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Cumulative contextual and individual disadvantages over the life course and adult functional somatic symptoms in Sweden.

https://arctichealth.org/en/permalink/ahliterature272361
Source
Eur J Public Health. 2015 Aug;25(4):592-7
Publication Type
Article
Date
Aug-2015
Author
Per E Gustafsson
Anne Hammarström
Miguel San Sebastian
Source
Eur J Public Health. 2015 Aug;25(4):592-7
Date
Aug-2015
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Female
Health Status Disparities
Humans
Male
Prospective Studies
Residence Characteristics - statistics & numerical data
Sex Factors
Socioeconomic Factors
Sweden - epidemiology
Young Adult
Abstract
Disadvantage, originating in one's residential context or in one's past life course, has been shown to impact on health in adulthood. There is however little research on the accumulated health impact of both neighbourhood and individual conditions over the life course. This study aims to examine whether the accumulation of contextual and individual disadvantages from adolescence to middle-age predicts functional somatic symptoms (FSS) in middle-age, taking baseline health into account.
The sample is the age 16, 21, 30 and 42 surveys of the prospective Northern Swedish Cohort, with analytical sample size n = 910 (85% of the original cohort). FSS at age 16 and 42, and cumulative socioeconomic disadvantage, social adversity and material adversity between 16 and 42 years were operationalized from questionnaires, and cumulative neighbourhood disadvantage between 16 and 42 years from register data.
Results showed accumulation of disadvantages jointly explained 9-12% of FSS variance. In the total sample, cumulative neighbourhood and socioeconomic disadvantage significantly predicted FSS at age 42 in the total sample. In women, neighbourhood disadvantage but not socioeconomic disadvantage contributed significantly, whereas in men, socioeconomic but not neighbourhood disadvantage contributed significantly. In all analyses, associations were largely explained by the parallel accumulation of social and material adversities, but not by symptoms at baseline.
In conclusion, the accumulation of diverse forms of disadvantages together plays an important role for somatic complaints in adulthood, independently of baseline health.
PubMed ID
25527526 View in PubMed
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