Mediation of the effect of childhood socioeconomic position by educational attainment on adult chronic disease in Chile

Frenz, Patricia; Kaufman, Jay S.; Nazzal, Carolina; Cavada, Gabriel; Cerecera, Francisco; Silva, Nicolás

doi:10.1007/s00038-017-0996-z

Cited by 7 publications

(6 citation statements)

References 42 publications

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“…Also, most studies have described these associations using only one of the described theoretical models (Reiss 2013;Frenz et al 2017). Indeed, to the best of our knowledge, there are only three studies that have tested these models simultaneously on health outcomes (Pudrovska and Anikputa 2014; Shuey and Willson 2014;Willson and Shuey 2016).…”

Section: Introductionmentioning

confidence: 99%

Advantages and disadvantages across the life course and health status in old age among women in Chile

Madero-Cabib

Azar

Perez‐Cruz

2019

Int J Public Health

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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.

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Section: Introductionmentioning

confidence: 99%

Advantages and disadvantages across the life course and health status in old age among women in Chile

Madero-Cabib

Azar

Perez‐Cruz

2019

Int J Public Health

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“…Despite the growing interest in assessing the long-term influence of CSES, the mediating mechanisms by which CSES affects chronic conditions remain unclear. Most previous studies assessed socioeconomic and behavioral factors in adulthood as mediators in the association between CSES and chronic conditions in adulthood (de Sousa Andrade et al 2017;Frenz et al 2017;Sheikh et al 2014). However, when assessing mediation one must assume a lack of intermediary confounders (Sheikh et al 2016b), i.e., that there are no variables (measured or unmeasured) affecting both the mediator(s) and the outcome that are affected by the exposure itself (Sheikh et al 2016b).…”

Section: Introductionmentioning

confidence: 99%

Childhood adversities and chronic conditions: examination of mediators, recall bias and age at diagnosis

Sheikh

2017

Int J Public Health

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“…Furthermore, two values must be specified for the exposure: the base (a1) and alternative (a2) level. For the mediator, it is necessary to specify a value ‘m’ representing the level at which the controlled direct effect is to be estimated ( 37 ). Although the PE score, as well as control and demands, are available as continuous variables, we do not have any theoretical, statistical, or empirical criteria to define a priori values for (a1), (a2) and (m).…”

Section: Methodsmentioning

confidence: 99%

Can psychosocial risk factors mediate the association between precarious employment and mental health problems in Sweden? Results from a register-based study

Méndez-Rivero,

Matilla-Santander,

Gunn

et al. 2024

Scand J Work Environ Health

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OBJECTIVES: The aim of this study was to examine the mediating effect of the psychosocial work environment on the association between precarious employment (PE) and increased risk of common mental disorders (CMD), substance use disorders and suicide attempts. METHODS: This longitudinal register-study was based on the working population of Sweden, aged 25–60 years in 2005 (N=2 552 589). Mediation analyses based on a decomposition of counterfactual effects were used to estimate the indirect effect of psychosocial risk factors (PRF) (mediators, measured in 2005) on the association between PE (exposure, measured in 2005) and the first diagnosis of CMD, substance use disorders, and suicide attempts occurring over 2006–2017. RESULTS: The decomposition of effects showed that the indirect effect of the PRF is practically null for the three outcomes considered, among both sexes. PE increased the odds of being diagnosed with CMD, substance use disorders, and suicide attempts, among both men and women. After adjusting for PE, low job control increased the odds of all three outcomes among both sexes, while high job demands decreased the odds of CMD among women. High job strain increased the odds of CMD and suicide attempts among men, while passive job increased the odds of all three outcomes among women. CONCLUSION: The results of this study did not provide evidence for the hypothesis that psychosocial risks could be the pathways linking precarious employment with workers` mental health. Future studies in different social contexts and labour markets are needed.

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Mediation of the effect of childhood socioeconomic position by educational attainment on adult chronic disease in Chile

Cited by 7 publications

References 42 publications

Advantages and disadvantages across the life course and health status in old age among women in Chile

Advantages and disadvantages across the life course and health status in old age among women in Chile

Childhood adversities and chronic conditions: examination of mediators, recall bias and age at diagnosis

Can psychosocial risk factors mediate the association between precarious employment and mental health problems in Sweden? Results from a register-based study

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