Early-life conditions and health at older ages: the mediating role of educational attainment, family and employment trajectories

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• dc.contributor.author Arpino, Bruno
• dc.contributor.author Gumà, Jordi
• dc.contributor.author Julià, Albert
• dc.date.accessioned 2022-10-24T06:17:36Z
• dc.date.available 2022-10-24T06:17:36Z
• dc.date.issued 2018
• dc.description.abstract We examine to what extent the effect of early-life conditions (health and socioeconomic status) on health in later life is mediated by educational attainment and life-course trajectories (fertility, partnership, employment). Using data from the Survey of Health, Ageing and Retirement in Europe (N = 12,034), we apply, separately by gender, multichannel sequence analysis and cluster analysis to obtain groups of similar family and employment histories. The KHB method is used to disentangle direct and indirect effects of early-life conditions on health. Early-life-conditions indirectly impact on health in later life as result of their influence on education and family and employment trajectories. For example, between 22% and 42% of the effect of low parental socio-economic status at childhood on the three considered health outcomes at older age is explained by educational attainment for women. Even higher percentages are found for men (35% - 57%). On the contrary, the positive effect of poor health at childhood on poor health at older ages is not significantly mediated by education and life-course trajectories. Education captures most of the mediating effect of parental socio-economic status. More specifically, between 66% and 75% of the indirect effect of low parental socio-economic status at childhood on the three considered health outcomes at older age is explained by educational attainment for women. Again, higher percentages are found for men (86% - 93%). Early-life conditions, especially socioeconomic status, influence family and employment trajectories indirectly through their impact on education. We also find a persistent direct impact of early-life conditions on health at older ages. Our findings demonstrate that early-life experiences influence education and life-course trajectories and health in later life, suggesting that public investments in children are expected to produce long lasting effects on people’s lives throughout the different phases of their life-course.
• dc.description.sponsorship This study belongs to the multi-country project“Care, Retirement & Wellbeing of OlderPeople Across Different Welfare Regimes” (CREW). The authors acknowledge funding from the Spanish Ministry of Economy, Industry and Competitiveness (PCIN-2016-005; PI: Bruno Arpino) within the second Joint Programming Initiative “More Years Better Lives.” The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
• dc.format.mimetype application/pdf
• dc.identifier.citation Arpino B, Gumà J, Julià A. Early-life conditions and health at older ages: the mediating role of educational attainment, family and employment trajectories. PLoS ONE. 2018 Apr 5;13(4):1-17. DOI: 10.1371/journal.pone.0195320
• dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0195320
• dc.identifier.issn 1133-6595
• dc.identifier.uri http://hdl.handle.net/10230/54530
• dc.language.iso eng
• dc.publisher Public Library of Science (PLoS)
• dc.relation.ispartof PLoS ONE. 2018 Apr 5;13(4):1-17
• dc.relation.isreferencedby https://doi.org/10.1371/journal.pone.0195320
• dc.relation.projectID info:eu-repo/grantAgreement/ES/1PE/PCIN-2016-005
• dc.rights © 2018 Arpino et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.other Economia -- Aspectes sociològics
• dc.subject.other Persones grans -- Cura
• dc.subject.other Persones grans -- Salut i higiene
• dc.title Early-life conditions and health at older ages: the mediating role of educational attainment, family and employment trajectories
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion