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Social Determinants of Health

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Social Determinants of Health <[log in to unmask]>
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Dennis Raphael <[log in to unmask]>
Date:
Sun, 25 Sep 2005 19:13:33 -0400
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Social Determinants of Health <[log in to unmask]>
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FYI from the latest issue of the JECH

BW

David McDaid
LSE Health and Social Care

Social mobility over the lifecourse and self reported mental health at age
50: prospective cohort study
Journal of Epidemiology and Community Health 2005;59:870-872;
doi:10.1136/jech.2005.035246
Paul A Tiffin, Mark S Pearce and Louise Parker
Paediatric and Lifecourse Epidemiology Research Group, School of Clinical
Medical Sciences, Sir James Spence Institute, University of Newcastle upon
Tyne, UK
Study objective: To investigate the effect of socioeconomic status
throughout the lifecourse on self reported mental health at age 50 years.
Design: Prospective cohort study
Setting: Community setting in Newcastle upon Tyne, north east England.
Participants: 503 subjects from a birth cohort assembled in 1947 who
completed the 28 item version of the general health questionnaire (GHQ-28).
Main results: There was an association between socioeconomic group at birth
and reporting a clinically significant GHQ-28 score at age 50 (OR 5.5 95%
CI 1.2 to 25.4 comparing the least with the most advantaged socioeconomic
group). A downward socioeconomic trajectory over the whole lifecourse was
associated with poorer self reported mental health in men (p<0.001) but not
women (p = 0.8).
Conclusions: Socioeconomic position throughout the lifecourse may act
differently on mental health at middle age depending on a person's sex.

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