Sign in to use this feature.

Years

Between: -

Subjects

remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline
remove_circle_outline

Journals

Article Types

Countries / Regions

Search Results (45)

Search Parameters:
Keywords = life course inequalities

Order results
Result details
Results per page
Select all
Export citation of selected articles as:
23 pages, 696 KiB  
Article
Resilience and Aging Among Black Gay and Bisexual Older Men
by Angela K. Perone, Beth Glover Reed and Larry M. Gant
Int. J. Environ. Res. Public Health 2025, 22(8), 1226; https://doi.org/10.3390/ijerph22081226 - 6 Aug 2025
Abstract
Black gay and bisexual older men face numerous barriers across the life course that can contribute to negative health and well-being as they age. Drawing on strengths-based social determinants discussed in the health literature and literature on intersectionality, justice, and critical consciousness, this [...] Read more.
Black gay and bisexual older men face numerous barriers across the life course that can contribute to negative health and well-being as they age. Drawing on strengths-based social determinants discussed in the health literature and literature on intersectionality, justice, and critical consciousness, this study examines qualitative data from seventeen Black gay and bisexual older men about sources and strategies of resilience and thriving amidst intersecting systems of power and oppression that shape health inequities. The findings revealed an evolution of positive support networks across their life courses, including biological family and families of choice such as “houses” and support groups. Early and ongoing negative experiences relating to intersecting positionalities (e.g., race, gender, sexual orientation) also provided sources of strength and resilience. Participants identified three strategies for building resilience and thriving: naming external ignorance, acknowledging common struggles, and reconciling contradictions. These strategies reflected various levels of critical consciousness that helped them navigate complex and intersecting systems of power that they encountered as Black gay men across the life course. Overall, the findings underscore the importance of considering intersecting systems of power and critical consciousness when examining resilience and social determinants of health and contribute new insights on a vastly understudied population. Full article
(This article belongs to the Special Issue 3rd Edition: Social Determinants of Health)
Show Figures

