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Article: Socioeconomic influences at different life stages on health in Guangzhou, China

TitleSocioeconomic influences at different life stages on health in Guangzhou, China
Authors
KeywordsChina
Chronic obstructive pulmonary disease (COPD)
Health inequalities
Life course
Metabolic syndrome
Self-rated health
Socioeconomic status
Issue Date2011
PublisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimed
Citation
Social Science And Medicine, 2011, v. 72 n. 11, p. 1884-1892 How to Cite?
AbstractIn long-term developed countries socioeconomic position across the life course is positively associated with health. We examined these associations in a developing country with a history of efforts to reorganize the social hierarchy. Taking a life course perspective, we used multi-variable logistic regression to assess the association of socioeconomic disadvantage at four life stages (measured by parental possessions, education, longest-held occupation and current household income) with self-rated health, chronic obstructive pulmonary disease (COPD) and metabolic syndrome in 20,086 Chinese adults aged ≥50 years from the Guangzhou Biobank Cohort Study (2005-2008). Model comparisons were used to determine whether the number of exposures to disadvantage (accumulation of risk) was more important than the life stage of exposure (critical periods).Socioeconomic disadvantage across the life course was associated with poor self-rated health, COPD and, in women only, with metabolic syndrome. Adjusting for adult health-related behavior (smoking, alcohol use and physical exercise) altered these associations very little. Associations between socioeconomic disadvantage and health in this Southern Chinese population were broadly similar to those found in Western countries in terms of the accumulation of disadvantage across the life course. However, longest-held occupation was not independently associated with adult health and socioeconomic disadvantage was not associated with metabolic syndrome in men. This suggests that the mechanisms linking socioeconomic position to health in China may be different from those in Western populations and may require context-specific policy interventions. © 2011 Elsevier Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/134732
ISSN
2014 Impact Factor: 2.890
2014 SCImago Journal Rankings: 1.491
ISI Accession Number ID
Funding AgencyGrant Number
University of Hong Kong Foundation for Development and Research
University of Hong Kong University Research Committee Strategic Research Theme Public Health, Hong Kong
Guangzhou Public Health Bureau
Guangzhou Science and Technology Bureau, Guangzhou, China
University of Birmingham, UK
Funding Information:

The Guangzhou Cohort Study investigators include: Guangzhou No. 12 Hospital: WS Zhang, M Cao, T Zhu, B Liu, CQ Jiang (Co-PI); The University of Hong Kong: CM Schooling, SM McGhee, R Fielding, GM Leung, TH Lam (Co-PI); The University of Birmingham: P Adab, GN Thomas, KK Cheng (Co-PI). The work was supported by The University of Hong Kong Foundation for Development and Research, and the University of Hong Kong University Research Committee Strategic Research Theme Public Health, Hong Kong; Guangzhou Public Health Bureau, and Guangzhou Science and Technology Bureau, Guangzhou, China; and The University of Birmingham, UK.

References

 

DC FieldValueLanguage
dc.contributor.authorElwellSutton, TMen_HK
dc.contributor.authorJiang, CQen_HK
dc.contributor.authorZhang, WSen_HK
dc.contributor.authorCheng, KKen_HK
dc.contributor.authorLam, THen_HK
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorSchooling, CMen_HK
dc.date.accessioned2011-07-13T01:21:45Z-
dc.date.available2011-07-13T01:21:45Z-
dc.date.issued2011en_HK
dc.identifier.citationSocial Science And Medicine, 2011, v. 72 n. 11, p. 1884-1892en_HK
dc.identifier.issn0277-9536en_HK
dc.identifier.urihttp://hdl.handle.net/10722/134732-
dc.description.abstractIn long-term developed countries socioeconomic position across the life course is positively associated with health. We examined these associations in a developing country with a history of efforts to reorganize the social hierarchy. Taking a life course perspective, we used multi-variable logistic regression to assess the association of socioeconomic disadvantage at four life stages (measured by parental possessions, education, longest-held occupation and current household income) with self-rated health, chronic obstructive pulmonary disease (COPD) and metabolic syndrome in 20,086 Chinese adults aged ≥50 years from the Guangzhou Biobank Cohort Study (2005-2008). Model comparisons were used to determine whether the number of exposures to disadvantage (accumulation of risk) was more important than the life stage of exposure (critical periods).Socioeconomic disadvantage across the life course was associated with poor self-rated health, COPD and, in women only, with metabolic syndrome. Adjusting for adult health-related behavior (smoking, alcohol use and physical exercise) altered these associations very little. Associations between socioeconomic disadvantage and health in this Southern Chinese population were broadly similar to those found in Western countries in terms of the accumulation of disadvantage across the life course. However, longest-held occupation was not independently associated with adult health and socioeconomic disadvantage was not associated with metabolic syndrome in men. This suggests that the mechanisms linking socioeconomic position to health in China may be different from those in Western populations and may require context-specific policy interventions. © 2011 Elsevier Ltd.en_HK
dc.languageeng-
dc.publisherPergamon. The Journal's web site is located at http://www.elsevier.com/locate/socscimeden_HK
dc.relation.ispartofSocial Science and Medicineen_HK
dc.subjectChinaen_HK
dc.subjectChronic obstructive pulmonary disease (COPD)en_HK
dc.subjectHealth inequalitiesen_HK
dc.subjectLife courseen_HK
dc.subjectMetabolic syndromeen_HK
dc.subjectSelf-rated healthen_HK
dc.subjectSocioeconomic statusen_HK
dc.titleSocioeconomic influences at different life stages on health in Guangzhou, Chinaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0277-9536&volume=72&issue=11&spage=1884&epage=1892&date=2011&atitle=Socioeconomic+influences+at+different+life+stages+on+health+in+Guangzhou,+China-
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.emailSchooling, CM:cms1@hkucc.hku.hken_HK
dc.identifier.authorityLam, TH=rp00326en_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authoritySchooling, CM=rp00504en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.socscimed.2011.03.041en_HK
dc.identifier.pmid21550152en_HK
dc.identifier.scopuseid_2-s2.0-79958708013en_HK
dc.identifier.hkuros186106-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79958708013&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume72en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1884en_HK
dc.identifier.epage1892en_HK
dc.identifier.isiWOS:000292676100018-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridElwellSutton, TM=37561237200en_HK
dc.identifier.scopusauthoridJiang, CQ=10639500500en_HK
dc.identifier.scopusauthoridZhang, WS=35180743500en_HK
dc.identifier.scopusauthoridCheng, KK=7402997800en_HK
dc.identifier.scopusauthoridLam, TH=7202522876en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridSchooling, CM=12808565000en_HK
dc.identifier.citeulike9180168-

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