Ignacio Madero-Cabib1,2, Ariel Azar3,4, Pedro Pérez-Cruz5,6. 1. Instituto de Sociología & Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile. 2. Millennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago, Chile. 3. Millennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago, Chile. aazar@uchicago.edu. 4. Department of Sociology, The University of Chicago, 1126 E 59th St, Chicago, IL, 60637, USA. aazar@uchicago.edu. 5. Millennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago, Chile. peperez@uc.cl. 6. Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, 5to Piso, oficina 523, 8330077, Santiago Centro, Santiago, Chile. peperez@uc.cl.
Abstract
OBJECTIVES: Based on a life course perspective, we assessed the association between three types of social advantages and disadvantages accumulated across different life stages, with the number of self-reported chronic conditions among women aged 60 + in Chile, a Latin-American country with almost no reports on this matter. METHODS: We used a population-representative longitudinal survey (Chile's Social Protection Survey) with information about childhood conditions, economic mobility across life, educational attainment, late adulthood labor-force trajectories, and later-life health, of 2627 women aged 60+. We then used sequence and Poisson regression analyses to assess the effect of life course (dis)advantages over the number of chronic conditions in old age. RESULTS: Growing up in a poor household and experiencing downward economic mobility (especially among those with a non-poor childhood) increases the predicted number of chronic conditions in old age. By contrast, having a continuous and formal labor-force trajectory in late adulthood and higher educational attainment is associated with fewer chronic conditions later in life. CONCLUSIONS: Policy measures that seek to foster health prevention and health care among older women should consider how multiple exposures to social advantages/disadvantages during earlier stages of the life course could affect health in late life.
OBJECTIVES: Based on a life course perspective, we assessed the association between three types of social advantages and disadvantages accumulated across different life stages, with the number of self-reported chronic conditions among women aged 60 + in Chile, a Latin-American country with almost no reports on this matter. METHODS: We used a population-representative longitudinal survey (Chile's Social Protection Survey) with information about childhood conditions, economic mobility across life, educational attainment, late adulthood labor-force trajectories, and later-life health, of 2627 women aged 60+. We then used sequence and Poisson regression analyses to assess the effect of life course (dis)advantages over the number of chronic conditions in old age. RESULTS: Growing up in a poor household and experiencing downward economic mobility (especially among those with a non-poor childhood) increases the predicted number of chronic conditions in old age. By contrast, having a continuous and formal labor-force trajectory in late adulthood and higher educational attainment is associated with fewer chronic conditions later in life. CONCLUSIONS: Policy measures that seek to foster health prevention and health care among older women should consider how multiple exposures to social advantages/disadvantages during earlier stages of the life course could affect health in late life.
Entities:
Keywords:
Advantages and disadvantages; Chile; Chronic conditions; Life course; Longitudinal methods; Old age; Women
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