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At least 19 recordsLinked to original sources

Social class, social support and obesity risk in children.

Selected characteristics of the social environment are tested as predictors of children's risk for obesity. Data were collected during the summer of 1991 at the University of South Alabama Springhill Paediatric Clinic (Mobile, AL, USA). Data were collected on 77 children, aged 2.5-5 years, and their primary caretaker. Obesity risk was measured by the child's weight for height score and calorie intake. Caretaker's socio-economic status, marital status, and social support predict children's obesity risk for this sample. Lower social class position, lower expressive social support, and unmarried status of the caretaker are associated with a higher calorie intake and a higher weight for height score in the child.

Adolescent↗

The roles of social class of origin, achieved social class and intergenerational social mobility in explaining social-class inequalities in alcoholism among young men.

The aim of this study was to investigate the role of intergenerational health-related mobility in explaining social-class inequalities in alcoholism among young men. Data on social class of origin and on risk factors in childhood and adolescence, e.g. risk use of alcohol, were collected for 49,323 men, born 1949-51, at enlistment for compulsory military training in 1969/70. Information on achieved socioeconomic class was obtained from Sweden's 1975 census. Data on alcoholism diagnoses were collected from the national in-patient care register 1976-83. Risk indicators for alcoholism established in adolescence were found to be more common among downwardly mobile individuals, and also among stable manual workers, than among those who ended up as non-manual employees. Downwardly mobile individuals, and also stable manual workers, were also found to have an increased risk of alcoholism diagnosis. The increased relative risk could, to a considerable extent, be attributed to factors from childhood/adolescence. In this longitudinal study, it is shown that intergenerational social mobility associated with health-related factors, albeit not with illness itself, made a major contribution to explaining differences in alcoholism between social classes. Factors established in adolescence were important with regard to differences in alcoholism between social classes among young adults. But such adverse conditions did not seem to be well reflected by social class of origin.

Adult↗

Social class and social mobility in depressed patients.

In the present study current social class, parental social class and social mobility have been compared in a series of 111 depressed patients of different diagnostic subgroups and of 97 non-psychiatric controls. Social class III was shown to be overrepresented in the unipolar, bipolar and unspecified groups. However, no differences concerning parental social class emerged. Unipolar and bipolar patients were more downwardly mobile than the neurotic depressives, the unspecified depressives and the controls.

Adjustment Disorders↗

Social class and social mobility--effects on survival. A study of an entire birth cohort during an 80-year life span.

The survival of all individuals living within a limited area (N = 489), born in 1902 and 1903, were studied from birth until 80 years of age according to parents' social class, own social class, and occupational mobility. There were no statistical significant differences in survival according to parents' social class. Bivariate survival analysis between 20-80 years of age, based on own social class, shown no significant differences. Concerning social mobility, when males and females were analyzed separately, those men with no mobility had a significantly lower survival rate than those with downward or upward mobility. For women there was no such difference in survival. In a multivariate survival analysis among eight social factors, sex and marital status had the greatest effect on survival between 20-80 years of age. Widows and widowers had, unexpectedly, a higher survival compared to married and never married persons.

Aged↗

Women's body dissatisfaction, social class, and social mobility.

Several studies indicate that socially advantaged women are more dissatisfied with their bodies than socially disadvantaged women. These findings have been based on women's current social class, and no attention has been paid to the social class of her family of origin or to intergenerational social mobility. In the present research 912 54-year-old women from a prospective birth cohort study provided self-report data on current body esteem (appearance and weight dimensions). Childhood and adult social class (manual versus non-manual) were defined based on father's occupation and own or partner's occupation, respectively. This information and the highest educational qualifications recorded by age 26 were gathered prospectively. Indicators of current and adolescent body mass index (BMI) were computed from height and weight values collected at ages 15 (or 11) and 53-54 years. Multiple regression was used to examine the relationship between midlife body esteem and childhood social class, adult social class, educational qualifications, and social mobility, unadjusted and adjusted for BMI. Women from the non-manual classes as adults were more dissatisfied with their weight than women from the manual classes as adults, for a given BMI. Adjusting for BMI, downwardly mobile women were more satisfied with their appearance than stable non-manual women. Adjusting for BMI, higher educational qualifications were associated with more dissatisfaction with weight and with appearance, and education appears to be more important than occupationally defined social class in explaining body dissatisfaction. A clearer understanding of the relationship between socio-economic position and body dissatisfaction demands that the following distinctions are made: weight versus appearance satisfaction, education versus occupation, and current social class versus intergenerational social mobility.

Body Image↗

The associations of social class and social stratification with patterns of general and mental health in a Spanish population.

BACKGROUND: Social class, as a theoretical framework, represents a complementary approach to social stratification by introducing social relations of ownership and control over productive assets to the analysis of inequalities in economic, political, and cultural resources. In this study we examined whether measures of social class were able to explain and predict self-reported general and mental health over and above measures of social stratification. METHODS: We tested this using the Barcelona Health Interview Survey, a cross-sectional survey of 10 000 residents of the city's non-institutionalized population in 2000. We used Erik Olin Wright's indicators of social class position, based on ownership and control over productive assets. As measures of social stratification we used the Spanish version of the British Registrar General (BRG) classification, and education. Health-related variables included self-perceived health and mental health as measured by Goldberg's questionnaire. RESULTS: Among men, high level managers and supervisors reported better health than all other classes, including small business owners. Low-level supervisors reported worse mental health than high-level managers and non-managerial workers, giving support to Wright's contradictory class location hypothesis with regard to mental health. Social class indicators were less useful correlates of health and mental health among women. CONCLUSIONS: Our findings highlight the potential health consequences of social class positions defined by power relations within the labour process. They also confirm that social class taps into parts of the social variation in health that are not captured by conventional measures of social stratification and education.

