Retrospective reports of socioeconomic disadvantage in childhood and mortality risk: are associations consistent across measures and sex?
Child SES
Mediation
Mortality
Survival analysis
Journal
GeroScience
ISSN: 2509-2723
Titre abrégé: Geroscience
Pays: Switzerland
ID NLM: 101686284
Informations de publication
Date de publication:
02 2023
02 2023
Historique:
received:
08
11
2021
accepted:
19
05
2022
pubmed:
1
6
2022
medline:
2
2
2023
entrez:
31
5
2022
Statut:
ppublish
Résumé
Although prior research has established associations between childhood socioeconomic disadvantage and all-cause mortality, there is still limited research investigating (1) the consistency between subjective and objective reports of childhood socioeconomic status, (2) sex differences in the associations between childhood socioeconomic disadvantage and all-cause mortality, and (3) potential mediators within these associations. Drawing on data from the Midlife in the United States (MIDUS) cohort (N = 7425), we examined the associations between three distinct indicators of childhood socioeconomic disadvantage and all-cause mortality risk, and whether these associations differ for males and females. Among males only, lower perceived relative childhood financial status, lower levels of parents' education, and receipt of welfare during childhood were associated with excess mortality risk, adjusted for age and minority status, with adjusted hazard ratios ranging from 1.24 (95% confidence interval (CI): 1.02, 1.51) for perceived childhood financial status to 1.28 (95% CI: 1.11, 1.47) for welfare in childhood. When additionally adjusted for education, substance use, depression, and underlying health conditions, only childhood welfare status maintained an association with mortality (AHR, 1.17; 95% CI, 1.02-1.35). Mediation analyses among males revealed that education, substance use, depression, and underlying health conditions accounted for substantial proportions of these associations, ranging from 31.03 to 57.63%, across indicators of childhood socioeconomic disadvantage. Future research is needed to clarify the developmental mechanisms that lead to sex differences and identify effective strategies to intervene on the relation between childhood socioeconomic position and excess mortality risk among males.
Identifiants
pubmed: 35635680
doi: 10.1007/s11357-022-00594-4
pii: 10.1007/s11357-022-00594-4
pmc: PMC9886746
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
105-118Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL151848
Pays : United States
Organisme : NIMHD NIH HHS
ID : K01 MD016346
Pays : United States
Informations de copyright
© 2022. The Author(s), under exclusive licence to American Aging Association.
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