Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.

The contemporaneous association between higher socioeconomic position and better health is well established. Life course research has also demonstrated a lasting effect of childhood socioeconomic conditions on adult health and well-being. Yet, little is known about the separate health effects of int...

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Autores principales:	Alexi Gugushvili, Grzegorz Bulczak, Olga Zelinska, Jonathan Koltai
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cabaa43cb2db4ae18243fb81af169d77
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spelling	oai:doaj.org-article:cabaa43cb2db4ae18243fb81af169d772021-12-02T20:15:16ZSocioeconomic position, social mobility, and health selection effects on allostatic load in the United States.1932-620310.1371/journal.pone.0254414https://doaj.org/article/cabaa43cb2db4ae18243fb81af169d772021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254414https://doaj.org/toc/1932-6203The contemporaneous association between higher socioeconomic position and better health is well established. Life course research has also demonstrated a lasting effect of childhood socioeconomic conditions on adult health and well-being. Yet, little is known about the separate health effects of intergenerational mobility-moving into a different socioeconomic position than one's parents-among early adults in the United States. Most studies on the health implications of mobility rely on cross-sectional datasets, which makes it impossible to differentiate between health selection and social causation effects. In addition, understanding the effects of social mobility on health at a relatively young age has been hampered by the paucity of health measures that reliably predict disease onset. Analysing 4,713 respondents aged 25 to 32 from the National Longitudinal Study of Adolescent Health's Waves I and IV, we use diagonal reference models to separately identify the effects of socioeconomic origin and destination, as well as social mobility on allostatic load among individuals in the United States. Using a combined measure of educational and occupational attainment, and accounting for individuals' initial health, we demonstrate that in addition to health gradient among the socially immobile, individuals' socioeconomic origin and destination are equally important for multi-system physiological dysregulation. Short-range upward mobility also has a positive and significant association with health. After mitigating health selection concerns in our observational data, this effect is observed only among those reporting poor health before experiencing social mobility. Our findings move towards the reconciliation of two theoretical perspectives, confirming the positive effect of upward mobility as predicted by the "rags to riches" perspective, while not contradicting potential costs associated with more extensive upward mobility experiences as predicted by the dissociative thesis.Alexi GugushviliGrzegorz BulczakOlga ZelinskaJonathan KoltaiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0254414 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Alexi Gugushvili Grzegorz Bulczak Olga Zelinska Jonathan Koltai Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
description	The contemporaneous association between higher socioeconomic position and better health is well established. Life course research has also demonstrated a lasting effect of childhood socioeconomic conditions on adult health and well-being. Yet, little is known about the separate health effects of intergenerational mobility-moving into a different socioeconomic position than one's parents-among early adults in the United States. Most studies on the health implications of mobility rely on cross-sectional datasets, which makes it impossible to differentiate between health selection and social causation effects. In addition, understanding the effects of social mobility on health at a relatively young age has been hampered by the paucity of health measures that reliably predict disease onset. Analysing 4,713 respondents aged 25 to 32 from the National Longitudinal Study of Adolescent Health's Waves I and IV, we use diagonal reference models to separately identify the effects of socioeconomic origin and destination, as well as social mobility on allostatic load among individuals in the United States. Using a combined measure of educational and occupational attainment, and accounting for individuals' initial health, we demonstrate that in addition to health gradient among the socially immobile, individuals' socioeconomic origin and destination are equally important for multi-system physiological dysregulation. Short-range upward mobility also has a positive and significant association with health. After mitigating health selection concerns in our observational data, this effect is observed only among those reporting poor health before experiencing social mobility. Our findings move towards the reconciliation of two theoretical perspectives, confirming the positive effect of upward mobility as predicted by the "rags to riches" perspective, while not contradicting potential costs associated with more extensive upward mobility experiences as predicted by the dissociative thesis.
format	article
author	Alexi Gugushvili Grzegorz Bulczak Olga Zelinska Jonathan Koltai
author_facet	Alexi Gugushvili Grzegorz Bulczak Olga Zelinska Jonathan Koltai
author_sort	Alexi Gugushvili
title	Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
title_short	Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
title_full	Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
title_fullStr	Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
title_full_unstemmed	Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.
title_sort	socioeconomic position, social mobility, and health selection effects on allostatic load in the united states.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/cabaa43cb2db4ae18243fb81af169d77
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Socioeconomic position, social mobility, and health selection effects on allostatic load in the United States.

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