人的健康状况,而童年收入不平等会独立预测更糟糕的结果.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 经济学 经济学 经济学
背景情况:
- 儿童社会经济地位 (SES) 与成人健康有关,但宏观经济背景的作用未得到充分研究.
- 了解州级经济因素如何塑造SES健康梯度对于公共卫生干预至关重要.
研究的目的:
- 调查国家收入和收入不平等是否会缓和儿童父母教育和成人功能限制之间的关联.
- 检查宏观经济背景在不同生命阶段对长期健康结果的影响.
主要方法:
- 合并时间序列经济数据 (1917-2014) 与美国中年期研究 (MIDUS) 数据 (N=10,685).
- 评估了儿童时期,新兴成年期,早期成年期和中年期的经济状况 (国家平均收入,收入不平等).
- 分析了童年SES指标与成人功能限制之间的关联,以国家经济变量为调节.
主要成果:
- 在所有暴露年龄段,州平均收入较高与成年人功能限制较少相关.
- 儿童暴露于更高的州收入不平等预测了更多的成人功能限制.
- 童年SES和成人健康之间的关联随着童年和新兴成年期国家收入的增加而减弱.
结论:
- 儿童SES对成人健康的影响取决于国家经济背景,特别是平均收入和暴露时间.
- 儿童收入不平等对成人健康有独立的负面影响,无论国家收入水平如何.
- 国家一级的经济因素是从童年开始的健康差异的关键决定因素.
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