Figure 1

14 pages, 287 KiB  
Article
Breastfeeding Duration, Diet, and Sports Engagement in Immigrant Children: A Quantitative Study in the Lisbon Region, Portugal
by Zélia Muggli, Regina Loesch, Iolanda Alves, Iliete Ramos and Maria Rosario O. Martins
Nutrients 2025, 17(8), 1350; https://doi.org/10.3390/nu17081350 - 15 Apr 2025
Viewed by 789
Abstract
Background: Being breastfed, following a healthy diet and staying active during childhood shape health trajectories across the life course, promoting long-term well-being. Despite the growing immigrant child population in Portugal, evidence on these behaviours, particularly among preschool-aged children, remains limited. In this context, [...] Read more.
Background: Being breastfed, following a healthy diet and staying active during childhood shape health trajectories across the life course, promoting long-term well-being. Despite the growing immigrant child population in Portugal, evidence on these behaviours, particularly among preschool-aged children, remains limited. In this context, this study examines the associations between migrant status and breastfeeding patterns, fruit and vegetable consumption, and participation in sports among children living in the Lisbon Metropolitan Area. Methods: A cross-sectional study nested within a cross-sequential cohort was carried out in the Lisbon region between May 2022 and April 2024. Approximately 760 children (49.4% immigrants) born in 2018 and 2020 were enrolled in the study. Data were collected through a face-to-face interview with parents, using a structured questionnaire with information on socioeconomic variables, migration history, breastfeeding habits, and children’s diet (fruit and vegetable consumption) and physical activity. We used parametric and non-parametric tests to compare migrant and non-migrant children. To quantify factors associated with the main outcomes, we estimated a logistic regression model and calculated crude and adjusted odds ratios and their respective 95%CI. Results: Immigrant children were disproportionately represented in socioeconomically disadvantaged families. Breastfeeding initiation rates were higher among immigrant mothers (96.3% vs. 87.6%, p < 0.001). Additionally, immigrant mothers had a longer median duration of any breastfeeding (14 vs. 8 months, p < 0.001) and of exclusive breastfeeding (6 vs. 4 months, p < 0.001). Immigrant children had significantly lower odds of consuming three or more portions of fruit (aOR = 0.700; 95%CI: 0.511–0.959; p = 0.027) and two or more portions of vegetables per day (aOR = 0.489; 95%CI: 0.350–0.684; p < 0.001) compared with non-immigrant children. They were also twice as likely to not engage in sports (aOR = 2.185; 95%CI: 1.512–3.158; p < 0.001). Conclusions: Breastfeeding was better implemented in immigrant children. The findings highlight the need to address social determinants of health and the challenges faced by immigrant families in promoting a balanced diet and sports participation for their children. Multisectoral, culturally appropriate interventions that sustain and promote good breastfeeding practices, improve access to healthy food, and encourage sports are crucial to reducing health inequalities. Full article
(This article belongs to the Special Issue Food Insecurity, Nutritional Status, and Human Health)
27 pages, 1373 KiB  
Article
Women’s Life Trajectories in Rural Timor-Leste: A Life History and Life Course Perspective on Reproduction and Empowerment
by Paola Borquez-Arce, Chiara E. Sumich, Raimundo da Costa, Gabriela Guizzo-Dri, Phoebe R. Spencer, Katherine Sanders and Debra S. Judge
Soc. Sci. 2025, 14(4), 203; https://doi.org/10.3390/socsci14040203 - 25 Mar 2025
Viewed by 808
Abstract
Women’s reproductive decisions and life trajectories are shaped by an interplay of biological, social, and ecological factors. While Life History Theory (LHT) has traditionally been applied in biological sciences to examine reproductive trade-offs, its integration with Life Course Theory (LCT) and empowerment frameworks [...] Read more.
Women’s reproductive decisions and life trajectories are shaped by an interplay of biological, social, and ecological factors. While Life History Theory (LHT) has traditionally been applied in biological sciences to examine reproductive trade-offs, its integration with Life Course Theory (LCT) and empowerment frameworks offers a novel approach to understanding how structural and environmental conditions shape women’s reproductive behaviours and household roles. This study applies Categorical Principal Component Analysis (CATPCA) to identify key profiles of women’s lives in two ecologically distinct rural communities in Timor-Leste—Ossu and Natarbora—and examines how these patterns relate to early life conditions. Building on a longitudinal study conducted in these communities, our findings reveal four distinct profiles: (1) Tech and Sanitation, linked to household labour-saving technology and higher education; (2) Traditional, reflecting large household size and livestock ownership; (3) Contraception, associated with fertility control, particularly among younger cohorts; and (4) High Fertility, characterised by more births, greater child mortality, and being born in high-altitude regions. By combining LHT, LCT, and the empowerment framework, this study analyses how reproductive strategies and household ecology intersect with structural inequalities. These findings offer key insights for policies aimed at improving women’s autonomy, access to resources, and reproductive health in rural Timor-Leste. Full article
(This article belongs to the Section Gender Studies)
Show Figures

