Titre : | Early-life effects on socio-economic performance and mortality in later life : A full life course approach using contemporary and historical sources. Do childhood cognitive ability or smoking behaviour explain the influence of lifetime socio-economic conditions on premature adult mortality in a British post war birth cohort ? (2009) |
Auteurs : | Diana KUH ; BENGTSSON (Tommy) / éd. : SWE. Cente for Economic Demography and Department of Economic History. Lund University. School of Economics and Management. Lund. ; Rebecca Hardy ; MINEAU (Geraldine-P) / éd. : USA. Hunstman Cancer Institute. University of Utah. Oncological Sciences. Salt Lake City. UT. ; Gita MISHRA ; Marcus RICHARDS ; Imran SHAH ; Michael WADSWORTH ; Mrc Unit for Lifelong Health and Ageing. Department of Epidemiology and Public Health. Royal Free and University College Medical School. London. GBR |
Type de document : | Article |
Dans : | Social science and medicine (vol. 68, n° 9, 2009) |
Pagination : | 1565-1573 |
Langues: | Anglais |
Mots-clés : | Tabagisme ; Mortalité infantile ; Enfant ; Tabac ; Comportement ; Facteur socioéconomique ; Adulte ; Mortalité ; Epidémiologie ; Grande Bretagne ; Guerre ; Homme ; Europe |
Résumé : | [BDSP. Notice produite par INIST-CNRS FopkR0xF. Diffusion soumise à autorisation]. Poor childhood and adult socio-economic conditions, lower childhood cognitive ability and cigarette smoking are all associated with adult mortality risk. Using data on 4458 men and women aged 60 years from a British birth cohort study, we investigated the extent to which these risk factors are part of the same pathway linking childhood experience to adult survival. Compared with women from non-manual origins, men from non-manual origins, women and men from manual origins, and those with missing data on father's social class had about double the risk of mortality between 26 and 60 years. Cox proportional hazards models showed that these differences were reduced but remained significant after adjusting for childhood cognitive ability, adult socio-economic conditions and smoking. Higher childhood ability increased survival chances by securing better adult socio-economic conditions, such as home ownership, which was strongly associated with survival. These findings were similar for cardiovascular and cancer mortality. |