Do different measures of early life socioeconomic circumstances predict adult mortality? Evidence from the British Whitehall II and French GAZEL studies.

Abstract : BACKGROUND: Father's occupational position, education and height have all been used to examine the effects of adverse early life socioeconomic circumstances on health, but it remains unknown whether they predict mortality equally well. METHODS: We used pooled data on 18,393 men and 7060 women from the Whitehall II and GAZEL cohorts to examine associations between early life socioeconomic circumstances and all-cause and cause-specific mortality. RESULTS: During the 20-y follow-up period, 1487 participants died. Education had a monotonic association with all mortality outcomes; the age, sex and cohort-adjusted HR for the lowest versus the highest educational group was 1.45 (95% CI 1.24 to 1.69) for all-cause mortality. There was evidence of a U-shaped association between height and all-cause, cancer and cardiovascular mortality robust to adjustment for the other indicators (HR 1.41, 95% CI 1.03 to 1.93 for those shorter than average and HR 1.36, 95% CI 0.98 to 1.88 for those taller than average for cardiovascular mortality). Greater all-cause and cancer mortality was observed in participants whose father's occupational position was manual rather than non-manual (HR 1.11, 95% CI 1.00 to 1.23 for all-cause mortality), but the risks were attenuated after adjusting for education and height. CONCLUSIONS: The association between early life socioeconomic circumstances and mortality depends on the socioeconomic indicator used and the cause of death examined. Height is not a straightforward measure of early life socioeconomic circumstances as taller people do not have a health advantage for all mortality outcomes.
Type de document :
Article dans une revue
Journal of Epidemiology and Community Health, BMJ Publishing Group, 2011, 65 (12), pp.1097-103. 〈10.1136/jech.2009.102376〉
Liste complète des métadonnées

Littérature citée [41 références]  Voir  Masquer  Télécharger

http://www.hal.inserm.fr/inserm-00511641
Contributeur : Nadine Kaniewski <>
Soumis le : jeudi 30 décembre 2010 - 11:06:38
Dernière modification le : vendredi 17 février 2017 - 14:30:35
Document(s) archivé(s) le : jeudi 31 mars 2011 - 02:16:13

Fichiers

inserm-00511641_edited.pdf
Fichiers produits par l'(les) auteur(s)

Identifiants

Collections

Citation

Silvia Stringhini, Aline Dugravot, Mika Kivimaki, Martin Shipley, Marie Zins, et al.. Do different measures of early life socioeconomic circumstances predict adult mortality? Evidence from the British Whitehall II and French GAZEL studies.. Journal of Epidemiology and Community Health, BMJ Publishing Group, 2011, 65 (12), pp.1097-103. 〈10.1136/jech.2009.102376〉. 〈inserm-00511641〉

Partager

Métriques

Consultations de la notice

297

Téléchargements de fichiers

339