Social mobility and healthy behaviours from a gender perspective in the Spanish multicase-control study (MCC-Spain)

Abstract

There is evidence for the influence of socioeconomic status (SES) on healthy behaviours but the effect of social mobility (SM) is not yet well known. This study aims to analyse the influence of origin and destination SES (O-SES and D-SES) and SM on healthy behaviours and co-occurrence, from an integrated gender and age perspective. Data were obtained from the controls of MCC-Spain between 2008–2013 (3,606 participants). Healthy behaviours considered: healthy diet, moderate alcohol consumption, non-smoking and physical activity. SM was categorized as stable high, upward, stable medium, downward or stable low. Binary and multinomial logistic regression models were adjusted. Those aged <65, with a low O-SES, D-SES and stable low SM are less likely to have healthy behaviours in the case of both women (physically active: OR = 0.65 CI = 0.45–0.94, OR = 0.71 CI = 0.52–0.98, OR = 0.61 CI = 0.41–0.91) and men (non-smokers: OR = 0.44 CI = 0.26–0.76, OR = 0.54 CI = 0.35–0.83, OR = 0.41 CI 0.24–0.72; physically active: OR = 0.57 CI = 0.35–0.92, OR = 0.64 CI = 0.44–0.95, OR = 0.53 CI = 0.23–0.87). However, for those aged ≥65, this probability is higher in women with a low O-SES and D-SES (non-smoker: OR = 8.09 CI = 4.18–15.67, OR = 4.14 CI = 2.28–7.52; moderate alcohol consumption: OR = 3.00 CI = 1.45–6.24, OR = 2.83 CI = 1.49–5.37) and in men with a stable low SM (physically active: OR = 1.52 CI = 1.02–1.26). In the case of men, the same behaviour pattern is observed in those with a low O-SES as those with upward mobility, with a higher probability of co-occurring behaviours (three-to-four behaviours: OR = 2.00 CI = 1.22–3.29; OR = 3.13 CI = 1.31–7.48). The relationship of O-SES, D-SES and SM with healthy behaviours is complex and differs according to age and gender.

Early adulthood socioeconomic trajectories contribute to inequalities in adult diet quality, independent of childhood and adulthood socioeconomic position

“…This is consistent with previous cross-sectional studies, where parental education levels during childhood were associated with participants’ dietary intake, but participants’ own educational attainment played a more influential role, or at least attenuated the relationship between parental education and adult diet quality. 13-15,36,42 A more direct test of social mobility effects also shows that participants whose education levels were lower than their parents reported lower intake of fruits and vegetables and worse overall diet quality than participants as well-educated as their parents, 41,43 indicating an independent contribution of participants’ own education.…”

Role of Sex in the Association of Socioeconomic Status With Cardiovascular Health in Black Americans: The Jackson Heart Study

“…Others have found evidence of sex differences in the health effects of socioeconomic mobility, but results are mixed. 44 , 45 This cross‐sectional analysis did not consider how change in SES may affect CVH, which is an important area for future research. Previously, we discussed the potential role of allostatic load from the cumulative stress associated with discrimination and racism in Black populations as an explanation of some differences in SES between Black and White American populations.…”