Evidence map›Paper›PMID 27987434›Full record

ArticleSocial science & medicine (1982)2017

Disparities in self-rated health across generations and through the life course.

Bruce G Link, Ezra S Susser, Pam Factor-Litvak, Dana March, Katrina L Kezios, Gina S Lovasi, Andrew G Rundle, Shakira F Suglia, Kim M Fader, Howard F Andrews and 3 more

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Article
  2. Article
  3. Impact of socioeconomic conditions across the life course on epigenetic age acceleration: evidence from a longitudinal cohort.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  4. Stress across the lifecourse and adult mental and physical health outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Longitudinal Associations Between Loneliness and 
Self-Rated Health Among Black and White Older Adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. How Income Influences Health: Decomposition Based on Absolute Income and Relative Income Effects.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Bruce G LinkUniversity of California Riverside, United States. Electronic address: bruce.link@ucr.edu.
Ezra S SusserColumbia University, United States; New York State Psychiatric Institute, United States.
Pam Factor-LitvakColumbia University, United States.
Dana MarchColumbia University, United States.
Katrina L KeziosColumbia University, United States.
Gina S LovasiDrexel University, United States.
Andrew G RundleColumbia University, United States.
Shakira F SugliaEmory University, United States.
Kim M FaderColumbia University, United States.
Howard F AndrewsNew York State Psychiatric Institute, United States.
Eileen JohnsonChild Health and Development Studies, Public Health Institute, Oakland, California, United States.
Piera M CirilloChild Health and Development Studies, Public Health Institute, Oakland, California, United States.
Barbara A CohnChild Health and Development Studies, Public Health Institute, Oakland, California, United States.

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Ami R Zota · 1998 to 2026
$44.7M
A Lifecourse Approach to Emerging Health Disparities in a US Birth CohortR01HD058515 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI COHN, BARBARA A, LINK, BRUCE G · 2008 to 2012
$2.9M
Training Program in Environmental Life Course EpidemiologyT32ES023772 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FACTOR-LITVAK, PAM R, PERERA, FREDERICA P · 2015 to 2019
$1.3M
NICHD NIH HHS R01 HD058515NIEHS NIH HHS P30 ES009089NIEHS NIH HHS T32 ES023772
6 · The paper itself

Abstract

Extensive evidence leads us to expect that health disparities by race and socioeconomic status found in one generation might be reproduced in the next. To the extent that this occurs it is important to assess life course processes responsible for the reproduction. Prospective evidence concerning such life course processes is hard to come by as it requires long-term follow-up of individuals from childhood through adult life. We present data from the Child Health and Development Disparities study that provides evidence relevant to this issue with respect to self-rated health. Mothers and offspring recruited in California's Bay Area between 1959 and 1967 were assessed during pregnancy with follow-up exams of offspring along with in-person interviews with mothers (at offspring ages 5, 9-11, 15-17) and offspring (at ages 15-17, ∼50). Available data allow us to assess the importance of three potential life course pathways in the reproduction of inequalities in self-rated health - socioeconomic pathways, cognitive pathways and pathways involving emerging health itself. As expected we found that race and SES disparities in SRH are reproduced across generations. They are evident in mothers, not strong or significant in offspring at 15-17, but present once again in offspring at age ∼50. Concerning potential pathways, we found that indicators of child health were related to adult SRH and played some role in accounting for race but not SES disparities in adult SRH. Cognitive abilities were unrelated to adult SRH with childhood SES controlled. Childhood SES was associated with adult SRH independent of other childhood factors and is reduced to non-significance only when offspring college attainment is controlled. Race and SES disparities in self-reported health in one generation are re-expressed in the next with strongest support for SES pathways in this transmission.

Indexed as

Family CharacteristicsHealth Status DisparitiesSelf ReportAdolescentAdult ChildrenCaliforniaChildChild, PreschoolCognitionFemaleHealth StatusHumansLongitudinal StudiesMaleMiddle AgedMothersLife courseRace and SES health disparitiesSelf-rated health

Identifiers

PMID27987434
PMCPMC5328654

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.