ArticleAging2020
Beyond the social gradient: the role of lifelong socioeconomic status in older adults' health trajectories.
Article in Aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- A demographic perspective on longevity and healthspan: Rethinking population ageing through a positive and prospective lens.Journal of internal medicine · 2026Article
- Socioeconomic inequalities in functional ageing trajectories in England and Canada: A comparative longitudinal cohort study.PLoS medicine · 2026Article
- Trajectories of Life Course Financial Disadvantage and Depressive Mood: Results From the National Survey of the Japanese Elderly.Journal of epidemiology · 2026Article
- Prevalence, associated factors and temporal trends in multimorbidity in older adults in Singapore.Scientific reports · 2025Article
- Both childhood and adult perceived financial strain impact age trajectories of change in emotional health in late adulthood.Aging & mental health · 2025Observational
- Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.Journal of aging and health · 2025Article
- Exploring the Intricacies of Social Mobility Trajectories and Perceived Stress in Post-Reform China.Stress and health : journal of the International Society for the Investigation of Stress · 2025Article
- Childhood socioeconomic position and healthy ageing: results from five harmonised cohort studies in the ATHLOS consortium.BMJ public health · 2025Article
- Is the diagnosis and treatment of depression gender-biased? Evidence from a population-based aging cohort in Sweden.International journal for equity in health · 2024Article
- Impact of childhood and adult socioeconomic position on change in functional aging.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024Article
- Childhood and adult socioeconomic status influence on late-life healthy longevity: evidence from the Chinese longitudinal healthy longevity survey.Frontiers in public health · 2024Article
- Childhood socioeconomic status interacts with cognitive function to impact scam susceptibility among community-dwelling older adults.Aging & mental health · 2023Article
- Socioeconomic differences in older adults' unplanned hospital admissions: the role of health status and social network.Age and ageing · 2023Article
- Physical performance in older age by sex and educational level: the HUNT Study.BMC geriatrics · 2022Article
- Preserving independence among under-resourced older adults in the Southeastern United States: existing barriers and potential strategies for research.International journal for equity in health · 2022Review
- Higher Dynamic Balance Performance Was Associated With Cognitive Function Among U.S. Community-Dwelling Low-Income Older Adults.SAGE open nursingArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Inequalities in older adults' health rarely consider life-course aspects of socioeconomic status (SES). We examined the association between lifelong SES and old-age health trajectories, and explored the role of lifestyle factors and depressive symptoms in this association. We followed 2760 adults aged 60+ from the Swedish National Study on Care and Aging, Kungsholmen. SES groups were derived using latent class analysis incorporating seven socioeconomic measures spanning childhood, midlife, and late life. We measured health using the Health Assessment Tool, which combines gait speed, cognition, multimorbidity, and disability. Linear mixed models were used to estimate health trajectories. Four SES groups were identified: High (34.9%), Middle (40.2%), Low (21.2%), and Mixed (3.8%). The Mixed group reported greater financial difficulties in childhood and older age, but varying SES attainment in midlife. Baseline health scores indicated that Mixed SES experienced substantial cognitive and physical deficits 12 years earlier than the High SES group. Compared to the High SES group, the Mixed SES group had the fastest health deterioration (β×time=-0.07, 95% CI:-0.11,-0.02); other groups followed a gradient (High>Middle>Low). Lifestyle factors and depressive symptoms attenuated the gradient but did not explain Mixed group's health disadvantage. Life-long SES measures are crucial for understanding older adults' health inequalities.
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