Figure 1

7 pages, 211 KiB  
Perspective
Non-Communicable Diseases, Longevity, and Health Span: A Hong Kong Perspective
by Jean Woo and Michael Marmot
Int. J. Environ. Res. Public Health 2025, 22(3), 359; https://doi.org/10.3390/ijerph22030359 - 28 Feb 2025
Viewed by 1081
Abstract
The health of different countries evolves in parallel with their economic development. Communicable diseases play a more prominent role in low-income countries compared with high-income countries, while non-communicable diseases (NCDs) have become dominant in developing and developed economies. This transition has been accompanied [...] Read more.
The health of different countries evolves in parallel with their economic development. Communicable diseases play a more prominent role in low-income countries compared with high-income countries, while non-communicable diseases (NCDs) have become dominant in developing and developed economies. This transition has been accompanied by public health efforts to prevent NCDs, resulting in improvements in total life expectancy at birth (TLE). It is recognized that health determinants are not confined to healthcare systems, but that social determinants play a key role in health inequalities. The rapid increase in life expectancy at birth has led to increasing numbers of older adults, where health inequalities are accentuated. The current UN Decade of Healthy Aging calls for a life-course approach to building intrinsic capacity, maintaining function, and avoiding dependency with age instead of avoiding mortality and morbidity. TLE in Hong Kong is one of the highest in the world as a result of public health preventive efforts and an essentially free hospital system. However, the increase in TLE has not been accompanied by the same magnitude of increase in health span, resulting in an increasing dependency burden. Geography, culture, dietary and smoking habits, physical activity, urban planning, and neighbourhood cohesion are some of the social determinants affecting TLE and also health inequalities. With population ageing, it would be appropriate to focus on the social determinants affecting health span to maintain functional independence rather than prolonging life. A whole-of-society response instead of relying solely on the adaptation of health and social care systems would be needed, together with more nuanced metrics to measure health span. Full article
20 pages, 323 KiB  
Article
Gender-Based Violence and 2SLGBTQI+ Groups
by Cara A. Davidson, Tara Mantler and Kimberley T. Jackson
Societies 2024, 14(11), 242; https://doi.org/10.3390/soc14110242 - 20 Nov 2024
Viewed by 1808
Abstract
Gender-based violence (GBV) is a pervasive public health issue that affects all Canadians, including Indigenous peoples (First Nations, Inuit, Métis); however, it is well-understood that GBV disproportionately affects certain social groups. An estimated one million Canadians aged 15 and older identify with a [...] Read more.
Gender-based violence (GBV) is a pervasive public health issue that affects all Canadians, including Indigenous peoples (First Nations, Inuit, Métis); however, it is well-understood that GBV disproportionately affects certain social groups. An estimated one million Canadians aged 15 and older identify with a sexual orientation other than heterosexual, and approximately 1 in 300 people identify as transgender or non-binary. In Canada, violence rooted in biphobia, homophobia, transphobia, and queerphobia results in disproportionately high levels of GBV experienced by Two-Spirit, lesbian, gay, bisexual, transgender, queer (or questioning), intersex, and other individuals who identify outside of cisgender, heterosexual norms (2SLGBTQI+ people). The health impacts of GBV experienced by people who identify outside of gender and sexuality norms are profound, spanning mental and physical dimensions across the life course. This article employs an anti-oppression queer framework to provide a comprehensive overview of current knowledge and understandings of GBV in Canada concerning 2SLGBTQI+ people, emphasizing (1) the disproportionate risk of GBV faced by 2SLGBTQI+ communities within the context of Canadian social politics; (2) key links between the experiences of GBV among 2SLGBTQI+ people in Canada and associated health disparities; (3) current orientations to GBV policy, practice, and research, with an emphasis on contemporary, inclusive paradigms that shape equity-oriented health and social services; and (4) future directions aimed at eradicating GBV and addressing health inequities among 2SLGBTQI+ people in Canada. While much work remains to be done, the expansion of 2SLGBTQI+ inclusion in GBV prevention within the past five years points to a promising future. Full article
14 pages, 622 KiB  
Article
Life-Course Socioeconomic Trajectories and Biological Aging: The Importance of Lifestyles and Physical Wellbeing
by Simona Esposito, Marialaura Bonaccio, Augusto Di Castelnuovo, Emilia Ruggiero, Mariarosaria Persichillo, Sara Magnacca, Amalia De Curtis, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Alessandro Gialluisi and on behalf of the Moli-Sani Study Investigators
Nutrients 2024, 16(19), 3353; https://doi.org/10.3390/nu16193353 - 2 Oct 2024
Cited by 2 | Viewed by 2086
Abstract
Background/Objectives: Studies investigating the associations between life-course socioeconomic status (SES) and biological aging (the difference between biological and chronological age, Δage) have mostly been focused on epigenetic clocks and on a limited number of mediators. The aim of this study was to investigate [...] Read more.
Background/Objectives: Studies investigating the associations between life-course socioeconomic status (SES) and biological aging (the difference between biological and chronological age, Δage) have mostly been focused on epigenetic clocks and on a limited number of mediators. The aim of this study was to investigate this relationship using a blood-based aging clock, as well as the potential mediation of different factors including lifestyles or their proxies and physical and mental wellbeing. Methods: A deep-learning aging clock based on 36 blood markers was deployed, in a large Italian population cohort: the Moli-sani study (N = 4772; ≥35 years; 48% men). SES was defined as an eight-level trajectory over the life course, which was tested with Δage in linear models incrementally adjusted for age, sex, and prevalent health conditions. Moreover, the proportion of associations explained by diverse potential mediators, including diet, smoking, physical activity, alcohol, body mass index (BMI), and physical and mental quality of life (QoL) was estimated. Results: Compared to participants with a stably high SES, those showing an educational and financial downward trajectory were older than their CA (β (95%CI) = 1.28 (0.73–1.83) years), as were those with a stably low SES (0.75 (0.25–01.25) years). These associations were largely explained by the tested mediators (overall proportion: 36.2% and 66.3%, respectively), prominently by physical QoL (20.7% and 41.0%), BMI (16.8% and 34.3%), lifestyle (10.6% and 24.6%), and dietary inflammatory score (5.3% and 9.2%). Conclusions: These findings indicate that life-course socioeconomic inequalities are associated with accelerated biological aging, suggesting physical wellbeing and pro-inflammatory lifestyles as potential public health targets to slow down this process in susceptible socioeconomic strata of the population. Full article
(This article belongs to the Special Issue The Effect of Dietary Patterns and Lifestyle on Healthy Aging)
Show Figures

