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The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA

The widely established health differences between people with greater economic resources and those with fewer resources can be attributed to both social causation (material factors affecting health) and health selection (health affecting material wealth). Each of these pathways may have different in...

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Autores principales: Hoffmann, Rasmus, Kröger, Hannes, Pakpahan, Eduwin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250643/
https://www.ncbi.nlm.nih.gov/pubmed/30532675
http://dx.doi.org/10.1007/s10433-018-0458-3
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author Hoffmann, Rasmus
Kröger, Hannes
Pakpahan, Eduwin
author_facet Hoffmann, Rasmus
Kröger, Hannes
Pakpahan, Eduwin
author_sort Hoffmann, Rasmus
collection PubMed
description The widely established health differences between people with greater economic resources and those with fewer resources can be attributed to both social causation (material factors affecting health) and health selection (health affecting material wealth). Each of these pathways may have different intensities at different ages, because the sensitivity of health to a lack of material wealth and the degree to which health can influence economic resources may change. We study the relative importance, in terms of explanatory power, of social causation and health selection, comparing the transitions from childhood to adulthood and from adulthood to old age. We use retrospective survey data from ten European countries from the Survey of Health, Ageing and Retirement in Europe (SHARELIFE, n = 18,734) and the English Longitudinal Study of Ageing (ELSA, n = 6117), and structural equations models in a cross-lagged panel design. Material wealth and health depend on their prior status, wealth more so than health. In the transition from childhood to adulthood, social causation and health selection are equally important: the standardized coefficients for men in SHARE are 0.07 and 0.06, respectively, i.e. one standard deviation increase in material wealth in childhood is associated with a 0.07 standard deviation increase in adult health. In the transition from adulthood to old age, social causation is more important than health selection (0.52 vs. 0.01), across gender and data sets. Both pathways contribute to the creation of health inequalities—however, their relative importance changes with age, which is important for understanding how health inequalities develop and how policies can address them. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10433-018-0458-3) contains supplementary material, which is available to authorized users.
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spelling pubmed-62506432018-12-07 The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA Hoffmann, Rasmus Kröger, Hannes Pakpahan, Eduwin Eur J Ageing Original Investigation The widely established health differences between people with greater economic resources and those with fewer resources can be attributed to both social causation (material factors affecting health) and health selection (health affecting material wealth). Each of these pathways may have different intensities at different ages, because the sensitivity of health to a lack of material wealth and the degree to which health can influence economic resources may change. We study the relative importance, in terms of explanatory power, of social causation and health selection, comparing the transitions from childhood to adulthood and from adulthood to old age. We use retrospective survey data from ten European countries from the Survey of Health, Ageing and Retirement in Europe (SHARELIFE, n = 18,734) and the English Longitudinal Study of Ageing (ELSA, n = 6117), and structural equations models in a cross-lagged panel design. Material wealth and health depend on their prior status, wealth more so than health. In the transition from childhood to adulthood, social causation and health selection are equally important: the standardized coefficients for men in SHARE are 0.07 and 0.06, respectively, i.e. one standard deviation increase in material wealth in childhood is associated with a 0.07 standard deviation increase in adult health. In the transition from adulthood to old age, social causation is more important than health selection (0.52 vs. 0.01), across gender and data sets. Both pathways contribute to the creation of health inequalities—however, their relative importance changes with age, which is important for understanding how health inequalities develop and how policies can address them. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10433-018-0458-3) contains supplementary material, which is available to authorized users. Springer Netherlands 2018-02-19 /pmc/articles/PMC6250643/ /pubmed/30532675 http://dx.doi.org/10.1007/s10433-018-0458-3 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Investigation
Hoffmann, Rasmus
Kröger, Hannes
Pakpahan, Eduwin
The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title_full The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title_fullStr The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title_full_unstemmed The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title_short The reciprocal relationship between material factors and health in the life course: evidence from SHARE and ELSA
title_sort reciprocal relationship between material factors and health in the life course: evidence from share and elsa
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250643/
https://www.ncbi.nlm.nih.gov/pubmed/30532675
http://dx.doi.org/10.1007/s10433-018-0458-3
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