Evidence map›Paper›PMID 34391423›Full record

ArticleInternational journal for equity in health2021

Socioeconomic inequalities in health behaviors: exploring mediation pathways through material conditions and time orientation.

Andrea L Mudd, Frank J van Lenthe, Sanne E Verra, Michèlle Bal, Carlijn B M Kamphuis

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Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Andrea L MuddDepartment of Interdisciplinary Social Science- Social Policy and Public Health, Utrecht University, PO Box 80140, 3508 TC, Utrecht, The Netherlands. a.l.mudd@uu.nl.ORCID http://orcid.org/0000-0002-9992-6991
Frank J van LentheDepartment of Public Health, Erasmus University Medical Centre, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
Sanne E VerraDepartment of Interdisciplinary Social Science- Social Policy and Public Health, Utrecht University, PO Box 80140, 3508 TC, Utrecht, The Netherlands.
Michèlle BalDepartment of Interdisciplinary Social Science- Social Policy and Public Health, Utrecht University, PO Box 80140, 3508 TC, Utrecht, The Netherlands.
Carlijn B M KamphuisDepartment of Interdisciplinary Social Science- Social Policy and Public Health, Utrecht University, PO Box 80140, 3508 TC, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomic inequalities in health behaviors have been attributed to both structural and individual factors, but untangling the complex, dynamic pathways through which these factors influence inequalities requires more empirical research. This study examined whether and how two factors, material conditions and time orientation, sequentially impact socioeconomic inequalities in health behaviors.

methodsDutch adults 25 and older self-reported highest attained educational level, a measure of socioeconomic position (SEP); material conditions (financial strain, housing tenure, income); time orientation; health behaviors including smoking and sports participation; and health behavior-related outcomes including body mass index (BMI) and self-assessed health in three surveys (2004, 2011, 2014) of the longitudinal GLOBE (Dutch acronym for "Health and Living Conditions of the Population of Eindhoven and surroundings") study. Two hypothesized pathways were investigated during a ten-year time period using sequential mediation analysis, an approach that enabled correct temporal ordering and control for confounders such as baseline health behavior.

resultsEducational level was negatively associated with BMI, positively associated with sports participation and self-assessed health, and not associated with smoking in the mediation models. For smoking, sports participation, and self-assessed health, a pathway from educational level to the outcome mediated by time orientation followed by material conditions was observed.

conclusionsTime orientation followed by material conditions may play a role in determining socioeconomic inequalities in certain health behavior-related outcomes, providing empirical support for the interplay between structural and individual factors in socioeconomic inequalities in health behavior. Smoking may be determined by prior smoking behavior regardless of SEP, potentially due to its addictive nature. While intervening on time orientation in adulthood may be challenging, the results from this study suggest that policy interventions targeted at material conditions may be more effective in reducing socioeconomic inequalities in certain health behaviors when they account for time orientation.

Indexed as

Educational StatusHealth BehaviorIncomeAdultAgedFemaleHumansLatent Class AnalysisMaleMiddle AgedNetherlandsProspective StudiesSocial ConditionsSocioeconomic FactorsHealth behaviorMaterial conditionsSequential mediationSocioeconomic inequalitiesStructural equation modelingThe NetherlandsTime orientation

Identifiers

PMID34391423
PMCPMC8364086

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