Figure 1

13 pages, 1848 KiB  
Article
Telemedical Intervention and Its Effect on Quality of Life in Chronic Heart Failure Patients: The Results from the Telemedicine and e-Health Solution Pilot Program
by Piotr Wańczura, David Aebisher, Mateusz Wiśniowski, Marek Kos, Hubert Bukowski, Malwina Hołownia-Voloskova and Andrzej Przybylski
J. Clin. Med. 2024, 13(9), 2604; https://doi.org/10.3390/jcm13092604 - 29 Apr 2024
Cited by 1 | Viewed by 1872
Abstract
(1) Background: Heart failure (HF) is not only a common cardiovascular disease with a poor prognosis. Its prevalence in developed countries equals 1–2% of the general population of adults, while in Poland HF, patients constitute 3.2% of the total population. Modern heart failure [...] Read more.
(1) Background: Heart failure (HF) is not only a common cardiovascular disease with a poor prognosis. Its prevalence in developed countries equals 1–2% of the general population of adults, while in Poland HF, patients constitute 3.2% of the total population. Modern heart failure treatment should be focused not only on reducing the risk of death and the number of readmissions due to HF exacerbation but quality of life as well. Telemedicine has been suggested as a viable tool for enhancing HRQL. Therefore, we present the results of telemedical intervention in a group of HF patients and its effect on quality of life in chronic heart failure patients from a pilot study dedicated to reducing social inequalities in health through the use of telemedicine and e-health solutions. (2) Method: The project was a multicenter, open, non-controlled trial conducted by the University of Rzeszów, Poland. The data points were collected in the June 2023–December 2023 period from fourteen primary care units from five voivodeships, mostly considered social exclusion areas. A total of 52.7% of the patients recruited were Podkarpackie Voivodeship inhabitants. The result and discussion are presented based on the Chronic Heart Failure Questionnaire (CHFQ) and the EuroQol Visual Analogue Scale (EQVAS). (3) Results: During the program, a total of over 100,000 telemedicine examinations were conducted in the form of body weight measurement, heart rate, blood pressure tests, and 7-day Holter or 14-day event Holter assessment. Over the course of this study, coordinating the pilot program medical staff has ordered 570 changes in the patient’s pharmacotherapy, confirming the positive impact on quality of life in the study group. (4) Conclusions: A comprehensive telemedical intervention can contribute to an improvement in the quality of life of patients with HF beyond what was achieved with the basic standard of care in the group of HF patients from the social exclusion region. It is now unclear if the result of the basic telemedical intervention would be constant after discontinuation of the mentioned pilot program. Full article
(This article belongs to the Section Cardiology)
Show Figures

