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Lifelong Socio Economic Position and biomarkers of later life health: testing the contribution of competing hypotheses

Ploubidis, GB; Benova, L; Grundy, E; Laydon, D; DeStavola, B; (2014) Lifelong Socio Economic Position and biomarkers of later life health: testing the contribution of competing hypotheses. Social Science & Medicine , 119 pp. 258-265. 10.1016/j.socscimed.2014.02.018. Green open access

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Abstract

The relative contribution of early or later life Socio Economic Position (SEP) to later life health is not fully understood and there are alternative hypotheses about the pathways through which they may influence health. We used data from the English Longitudinal Study of Ageing with a formal approach for the identification of mediating factors in order to investigate alternative hypotheses about life course influences on biomarkers of later life health. We found that early life SEP predicts physical health at least 65 years later. However, a more complicated pattern of associations than that implied by previous findings was also observed. Age group specific effects emerged, with current SEP dominating the effect on later life physical health and fibrinogen levels in participants under 65, while early life SEP had a more prominent role in explaining inequalities in physical health for men and women over 75. We extend previous findings on mid adulthood and early old age, to old age and the beginnings of late old age. The complexity of our findings highlights the need for further research on the mechanisms that underlie the association between SEP and later life health.

Type: Article
Title: Lifelong Socio Economic Position and biomarkers of later life health: testing the contribution of competing hypotheses
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.socscimed.2014.02.018
Publisher version: http://dx.doi.org/10.1016/j.socscimed.2014.02.018
Language: English
Additional information: Copyright ©� 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).
Keywords: Ageing, Biomarkers, Causal mediation, Health inequalities, Later life, Life course theory, Socio Economic Position, Structural equation modelling, Adult, Age Factors, Aged, Aged, 80 and over, Aging, Biomarkers, England, Female, Fibrinogen, Health Status, Health Status Disparities, Humans, Longitudinal Studies, Male, Middle Aged, Risk Factors, Sex Factors, Socioeconomic Factors
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
URI: https://discovery.ucl.ac.uk/id/eprint/1475117
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