Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study
Background: Socioeconomic mobility affects health throughout the life course. However, it is not known whether there are gender differences in the association between life-course subjective socioeconomic status (SSS) mobility and mortality at older ages. Methods: Participants were 16,690 community-d...
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| Format: | Article |
| Language: | English |
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Japan Epidemiological Association
2020-11-01
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| Series: | Journal of Epidemiology |
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| Online Access: | https://www.jstage.jst.go.jp/article/jea/30/11/30_JE20190083/_pdf |
| _version_ | 1818268713773694976 |
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| author | Yuiko Nagamine Takeo Fujiwara Yukako Tani Hiroshi Murayama Takahiro Tabuchi Katsunori Kondo Ichiro Kawachi |
| author_facet | Yuiko Nagamine Takeo Fujiwara Yukako Tani Hiroshi Murayama Takahiro Tabuchi Katsunori Kondo Ichiro Kawachi |
| author_sort | Yuiko Nagamine |
| collection | DOAJ |
| description | Background: Socioeconomic mobility affects health throughout the life course. However, it is not known whether there are gender differences in the association between life-course subjective socioeconomic status (SSS) mobility and mortality at older ages. Methods: Participants were 16,690 community-dwelling adults aged 65–100 years in the Japan Gerontological Evaluation Study (JAGES). Baseline information including demographic characteristics, depression, and lifestyle factors were collected in 2010. Participants’ vital status was confirmed in 2013 via linkage to death records. We categorized life-course socioeconomic mobility into the following categories: ‘persistently high’, ‘downward mobility’, ‘upward mobility’, and ‘persistently low’. Cox proportional hazard modeling was used to estimate hazard ratios (HR) for all-cause mortality. Results: Mortality HRs for the ‘downward’ group were 1.37 (95% confidence interval [CI], 1.08–1.74) among men and 1.27 (95% CI, 0.94–1.71) among women in comparison with the ‘persistently high’ group. Compared to the ‘persistently low’ group, the HRs for the ‘upward’ group were 0.54 (95% CI, 0.35–0.83) among women and 0.91 (95% CI, 0.73–1.24) among men. Associations were not changed after adjusting for objective socioeconomic status but were attenuated by depression. Conclusions: ‘Downward’ mobility was associated with mortality among men, but not among women. Depression appeared to mediate the association. A protective effect of upward mobility was observed among women but not among men. |
| first_indexed | 2024-12-12T20:42:52Z |
| format | Article |
| id | doaj.art-3fc1152ab1a447ebb5faec3eb758730e |
| institution | Directory Open Access Journal |
| issn | 0917-5040 1349-9092 |
| language | English |
| last_indexed | 2024-12-12T20:42:52Z |
| publishDate | 2020-11-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj.art-3fc1152ab1a447ebb5faec3eb758730e2022-12-22T00:12:39ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922020-11-01301149750210.2188/jea.JE20190083Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal StudyYuiko Nagamine0Takeo Fujiwara1Yukako Tani2Hiroshi Murayama3Takahiro Tabuchi4Katsunori Kondo5Ichiro Kawachi6Center for Preventive Medical Science, Chiba University, Chiba, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, JapanDepartment of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, JapanInstitute of Gerontology, The University of Tokyo, Tokyo, JapanCancer Control Center, Osaka International Cancer Institute, Osaka, JapanCenter for Preventive Medical Science, Chiba University, Chiba, JapanDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USABackground: Socioeconomic mobility affects health throughout the life course. However, it is not known whether there are gender differences in the association between life-course subjective socioeconomic status (SSS) mobility and mortality at older ages. Methods: Participants were 16,690 community-dwelling adults aged 65–100 years in the Japan Gerontological Evaluation Study (JAGES). Baseline information including demographic characteristics, depression, and lifestyle factors were collected in 2010. Participants’ vital status was confirmed in 2013 via linkage to death records. We categorized life-course socioeconomic mobility into the following categories: ‘persistently high’, ‘downward mobility’, ‘upward mobility’, and ‘persistently low’. Cox proportional hazard modeling was used to estimate hazard ratios (HR) for all-cause mortality. Results: Mortality HRs for the ‘downward’ group were 1.37 (95% confidence interval [CI], 1.08–1.74) among men and 1.27 (95% CI, 0.94–1.71) among women in comparison with the ‘persistently high’ group. Compared to the ‘persistently low’ group, the HRs for the ‘upward’ group were 0.54 (95% CI, 0.35–0.83) among women and 0.91 (95% CI, 0.73–1.24) among men. Associations were not changed after adjusting for objective socioeconomic status but were attenuated by depression. Conclusions: ‘Downward’ mobility was associated with mortality among men, but not among women. Depression appeared to mediate the association. A protective effect of upward mobility was observed among women but not among men.https://www.jstage.jst.go.jp/article/jea/30/11/30_JE20190083/_pdfsubjective socioeconomic statustrajectoryall-cause mortalitygender rolesjapan |
| spellingShingle | Yuiko Nagamine Takeo Fujiwara Yukako Tani Hiroshi Murayama Takahiro Tabuchi Katsunori Kondo Ichiro Kawachi Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study Journal of Epidemiology subjective socioeconomic status trajectory all-cause mortality gender roles japan |
| title | Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study |
| title_full | Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study |
| title_fullStr | Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study |
| title_full_unstemmed | Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study |
| title_short | Gender Difference in the Association Between Subjective Socioeconomic Mobility Across Life Course and Mortality at Older Ages: Results From the JAGES Longitudinal Study |
| title_sort | gender difference in the association between subjective socioeconomic mobility across life course and mortality at older ages results from the jages longitudinal study |
| topic | subjective socioeconomic status trajectory all-cause mortality gender roles japan |
| url | https://www.jstage.jst.go.jp/article/jea/30/11/30_JE20190083/_pdf |
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