Intergenerational relations and social mobility: Social inequality in physical function in old age.

Functional health status Intergenerational relations Intergenerational social mobility Socioeconomic position

Journal

Archives of gerontology and geriatrics
ISSN: 1872-6976
Titre abrégé: Arch Gerontol Geriatr
Pays: Netherlands
ID NLM: 8214379

Informations de publication

Date de publication:
Historique:
received: 01 03 2018
revised: 12 10 2018
accepted: 12 10 2018
pubmed: 28 10 2018
medline: 4 7 2019
entrez: 28 10 2018
Statut: ppublish

Résumé

The concept of social foreground describes how adult offspring's socioeconomic resources may influence older adults' health and several studies have shown an association between socioeconomic position of adult offspring and the health of their older parents. However, little is known about the factors that generate these associations. We study 1) how adult offspring's social class is associated with physical function (PF) among older adults, 2) whether geographical closeness and contact frequency with offspring modify the association, and 3) whether intergenerational social mobility of offspring is associated with PF of older adults. Data are obtained from the 2002 (n = 621) and 2011 (n = 931) waves of the Swedish Panel Study of Living Conditions of the Oldest Old. Multivariable linear regression models were employed and adjusted for own and partner's prior social class and offspring's age and gender. Compared to offspring with non-manual occupation, offsprings with manual occupation was associated with poorer PF in older adults (-0.14, CI95%:-0.28;0.00). In stratified analyses, offspring's social class was only associated with older adults' PF among those who lived geographically close. Contact frequency between the offspring and the older adults did not modify the associations. Older adults whose offspring experienced downward intergenerational social mobility were associated with the poorest PF. This study supports evidence of a relationship between social foreground and older adults' PF where geographical closeness and social mobility are important components.

Sections du résumé

BACKGROUND
The concept of social foreground describes how adult offspring's socioeconomic resources may influence older adults' health and several studies have shown an association between socioeconomic position of adult offspring and the health of their older parents. However, little is known about the factors that generate these associations. We study 1) how adult offspring's social class is associated with physical function (PF) among older adults, 2) whether geographical closeness and contact frequency with offspring modify the association, and 3) whether intergenerational social mobility of offspring is associated with PF of older adults.
METHOD
Data are obtained from the 2002 (n = 621) and 2011 (n = 931) waves of the Swedish Panel Study of Living Conditions of the Oldest Old. Multivariable linear regression models were employed and adjusted for own and partner's prior social class and offspring's age and gender.
RESULTS
Compared to offspring with non-manual occupation, offsprings with manual occupation was associated with poorer PF in older adults (-0.14, CI95%:-0.28;0.00). In stratified analyses, offspring's social class was only associated with older adults' PF among those who lived geographically close. Contact frequency between the offspring and the older adults did not modify the associations. Older adults whose offspring experienced downward intergenerational social mobility were associated with the poorest PF.
CONCLUSION
This study supports evidence of a relationship between social foreground and older adults' PF where geographical closeness and social mobility are important components.

Identifiants

pubmed: 30368028
pii: S0167-4943(18)30198-5
doi: 10.1016/j.archger.2018.10.006
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

58-64

Informations de copyright

Copyright © 2018 Elsevier B.V. All rights reserved.

Auteurs

Terese Sara Høj Jørgensen (TSH)

Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden; Center for Healthy Aging, University of Copenhagen, 1123 Copenhagen K, Denmark. Electronic address: Tshj@sund.ku.dk.

Charlotte Juul Nilsson (CJ)

Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Center for Healthy Aging, University of Copenhagen, 1123 Copenhagen K, Denmark.

Rikke Lund (R)

Section of Social Medicine, Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Center for Healthy Aging, University of Copenhagen, 1123 Copenhagen K, Denmark; Danish Aging Research Center, Department of Public Health, University of Southern Denmark Odense, Denmark.

Volkert Siersma (V)

The Research Unit for General Practice and Section of General Practice, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.

Stefan Fors (S)

Aging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Sweden; Centre for Health Equity Studies, Stockholm University and Karolinska Institutet, Sweden.

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Classifications MeSH