ArticleBMJ open2014
Early socioeconomic position and self-rated health among civil servants in Brazil: a cross-sectional analysis from the Pró-Saúde cohort study.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Childhood experiences and adult self-rated physical health in 22 countries.BMC global and public health · 2026Article
- Welfare regimes modify the association of disadvantaged adult-life socioeconomic circumstances with self-rated health in old age.International journal of epidemiology · 2019Article
- Mediation of the effect of childhood socioeconomic position by educational attainment on adult chronic disease in Chile.International journal of public health · 2017Article
- Socioeconomic Status, Health Behaviors, Obesity and Self-Rated Health among Older Arabs in Israel.Journal of cross-cultural gerontology · 2017Article
- Lifecourse socioeconomic status and cancer-related risk factors: Analysis of the WHO study on global ageing and adult health (SAGE).International journal of cancer · 2017Article
- The effect of the Family Health Strategy on usual source of care in Brazil: data from the 2013 National Health Survey (PNS 2013).International journal for equity in health · 2016Article
- Perceived discrimination and self-rated health in Canada: an exploratory study.BMC public health · 2016Article
- Non-communicable diseases in Brazil: a flood of data is coming!Sao Paulo medical journal = Revista paulista de medicinaArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough there is evidence that socioeconomic conditions in adulthood are associated with worse self-rated health, the putative effect of early adverse life circumstances on adult self-rated health is not consistent. Besides, little is known on this subject in the context of middle-income countries. We aimed to investigate the association between indicators of socioeconomic position in early life and self-rated health in adulthood, taking into account the influence of current socioeconomic position.
designCross-sectional.
participants3339 civil servants (44.5% male) working at a public university in Rio de Janeiro, Brazil, participants of the Pró-Saúde cohort study. MEASUREMENTS: Through a lifecourse approach, we evaluated if seven indicators of participants' socioeconomic position earlier in life were associated with worse self-rated health in adulthood. Ordinal logistic regression analysis with a proportional odds model was used.
resultsAfter adjusting for socioeconomic position in adulthood (education and income), the indicators of early socioeconomic position associated with poor self-rated health were as follows: not eating at home due to lack of money at the age of 12 (OR=1.29 95% CI 1.06 to 1.57) and having lived in a small city or rural area at the age of 12 (OR=1.51 95% CI 1.21 to 1.89).
conclusionsSelf-rated health was associated with two indicators of remarkable experiences of poverty in early life, even when socioeconomic conditions improved throughout life. Our findings have shown a long-term impact of extreme socioeconomic hardship during childhood and/or adolescence on the development of social inequalities in health. In terms of implications for public health, our work emphasises that health policies, usually focused on adult lifestyle interventions, should be complemented by initiatives aimed at reducing socioeconomic inequalities during the earliest stages of development, such as childhood and adolescence.
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