Figure 1

24 pages, 310 KiB  
Article
“We Can Transform This, We Can Change This”: Adolescent Sociopolitical Development as a Catalyst for Healthy Life-Span Development
by Elena Maker Castro, Brandon D. Dull, Chantay Jones and Johnny Rivera
Youth 2024, 4(2), 582-605; https://doi.org/10.3390/youth4020040 - 26 Apr 2024
Viewed by 2138
Abstract
In the late 1970s, adolescents in East Harlem, New York, participated in a program called the Youth Action Program where they worked collectively to address systemic issues causing inequities in their communities (e.g., inequities in housing and education). In the current study, we [...] Read more.
In the late 1970s, adolescents in East Harlem, New York, participated in a program called the Youth Action Program where they worked collectively to address systemic issues causing inequities in their communities (e.g., inequities in housing and education). In the current study, we integrate the sociopolitical development framework with life-course health development to explore how participation in the program shaped adolescents’ skills and capacities for social transformation in ways that were health-promotive and informative for life trajectories. Data included retrospective interviews and member-checking focus group data of 10 former Youth Action Program members (current Mage = 63; 45% female; 55% male) from predominantly Black and Latinx backgrounds. We used reflexive thematic analysis and adopted a case study approach to highlight how participants’ adolescent experiences of sociopolitical development and resistance against oppressive circumstances propelled healthy life-course development. Specifically, participants were able to establish healthy lives through four health-promotive sociopolitical developmental processes: questioning the system not the self; carving out alternative spaces and pathways; building agency in a dehumanizing society; and finding purpose through committing to social change. Our study suggests that contemporary youth organizing programs can incorporate sustaining practices including the careful vetting and training of adult staff, pursuing tangible opportunities to create change, and embedding youth voice and leadership into programmatic structures to encourage healthy development via sociopolitical development. Full article
20 pages, 361 KiB  
Article
Inequalities in Academic Work during COVID-19: The Intersection of Gender, Class, and Individuals’ Life-Course Stage
by Anna Carreri, Manuela Naldini and Alessia Tuselli
Soc. Sci. 2024, 13(3), 162; https://doi.org/10.3390/socsci13030162 - 12 Mar 2024
Cited by 5 | Viewed by 2773
Abstract
Research studies on academic work and the COVID-19 crisis have clearly shown that the pandemic crisis contributed to exacerbating pre-existing gender gaps. Although the research has been extensive in this regard, it has focused more on the widening of the “motherhood penalty”, while [...] Read more.
Research studies on academic work and the COVID-19 crisis have clearly shown that the pandemic crisis contributed to exacerbating pre-existing gender gaps. Although the research has been extensive in this regard, it has focused more on the widening of the “motherhood penalty”, while other groups of academics are blurred. Even more underinvestigated and not yet fully explained are the intersections between further axes of diversity, often because the research conducted during the pandemic was based on a small volume of in-depth data. By drawing on interview data from a wider national research project, this article aims to contribute to this debate by adopting an intersectional approach. In investigating daily working life and work–life balance during the pandemic of a highly heterogeneous sample of 127 Italian academics, this article sheds light on how gender combines with other axes of asymmetry, particularly class (precarious versus stable and prestigious career positions) and age (individuals’ life-course stage), to produce specific conditions of interrelated (dis)advantage for some academics. The analysis reveals three household and family life course types that embody the interlocking of gender, class, and age within a specific social location with unequal, and possibly long-term, consequences for the quality of working life, well-being, and careers of academics, living alone or with parents, couples without children or with grown-up children, and couples with young children and other family members in need of care. Full article
14 pages, 496 KiB  
Review
Ensuring Optimal Outcomes for Preterm Infants after NICU Discharge: A Life Course Health Development Approach to High-Risk Infant Follow-Up
by Jonathan S. Litt, Neal Halfon, Michael E. Msall, Shirley Ann Russ and Susan R. Hintz
Children 2024, 11(2), 146; https://doi.org/10.3390/children11020146 - 24 Jan 2024
Cited by 11 | Viewed by 5103
Abstract
Children born prematurely (<37 weeks’ gestation) have an increased risk for chronic health problems and developmental challenges compared to their term-born peers. The threats to health and development posed by prematurity, the unintended effects of life-sustaining neonatal intensive care, the associated neonatal morbidities, [...] Read more.
Children born prematurely (<37 weeks’ gestation) have an increased risk for chronic health problems and developmental challenges compared to their term-born peers. The threats to health and development posed by prematurity, the unintended effects of life-sustaining neonatal intensive care, the associated neonatal morbidities, and the profound stressors to families affect well-being during infancy, childhood, adolescence, and beyond. Specialized clinical programs provide medical and developmental follow-up care for preterm infants after hospital discharge. High-risk infant follow-up, like most post-discharge health services, has many shortcomings, including unclear goals, inadequate support for infants, parents, and families, fragmented service provisions, poor coordination among providers, and an artificially foreshortened time horizon. There are well-documented inequities in care access and delivery. We propose applying a life course health development framework to clinical follow-up for children born prematurely that is contextually appropriate, developmentally responsive, and equitably deployed. The concepts of health development, unfolding, complexity, timing, plasticity, thriving, and harmony can be mapped to key components of follow-up care delivery to address pressing health challenges. This new approach envisions a more effective version of clinical follow-up to support the best possible functional outcomes and the opportunity for every premature infant to thrive within their family and community environments over their life course. Full article
Show Figures

