Childhood socioeconomic circumstances and disability trajectories in older men and women: a European cohort study

Article Article scientifique Article Childhood socioeconomic circumstances and disability trajectories in older men and women: a European cohort study eng 2019 author Landoes Aljoscha 697024 author Von Arx Martina Rebecca 0000-0002-4718-3743 832888 author Cheval Boris 0000-0002-6236-4673 812669 author Sieber Stefan 823285 author Kliegel Matthias 761733 author Gabriel Rainer 599962 author Orsholits Dan 0000-0003-4131-4148 727845 author Van Der Linden Rose 862976 author Blane David author Boisgontier Matthieu P. author Courvoisier Delphine 0000-0002-1956-2607 94475 author Guessous Idris 760565 author Burton-Jeangros Claudine 0000-0003-2258-9728 29914 author Cullati Stéphane 0000-0002-3881-446X 524286 50-58 10.1093/eurpub/cky166 1101-1262 Background We observed a lack of population-based longitudinal research examining the association of disadvantaged childhood socioeconomic circumstances (CSC) and disability [activities of daily living (ADL) and instrumental activities of daily living (IADL)] in older age, and whether socioeconomic attainments in adulthood can compensate for a poor socioeconomic start in life. Methods Data on 24 440 persons aged 50–96 in 14 European countries (Survey of Health, Ageing and Retirement in Europe) were used to measure the associations between CSC and limitations with ADL and with IADL, using mixed-effects logistic regression models. Models stratified by gender were adjusted for education during young adulthood, main occupation during middle age, ability to make ends meet during old age and potential confounding and control variables. Results Risks of ADL and IADL limitations increased with age and were different between women and men. For women, a gradient across CSC strata was observed, showing that the more disadvantaged the CSC, the higher the risk of ADL and IADL limitations in old age, even after adjustment for adult socioeconomic indicators. For men, the association between CSC and disability was mediated by the main occupation in middle age and the ability to make ends meet at older age. Conclusion Women who grew up in socioeconomically disadvantaged households were at higher risk of disability in older age and this disadvantage was not attenuated by favourable adult socioeconomic conditions. Men were more likely to make up for a disadvantaged start in adulthood. Aging Socioeconomic factors Disability Gender Dewey 616 Dewey 618.97 Dewey 304.6/305.3/306 Dewey 150 14 Centre interfacultaire de gérontologie et d'études des vulnérabilités 0D6 56 Département de médecine 221 108 Section de psychologie 71 195 Institut de démographie et de socioéconomie TH false 1282 Centre LIVES 633 Cognitive Aging Lab (CAL) European Journal of Public Health 29 1 921cf207-43ca-49ba-b35e-98d1cd822ce7 Article (Published version) Restricted Landös_VonArx_2018.pdf 94238 application/pdf restrictedAccess Centres et instituts / Centre interfacultaire de gérontologie et d'études des vulnérabilités Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de psychologie et des sciences de l'éducation / Section de psychologie Faculté des sciences de la société / Institut de démographie et de socioéconomie

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Landoes, Aljoscha