Adolescent↗

Income redistribution effect of the Swedish sickness allowance insurance in a comparison of two concepts of social class.

Social insurances effect income distributions between social strata. Here, insurance returns in relation to income are studied on the Swedish sickness allowance insurance, which is intended to redistribute from higher to lower social strata. Two measures of social class are used, the socio-economic classification, the official index of Sweden, and a structural class concept, which in earlier results discriminates better for material factors such as income and work conditions. The material consists of all sickness cases of 1983 for 3,161 persons, sampled from insurance registers and cross-classified with registers at taxation authorities. Data on insurance returns, incomes, and occupation are used. Results clearly confirm the intended redistribution effect, but considerably clearer with the structural class concept. The effect is even stronger than intended for some strata, where the system seems to lack in implementation. The consequences for choice of class measure are finally discussed.

Adolescent↗

Lead, IQ and social class.

Social class (SC) conveys information about a child's potential lead exposure (PB) as well as other, independent determinants of cognition (IQ). Thus, depending on the way in which SC is handled in statistical analyses, the PB-IQ association may be either 'overadjusted' or 'underadjusted' for SC. Two assumptions that underlie the inclusion of SC in correlation/regression analyses of the PB-IQ relationship are: 1) SC is an interval scale and 2) the PB-IQ relationship is homogeneous in all social strata. Simulation analyses are presented to illustrate the impact that different values of the bivariate correlations PB-SC, IQ-SC, and PB-IQ have on the estimate of the PB-IQ adjusted for SC. Alternative approaches to addressing these issues are discussed.

Child↗

The long shadow of childhood: associations between parental social class and own social class, educational attainment and timing of first birth; results from the ONS Longitudinal Study.

In September 2004, linked data from the 2001 Census was made available in the Office for National Statistics (ONS) Longitudinal Study (a 1 per cent sample of the population of England and Wales). The study now includes information from four censuses on sample members and the people they lived with. The availability of this new information, the length of follow-up and other features of the study (such as records of births and deaths to sample members) provide new opportunities for analysing change--both over the life course, between time periods, and between generations. This article illustrates the potential for analysis of continuity and change with new results on intergenerational social mobility, and on parental social class and age at first birth.

Birth Order↗

Effect of parental social class, own education and social class on mortality among young men.

BACKGROUND: The aim of the study is to examine the effects of parental class, own education and social class on mortality by cause of death among young men. METHODS: The study is based on 1990 census records for 186,408 Finnish men, aged 30-34 in 1990, linked with death records for 1991-95 (1530 deaths). RESULTS: Parental class was associated with all-cause (Index of Relative Dissimilarity (IRD) = 12%) and cause-specific mortality before adjustment for one's own social class and education. Adjustment reduced the IRD by 18-58%, depending on the cause of death, and caused mortality differences to disappear for causes other than cardiovascular diseases and those related to alcohol. The unadjusted variation in all-cause mortality by educational attainment (IRD = 33%) and by own class (IRD = 38%) was greater than by parental class. Adjustment for parental class had only a minor effect on the variation by education and own class. Adjustment for own class reduced the IRD for education in all-cause mortality by 31%, in mortality from disease by 17%, and in mortality from external causes by 33%. For own class the reductions in the IRD obtained by adjustment for education were 36%, 46%, and 33%, respectively. CONCLUSIONS: The effect of parental class on the mortality of young men is indirect and mainly mediated through its influence on education and social class. The effect of education on mortality is as strong as that of occupation-based social class. These variables are not interchangeable measures of socioeconomic status; they both should be taken into account in studies on inequalities in mortality.

Adult↗

A multivariate analysis of the association between social class of origin and current social class with self-rated general health and psychological health among 16-year-old Australians.

BACKGROUND: A recent review of international literature concludes that there is a relative absence of social class differentials in health in early youth. There is an absence of Australian studies on the effect of social class on the health of this age group. AIMS: To examine the association between social class and health among 16-year-old Australians. METHODS: The data on 1048 16-year-olds came from the fifth wave (1993) of the Australian Youth Survey conducted by the former Department of Employment, Education and Training. Outcome measures were self-rated general health and psychological health (GHQ-12). Binary logistic regression was used to analyse data. RESULTS: Neither social class of origin nor current social class was associated with self-rated general health or psychological health. CONCLUSION: The argument that social class inequalities in health exist in childhood, disappear during early youth, and reappear later appears to hold ground within the Australian context.

Adolescent↗

Barriers to medical care of Mexican-Americans: the role of social class, acculturation, and social isolation.

Literature on medical care utilization by Mexican-Americans suggests that patterns of utilization can be explained, in part, by acculturation, social class and social isolation. The relative importance of these variables is explored in a survey of a rural Mexican-American community in Southern Texas. Data on 152 families are analyzed using a logit analysis, with utilization as the outcome variable. The results suggest that acculturation has a direct effect, while social class and social isolation interact to have a weak effect independent of acculturation. These results confirm the importance of understanding all three variables in planning and implementing medical care programs in Mexican-American communities.

Adult↗