Figure 1

18 pages, 1015 KiB  
Review
A Scoping Review of the Effects of Ambient Air Quality on Cognitive Frailty
by James Robert Hodgson, Charlotte Benkowitz, Brian C. Castellani, Amanda Ellison, Rammina Yassaie, Helen Twohig, Roshni Bhudia, Otto-Emil Ilmari Jutila and Sally Fowler-Davis
Environments 2024, 11(1), 4; https://doi.org/10.3390/environments11010004 - 20 Dec 2023
Cited by 3 | Viewed by 5830
Abstract
Environmental and public health research has given considerable attention to the impact of air quality on brain health, with systematic reviews being widespread. No literature review has been conducted for cognitive frailty—a multidimensional syndrome combining physical frailty and cognitive impairment and their apparent [...] Read more.
Environmental and public health research has given considerable attention to the impact of air quality on brain health, with systematic reviews being widespread. No literature review has been conducted for cognitive frailty—a multidimensional syndrome combining physical frailty and cognitive impairment and their apparent co-dependence, linked to increased vulnerability and adverse health outcomes, including dementia. Instead, cognitive decline and frailty are implicitly explored through research on air quality and comorbid cognitive and physical decline in elderly populations. A scoping review was conducted to explore the need for a systematic review. Combining the Arksey and O’Malley, and PRISMA-ScR checklist, a scoping review of SCOPUS using ‘cogniti*’ + ‘resilience’ + ‘air quality’ or ‘cogniti*’ + ‘ageing’ + ‘air quality’ resulted in n = 2503 articles, screened and reduced using inclusion and exclusion criteria, to n = 16 articles. Air quality appears to be a critical risk factor for cognitive decline, even at air quality levels below WHO targets. Moderate long-term ambient air pollution appears linked to increased risk of cognitive frailty, suggesting earlier and more active interventions to protect older people. There are varied effects on cognition across the life course, with both emotional and functional impacts. Effects may be more detrimental to elderly people with existing conditions, including economic and health inequalities. Generalisation of results is limited due to the absence of a dose–response, variations in methods, controlling for comorbid effects, and variance across studies. No literature review has been performed for cognitive frailty, largely due to the fact that it is not presently treated as an explicit outcome. The findings support the need for more research and a more extensive summary of the literature but suggest that there is worsening cognitive function over the life course as a result of increased PM2.5 concentrations. Furthermore, air quality appears to be a critical risk factor even at levels below World Health Organisation targets. Full article
Show Figures

