Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age

Sieber, Stefan; Cheval, Boris; Orsholits, Dan; Van der Linden, Bernadette W.; Guessous, Idris; Gabriel, Rainer; Kliegel, Matthias; Aartsen, Marja J.; Boisgontier, Matthieu P.; Courvoisier, Delphine; Burton-Jeangros, Claudine; Cullati, Stéphane

doi:10.1093/ije/dyy283

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age
Authors:	Sieber, Stefan Cheval, Boris Orsholits, Dan Van der Linden, Bernadette W. Guessous, Idris Gabriel, Rainer Kliegel, Matthias Aartsen, Marja J. Boisgontier, Matthieu P. Courvoisier, Delphine Burton-Jeangros, Claudine Cullati, Stéphane
DOI:	10.1093/ije/dyy283
Published in:	International Journal of Epidemiology
Issue Date:	Feb-2019
Publisher / Ed. Institution:	Oxford University Press
ISSN:	0300-5771 1464-3685
Language:	English
Subject (DDC):	361: Social work and welfare
Abstract:	Background: Welfare regimes in Europe modify individuals' socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]). Methods: We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries. Results: The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes. Conclusions: Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.
URI:	https://digitalcollection.zhaw.ch/handle/11475/14247
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	Social Work
Organisational Unit:	Institute of Diversity and Social Integration (IVGT)
Appears in collections:	Publikationen Soziale Arbeit

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Sieber, S., Cheval, B., Orsholits, D., Van der Linden, B. W., Guessous, I., Gabriel, R., Kliegel, M., Aartsen, M. J., Boisgontier, M. P., Courvoisier, D., Burton-Jeangros, C., & Cullati, S. (2019). Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age. International Journal of Epidemiology. https://doi.org/10.1093/ije/dyy283

Sieber, S. et al. (2019) ‘Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age’, International Journal of Epidemiology [Preprint]. Available at: https://doi.org/10.1093/ije/dyy283.

S. Sieber et al., “Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age,” International Journal of Epidemiology, Feb. 2019, doi: 10.1093/ije/dyy283.

SIEBER, Stefan, Boris CHEVAL, Dan ORSHOLITS, Bernadette W. VAN DER LINDEN, Idris GUESSOUS, Rainer GABRIEL, Matthias KLIEGEL, Marja J. AARTSEN, Matthieu P. BOISGONTIER, Delphine COURVOISIER, Claudine BURTON-JEANGROS und Stéphane CULLATI, 2019. Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age. International Journal of Epidemiology. Februar 2019. DOI 10.1093/ije/dyy283

Sieber, Stefan, Boris Cheval, Dan Orsholits, Bernadette W. Van der Linden, Idris Guessous, Rainer Gabriel, Matthias Kliegel, et al. 2019. “Welfare Regimes Modify the Association of Disadvantaged Adult-Life Socioeconomic Circumstances with Self-Rated Health in Old Age.” International Journal of Epidemiology, February. https://doi.org/10.1093/ije/dyy283.

Sieber, Stefan, et al. “Welfare Regimes Modify the Association of Disadvantaged Adult-Life Socioeconomic Circumstances with Self-Rated Health in Old Age.” International Journal of Epidemiology, Feb. 2019, https://doi.org/10.1093/ije/dyy283.