Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men

Author:

Lahti Anna-Maria12ORCID,Mikkola Tuija M.234ORCID,Wasenius Niko S.25,Törmäkangas Timo1,Ikonen Jenni N.246,Siltanen Sini12ORCID,Eriksson Johan G.2678,von Bonsdorff Mikaela B.12

Affiliation:

1. Gerontology Research Center and Faculty of Sport and Health Sciences, University of Jyväskylä, Jyvaskyla, Finland

2. Folkhälsan Research Center, Helsinki, Finland

3. Clinicum, Faculty of Medicine, University of Helsinki, Helsinki, Finland

4. Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland

5. Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

6. Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland

7. Department of Obstetrics and Gynecology and Human Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore

8. Singapore Institute for Clinical Sciences (SICS), Agency for Science, Technology and Research (A*STAR), Singapore, Singapore

Abstract

Objectives Changes in socioeconomic status (SES) during life may impact health in old age. We investigated whether social mobility and childhood and adulthood SES are associated with trajectories of health-related quality of life (HrQoL) over a 17-year period. Methods We used data from the Helsinki Birth Cohort Study ( n = 2003, 46% men, mean age 61.5 years). Social mobility was derived from childhood SES, obtained from healthcare records, and register-based adulthood SES. Results Logistic regression models showed that lower adulthood SES was associated with lower physical HrQoL trajectories. Among men low (OR 3.95, p < .001), middle (OR 2.20, p = .006), and declining lifetime SES (OR 2.41, p = .001) were associated with lower physical HrQoL trajectories compared to men with high SES. Socioeconomic status was not associated with mental HrQoL trajectories. Discussion Declining SES during life course may have negative health consequences, while improving SES is potentially as beneficial as high SES to later-life health among men.

Publisher

SAGE Publications

Reference61 articles.

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