Figure 1

13 pages, 962 KiB  
Review
A Narrative Review of the Association between Prematurity and Attention-Deficit/Hyperactivity Disorder and Accompanying Inequities across the Life-Course
by Yarden S. Fraiman, Genevieve Guyol, Dolores Acevedo-Garcia, Andrew F. Beck, Heather Burris, Tumaini R. Coker and Henning Tiemeier
Children 2023, 10(10), 1637; https://doi.org/10.3390/children10101637 - 30 Sep 2023
Cited by 7 | Viewed by 3267
Abstract
Preterm birth is associated with an increased risk of neurodevelopmental and neurobehavioral impairments including attention-deficit/hyperactivity disorder (ADHD), the most common neurobehavioral disorder of childhood. In this narrative review, we examine the known associations between prematurity and ADHD and highlight the impact of both [...] Read more.
Preterm birth is associated with an increased risk of neurodevelopmental and neurobehavioral impairments including attention-deficit/hyperactivity disorder (ADHD), the most common neurobehavioral disorder of childhood. In this narrative review, we examine the known associations between prematurity and ADHD and highlight the impact of both prematurity and ADHD on multiple domains across the pediatric life-course. We develop a framework for understanding the health services journey of individuals with ADHD to access appropriate services and treatments for ADHD, the “ADHD Care Cascade”. We then discuss the many racial and ethnic inequities that affect the risk of preterm birth as well as the steps along the “ADHD Care Cascade”. By using a life-course approach, we highlight the ways in which inequities are layered over time to magnify the neurodevelopmental impact of preterm birth on the most vulnerable children across the life-course. Full article
Show Figures

Figure 1

13 pages, 1013 KiB  
Review
A Review of the Relationship between Socioeconomic Status Change and Health
by Caroline Barakat and Theodore Konstantinidis
Int. J. Environ. Res. Public Health 2023, 20(13), 6249; https://doi.org/10.3390/ijerph20136249 - 29 Jun 2023
Cited by 64 | Viewed by 17848
Abstract
Objectives: This review aimed to identify and synthesize the existing literature on the effects of socioeconomic status (SES) changes on health. Methods: A review was conducted using Medline, Cochrane library, and CINAHL (Cumulative Index to Nursing and Allied Health Literature). All longitudinal or [...] Read more.
Objectives: This review aimed to identify and synthesize the existing literature on the effects of socioeconomic status (SES) changes on health. Methods: A review was conducted using Medline, Cochrane library, and CINAHL (Cumulative Index to Nursing and Allied Health Literature). All longitudinal or cross-sectional studies that examined links between changes to SES across different time periods and measured health outcomes were included. Screening was conducted using select inclusion and exclusion criteria in order of title, abstract, and full text. Two independent reviewers assessed the quality of the full text articles using the Downs and Black checklist. Results: Our literature search led to 2719 peer reviewed articles, 2639 of which were title screened after duplicates were removed. A total of 117 abstracts and 12 full text articles were screened. Overall, findings from 11 articles form the basis of this review. Eight different types of measures of changes to SES were identified. These include education, occupation, economic security, income sufficiency, home ownership, car ownership, health insurance, and marital status. Assessed outcomes included measures related to physical health, cardiovascular disease, mental health, and oral health. A large proportion of studies found that an SES change impacts health. Evidence suggests that those with consistently high SES have the best health outcomes, followed by those who report their SES change from low to high (upward social mobility). Evidence on the relative health effects for those who report their SES change from high to low (downward social mobility) compared to those who report consistently low SES is inconsistent. Conclusion: Current evidence suggests that an SES change has an impact on an individual’s health. More research on the effects of SES changes on health outcomes in adulthood is needed and can inform various areas of health research including health resiliency and development. Future studies should focus on individual SES indicators and their effects on health outcomes at multiple points throughout life. Full article
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Show Figures

