ArticleArchives of public health = Archives belges de sante publique2021
Socioeconomic status, well-being and mortality: a comprehensive life course analysis of panel data, Germany, 1984-2016.
Article in Archives of public health = Archives belges de sante publique, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Generational variation and life‑course accumulation of social inequalities in all-cause mortality in Germany: a cohort-sequential study.International journal for equity in health · 2026Article
- Sex differences in life-course social disadvantage and all-cause mortality: evidence from a longitudinal study from 1996 to 2023.BMC public health · 2026Article
- Individual socioeconomic position among the general population and economic downturns-related perceived stress, psychological resilience, and wellbeing in Thailand.Frontiers in public health · 2026Article
- Article
- Ageing well in the urban environment: meeting the health and social needs of older Adults - study protocol for a prospective, longitudinal mixed-methods study.BMC geriatrics · 2025Article
- Socioeconomic disparities in cognitive impairment, quality of life, and mortality among older adults in Germany.PloS one · 2025Article
- Socioeconomic inequalities in early adulthood disrupt the immune transcriptomic landscape via upstream regulators.Scientific reports · 2024Article
- Health insurance coverage among women of reproductive age in rural Ghana: policy and equity implications.Health research policy and systems · 2023Article
- Article
- Small-area deprivation index does not improve the capability of multisource comorbidity score in mortality prediction.Frontiers in public health · 2023Article
- Differences in Preoperative Health-Related Quality of Life between Women Receiving Mastectomy or Breast Conserving Surgery in a Prospectively Recruited Cohort of Breast Cancer Patients.Current oncology (Toronto, Ont.) · 2022Article
- The CIVISANO protocol: a mixed-method study about the role of objective and perceived environmental factors on physical activity and eating behavior among socioeconomically disadvantaged adults.Archives of public health = Archives belges de sante publique · 2022Article
- Education differences in cardiometabolic risk in England, Scotland and the United States between 1992 and 2019.BMC cardiovascular disorders · 2022Article
- Comorbidities in unclassifiable interstitial lung disease.Respiratory research · 2022Article
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1 author.
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Abstract
backgroundThis study seeks to explore potential causal mechanisms involved in the observed associations between several socioeconomic status (SES) indicators, well-being and mortality, by taking a life course perspective focusing on (i) the trajectory of income and domain-specific well-being indicators, (ii) the influence of different SES indicators on well-being and mortality, (iii) the interactions between those trajectories, and (iv) the associations of the income and domain-specific well-being trajectories with all-cause mortality.
methodsSocioeconomic status is operationalised by net household income, education, employment and marital status. Well-being is measured with two indicators: life satisfaction and satisfaction with health. Data from the German Socio-Economic Panel, collected between 1984 and 2016 and comprising more than 55,000 individuals, are analysed by means of longitudinal k-means cluster analysis, simultaneous equation systems and parametric time-to-death regressions.
resultsThe analyses indicate the presence of large reciprocal effects of the trajectories of income and well-being on each other. However, the results suggest that well-being has a larger influence on income than the opposite, namely, income on well-being. The mortality analysis, on the other hand, revealed that the history of satisfaction with health is a much stronger predictor of longevity than the individual's income history. Mortality risk was found lower among married individuals and those with tertiary education. In contrast, unemployment was associated with lower income and well-being levels. The findings provide support to the notion that education is a superior SES indicator than income in the investigation of the social determinants of well-being and mortality.
conclusionThe present study provides evidence of large reciprocal effects of income and well-being and emphasises the importance of taking a life course approach in the investigation of the social determinants of health. Several SES indicators and both well-being indicators were found to be highly predictive of all-cause mortality and indicate the presence of cumulative effects related to one's income and well-being trajectories.
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