Life-course influences on health in British adults: effects of socio-economic position in childhood and adulthood.

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dc.contributor.authorPower, Chris
dc.contributor.authorAtherton, Kate
dc.contributor.authorStrachan, David. P
dc.contributor.authorShepherd, Peter
dc.contributor.authorFuller, Elizabeth
dc.contributor.authorDavis, Adrian
dc.contributor.authorGibb, Ian
dc.contributor.authorKumari, Meena
dc.contributor.authorLowe, Gordon
dc.contributor.authorMacfarlane, Gary. J
dc.contributor.authorRahi, Jugnoo
dc.contributor.authorStansfeld, Stephen
dc.contributor.authorRodgers, Bryan
dc.date.accessioned2015-12-10T21:53:51Z
dc.date.issued2007
dc.date.updated2015-12-09T07:21:26Z
dc.description.abstractBackground: Little evidence exists on the role of socio-economic position (SEP) in early life on adult disease other than for cardiovascular mortality; data is often retrospective. We assess whether childhood SEP influences disease risk in mid-life, separately from the effect of adult position, and establish how associations vary across multiple measures of disease risk. Methods: Prospective follow-up to adulthood of all born in England, Scotland and Wales during 1 week in 1958, and with medical data at age 45 years (n = 9377). Outcomes include: blood pressure, body mass index (BMI), glycosylated haemoglobin (HbA1c), total and high density lipoprotein (HDL) cholesterol, triglycerides, fibrinogen, total immunoglobulin E (IgE), one-second forced expiratory volume (FEV1), hearing threshold (4 kHz), visual impairment, symptoms of depression and anxiety, chronic widespread pain. Results: Social class in childhood was associated with blood pressure, BMI, HbA1c, HDL cholesterol, triglycerides, fibrinogen, FEV1, hearing threshold, depressive symptoms and chronic widespread pain, with a general trend of deteriorating health from class I to V. Adult social class was also associated with these measures. Mutually adjusted analyses of child and adult social class suggest that both contribute to disease risk in mid-life: in general, associations for childhood class were as strong as for adult class. Individuals with a manual class at both time-points tended to have the greatest health deficits in adulthood. Conclusions: Adverse SEP in childhood is associated with a poorer health profile in mid-adulthood, independently of adult social position, and across diverse measures of disease risk and physical and mental functioning.
dc.identifier.issn0300-5771
dc.identifier.urihttp://hdl.handle.net/1885/38682
dc.publisherOxford University Press
dc.sourceInternational Journal of Epidemiology
dc.subjectKeywords: fibrinogen; hemoglobin A1c; high density lipoprotein cholesterol; immunoglobulin E; triacylglycerol; adult; disease; health care; health risk; risk factor; socioeconomic impact; adult; anxiety; article; auditory threshold; blood pressure; body mass; chron Birth cohort; Cardio-respiratory disease; Child and adult; Health inequalities; Social class
dc.titleLife-course influences on health in British adults: effects of socio-economic position in childhood and adulthood.
dc.typeJournal article
local.bibliographicCitation.issue3
local.bibliographicCitation.lastpage539
local.bibliographicCitation.startpage532
local.contributor.affiliationPower, Chris, University College London (Inst of Child Health)
local.contributor.affiliationAtherton, Kate, Institute of Child Health
local.contributor.affiliationStrachan, David. P, University of London
local.contributor.affiliationShepherd, Peter, Institute of Education (Bedford Group)
local.contributor.affiliationFuller, Elizabeth, National Centre for Social Research
local.contributor.affiliationDavis, Adrian, University of Manchester
local.contributor.affiliationGibb, Ian, Royal Victoria Infirmary
local.contributor.affiliationKumari, Meena, University College London
local.contributor.affiliationLowe, Gordon, University of Glasgow
local.contributor.affiliationMacfarlane, Gary. J, University of Aberdeen
local.contributor.affiliationRahi, Jugnoo, Institute of Child Health
local.contributor.affiliationRodgers, Bryan, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationStansfeld, Stephen, Queen Mary University of London
local.contributor.authoremailu9210598@anu.edu.au
local.contributor.authoruidRodgers, Bryan, u9210598
local.description.embargo2037-12-31
local.description.notesImported from ARIES
local.identifier.absfor111706 - Epidemiology
local.identifier.ariespublicationu3962038xPUB165
local.identifier.citationvolume36
local.identifier.doi10.1093/ije/dyl310
local.identifier.scopusID2-s2.0-34547839782
local.identifier.uidSubmittedByu3962038
local.type.statusPublished Version

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