Article

Socioeconomic position and self-rated health: the contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources.

Department of Public Health, P.O. Box 41, 00014, University of Helsinki, Finland.
American Journal of Public Health (impact factor: 3.93). 09/2005; 95(8):1403-9. DOI:10.2105/AJPH.2004.047969 pp.1403-9
Source: PubMed

ABSTRACT We examined socioeconomic inequalities in self-rated health by analyzing indicators of childhood socioeconomic circumstances, adult socioeconomic position, and current material resources.
We collected data on middle-aged adults employed by the City of Helsinki (n=8970; 67% response rate). Associations between 7 socioeconomic indicators and health self-ratings of less than "good" were examined with sequential logistic regression models.
After adjustment for age, each socioeconomic indicator was inversely associated with self-rated health. Childhood economic difficulties, but not parental education, were associated with health independently of all other socioeconomic indicators. The associations of respondents' own education and occupational class with health remained when adjusted for other socioeconomic indicators. Home ownership and economic difficulties, but not household income, were the material indicators associated with health after full adjustment.
Own education and occupational class showed consistent associations with health, but the association with income disappeared after adjustment for other socioeconomic indicators. The effect of parental education on health was mediated by the respondent's own education. Both childhood and adulthood economic difficulties showed clear associations with health and with conventional socioeconomic indicators.

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Keywords

67% response rate
 
7 socioeconomic indicators
 
adult socioeconomic position
 
adulthood economic difficulties
 
Childhood economic difficulties
 
childhood socioeconomic circumstances
 
clear associations
 
consistent associations
 
conventional socioeconomic indicators
 
current material resources
 
Home ownership
 
household income
 
middle-aged adults
 
respondent's own education
 
respondents' own education
 
self-rated health
 
sequential logistic regression models
 
socioeconomic indicator
 
socioeconomic indicators
 
socioeconomic inequalities