Life-Course Circumstances and Frailty in Old Age Within Different European Welfare Regimes: A Longitudinal Study With SHARE.
Childhood disadvantage
Health outcomes
Socioeconomic status
Successful aging
Journal
The journals of gerontology. Series B, Psychological sciences and social sciences
ISSN: 1758-5368
Titre abrégé: J Gerontol B Psychol Sci Soc Sci
Pays: United States
ID NLM: 9508483
Informations de publication
Date de publication:
02 06 2020
02 06 2020
Historique:
received:
20
04
2019
pubmed:
31
10
2019
medline:
30
3
2021
entrez:
31
10
2019
Statut:
ppublish
Résumé
This study aimed to assess whether cumulative disadvantage in childhood misfortune and adult-life socioeconomic conditions influence the risk of frailty in old age and whether welfare regimes influence these associations. Data from 23,358 participants aged 50 years and older included in the longitudinal SHARE survey were used. Frailty was operationalized according to Fried's phenotype as presenting either weakness, shrinking, exhaustion, slowness, or low activity. Confounder-adjusted mixed-effects logistic regression models were used to analyze associations of childhood misfortune and life-course socioeconomic conditions with frailty. Childhood misfortune and poor adult-life socioeconomic conditions increased the odds of (pre-)frailty at older age. With aging, differences narrowed between categories of adverse childhood experiences (driven by Scandinavian welfare regime) and adverse childhood health experiences (driven by Eastern European welfare regime), but increased between categories of occupational position (driven by Bismarckian welfare regime). These findings suggest that childhood misfortune is linked to frailty in old age. Such a disadvantaged start in life does not seem to be compensated by a person's life-course socioeconomic trajectory, though certain types of welfare regimes affected this relationship. Apart from main occupational position, our findings do not support the cumulative dis/advantage theory, but rather show narrowing differences.
Identifiants
pubmed: 31665484
pii: 5610202
doi: 10.1093/geronb/gbz140
pmc: PMC7265805
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1326-1335Subventions
Organisme : NIA NIH HHS
ID : U01 AG009740
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG005842
Pays : United States
Organisme : NIA NIH HHS
ID : P01 AG008291
Pays : United States
Organisme : NIA NIH HHS
ID : P30 AG012815
Pays : United States
Organisme : NIA NIH HHS
ID : R21 AG025169
Pays : United States
Organisme : NIA NIH HHS
ID : HHSN271201300071C
Pays : United States
Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America.
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