Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data

Stefan SieberMA, Boris Cheval, Dan OrsholitsMA, Bernadette W A van der Linden, Idris Guessous, Rainer Gabriel, Matthias Kliegel, Martina von ArxMA, Michelle Kelly-Irving, Marja J Aartsen, Matthieu P Boisgontier, Delphine Courvoisier, Claudine Burton-Jeangros, Stéphane Cullati and Deborah Carr

The Journals of Gerontology: Series B, 2020, vol. 75, issue 6, 1312-1325

Abstract: ObjectivesThis study aimed to examine the cumulative disadvantage of different forms of childhood misfortune and adult-life socioeconomic conditions (SEC) with regard to trajectories and levels of self-rated health in old age and whether these associations differed between welfare regimes (Scandinavian, Bismarckian, Southern European, and Eastern European).MethodThe study included 24,004 respondents aged 50–96 from the longitudinal SHARE survey. Childhood misfortune included childhood SEC, adverse childhood experiences, and adverse childhood health experiences. Adult-life SEC consisted of education, main occupational position, and financial strain. We analyzed associations with poor self-rated health using confounder-adjusted mixed-effects logistic regression models for the complete sample and stratified by welfare regime.ResultsDisadvantaged respondents in terms of childhood misfortune and adult-life SEC had a higher risk of poor self-rated health at age 50. However, differences narrowed with aging between adverse-childhood-health-experiences categories (driven by Southern and Eastern European welfare regimes), categories of education (driven by Bismarckian welfare regime), and main occupational position (driven by Scandinavian welfare regime).DiscussionOur research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes.

Keywords: Cumulative advantage/disadvantage; Early origins of health; Life-course analysis; Self-rated health (search for similar items in EconPapers)
Date: 2020
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