학술논문

The social stratification of aging and health
Document Type
Academic Journal
Source
The Journal of Health and Social Behavior. Sept, 1994, Vol. 35 Issue 3, p213, 22 p.
Subject
Social status -- Health aspects
Social classes -- Health aspects
Aging -- Health aspects
Health -- Social aspects
Health
Sociology and social work
Language
ISSN
0022-1465
Abstract
The way health varies with age is importantly stratified by socioeconomic statu (SES) - specifically, education and income. Prior theory and cross-sectional data suggest that among higher SES persons the onset of health problems is usually postponed until rather late in life, while health declines are prevalen in lower SES groups by middle age. Thus, SES differences in health are small in early adulthood, but increase with age until relatively late in life, when they diminish due to selection or greater equalization of health risks and protections. The present paper strengthens our causal and interpretive understanding of these phenomena by showing: (1) that results previously reported for indices of SES hold separately for education and income; (2) that the interaction between age and SES (i.e., education or income) in predicting health can be substantially explained by the greater exposure of lower SES persons to a wide range of psychosocial risk factors to health, especially in middle and early old age, and, to a lesser degree, the greater impact of these risk factors on health with age; and (3) that results (1) and (2) generally hol in short-term longitudinal as well as in cross-sectional data. Implications for science and policy in the areas of aging, health, and social stratification are discussed.