Figure 1

20 pages, 442 KiB  
Article
What’s Your Pension Story? Women’s Perspectives during the COVID-19 Pandemic on Their Old-Age Pension Status, Past and Present
by Anat Herbst-Debby
Int. J. Environ. Res. Public Health 2023, 20(10), 5912; https://doi.org/10.3390/ijerph20105912 - 22 May 2023
Cited by 3 | Viewed by 2211
Abstract
This study examines the present and retrospective views of mothers who are nearing or are at retirement age regarding their economic status, pension planning, and perceptions of state pension policy. The paper addresses gaps in the literature on the cross-intersections of employment history, [...] Read more.
This study examines the present and retrospective views of mothers who are nearing or are at retirement age regarding their economic status, pension planning, and perceptions of state pension policy. The paper addresses gaps in the literature on the cross-intersections of employment history, vulnerable economic retirement status, and marital and parental status, thereby adopting a life course perspective. Based on in-depth interviews of thirty-one mothers (ages 59–72) during the COVID-19 pandemic, the findings revealed five themes—economic abuse: an unequal distribution of pension funds following divorce; regrets over past choices; COVID-19 and pensions; the state’s responsibility for old-age economic security; and knowledge is important, and I can help others. The study concludes that the majority of women at these ages perceive their current economic situation as a product of insufficient familiarity with pension plans, while voicing opinions about the state’s irresponsibility regarding people of retirement age. Full article
22 pages, 2748 KiB  
Article
Does the Region Make a Difference? Social Inequality in Transitions to Adulthood across Cohorts in West Germany
by Katarina Weßling
Soc. Sci. 2023, 12(5), 303; https://doi.org/10.3390/socsci12050303 - 16 May 2023
Viewed by 2172
Abstract
Since the availability of study opportunities is unequal across regions, entering the phase of post-secondary education is often accompanied by leaving (the parental) home. In these life-course transitions, social background plays a crucial role in the form of resources, e.g., to afford living [...] Read more.
Since the availability of study opportunities is unequal across regions, entering the phase of post-secondary education is often accompanied by leaving (the parental) home. In these life-course transitions, social background plays a crucial role in the form of resources, e.g., to afford living independently while studying. We use a unique set of geospatial data by aggregating information on the municipality level flexibly within travel-time radii and link the data to the German National Educational Panel Study (NEPS) to examine whether socioeconomic and university infrastructure in the region can compensate for a lack of parental resources (i) in transitions to university and (ii) in the likelihood of staying in or leaving the home region to study. We analyse this across cohorts between 1986 and 2015. We find that the region makes a difference: a wide availability of universities in the region offsets social inequality in the transition to university. Yet, the increasing availability of alternative educational routes over time via vocational training and universities of applied sciences causes this moderating influence to decrease across cohorts. Our findings call for gearing the attention of policymakers towards the varying relevance of regional conditions over time and across social groups for individuals’ life-course transitions. Full article
Show Figures

Figure 1

Back to TopTop