Letelier, Alejandra;
Jivraj, Stephen;
Heilmann, Anja;
Watt, Richard G;
Tsakos, Georgios;
(2022)
Life course socioeconomic position and general and oral health in later life: Assessing the role of social causation and health selection pathways.
SSM - Population Health
, Article 101026. 10.1016/j.ssmph.2022.101026.
(In press).
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Abstract
Objective: To examine the pathways between life course socioeconomic position (SEP) and general and oral health, assessing the role of two competing theories, social causation and health selection, on a representative sample of individuals aged 50 years and over in England. // Methods: Secondary analysis from the English Longitudinal Study of Ageing Wave 3 data (n = 8659). Structural equation models estimated the social causation pathways from childhood SEP to adult self-rated general health and total tooth loss, and the health selection pathways from childhood health to adult SEP. // Results: There were direct and indirect (primarily via education, but also adult SEP, and behavior) pathways from childhood SEP to both health outcomes in older adulthood. There was a direct pathway from childhood health to adult SEP, but no indirect pathway via education. The social causation path total effect estimate was three times larger for self-rated general health and four times larger for total tooth loss than the health selection path respective estimates. // Conclusions: The relationship between SEP and health is bidirectional, but with a clearly stronger role for the social causation pathway.
| Type: | Article |
|---|---|
| Title: | Life course socioeconomic position and general and oral health in later life: Assessing the role of social causation and health selection pathways |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ssmph.2022.101026 |
| Publisher version: | https://doi.org/10.1016/j.ssmph.2022.101026 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript, available under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10143808 |
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