SOCIAL PATTERNING OF MEDICAL MORTALITY IN YOUTH AND EARLY ADULTHOOD

被引:24
作者
BLANE, D
BARTLEY, M
SMITH, GD
FILAKTI, H
BETHUNE, A
HARDING, S
机构
[1] GOLDSMITHS COLL,DEPT SOCIAL POLICY & POLIT,LONDON,ENGLAND
[2] OFF POPULAT CENSUSES & SURVEYS,DIV HLTH STAT,MED ANAL SECT,LONDON,ENGLAND
关键词
HEALTH INEQUALITIES; SOCIOECONOMIC STATUS; MORTALITY; ADOLESCENCE; OPCS LONGITUDINAL STUDY;
D O I
10.1016/0277-9536(94)90132-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
It has been suggested that socio-economic gradients in health reduce or disappear during youth, to be re-created during early adulthood through a process of health-related social mobility. The present analysis tests this hypothesis in relation to 'medical mortality', using a data set which is free of numerator denominator bias. The sample consists of the appropriate age groups in the OPCS Longitudinal Study; 62,647 males and 59,644 females aged 0-14 at the 1971 census. 'Medical mortality' during 1971-1985, calculated as standardised mortality ratios, is analysed by parental social class, housing tenure and car access in 1971. 'Medical mortality' during 1981-1985 is analysed by own social class in 1981. The results suggest that 'medical mortality' is inversely related to social advantage at ages of death 0-9 years, that this gradient flattens or disappears at ages 10-14 and that it re-emerges at ages 15-29. Within the present analysis this apparent re-emergence could not have been due to health-related social mobility. It is concluded that the apparent absence of socio-economic gradients in 'medical mortality' during youth may be an artefact of the high levels of health enjoyed by this age group and its consequent low levels of non-accidental death.
引用
收藏
页码:361 / 366
页数:6
相关论文
共 25 条
[1]  
BARKER DJ, 1992, FOETAL INFANT ORIGIN
[2]  
BARTLEY M, IN PRESS LOW BIRTHWE
[3]   DEPRIVATION IN INFANCY OR IN ADULT LIFE - WHICH IS MORE IMPORTANT FOR MORTALITY RISK [J].
BENSHLOMO, Y ;
SMITH, GD .
LANCET, 1991, 337 (8740) :530-534
[4]  
BLANE AD, 1993, SOCIOL HLTH ILLNESS, V15, P1
[5]  
Blaxter M, 1990, HLTH LIFESTYLES, DOI [10.4324/9780203393000, DOI 10.4324/9780203393000]
[6]  
FOX AJ, 1982, SOCIOECONOMIC DIFFER
[7]   ADOLESCENCE AND HEALTH INEQUALITIES - EXTENSIONS TO MACINTYRE AND WEST [J].
GLENDINNING, A ;
LOVE, JG ;
HENDRY, LB ;
SHUCKSMITH, J .
SOCIAL SCIENCE & MEDICINE, 1992, 35 (05) :679-687
[8]  
GOLDBLATT P, 1990, SERIES LS, V6
[9]   HEALTH INEQUALITIES - NEW CONCERNS ABOUT THE CHILDREN OF SINGLE MOTHERS [J].
JUDGE, K ;
BENZEVAL, M .
BRITISH MEDICAL JOURNAL, 1993, 306 (6879) :677-680
[10]   LACK OF CLASS VARIATION IN HEALTH IN ADOLESCENCE - AN ARTIFACT OF AN OCCUPATIONAL MEASURE OF SOCIAL-CLASS [J].
MACINTYRE, S ;
WEST, P .
SOCIAL SCIENCE & MEDICINE, 1991, 32 (04) :395-402