Social mobility and 21 year mortality in a cohort of Scottish men.
The objective of this prospective cohort study was to determine the contribution of changes in social class within and between generations to mortality risk and to socioeconomic differentials in mortality.
In 27 workplaces in the west of Scotland. 5567 men aged 35-64 years when screened, provided information on their father's occupation. their own first occupation and their occupation at screening.
Mortality risk, from broad causes of death by intergenerational and intragenerational social mobility groups, was measured after 21 years.
For all or some of the 3 routes of mobility (childhood to screening, labour market entry to screening and childhood to labour market entry), increasing values were seen across the 4 groups (stable non manual, upwardly mobile. downwardly mobile and stable manual) for diastolic blood pressure. body mass index, current smoking, early school leaving. angina. bronchitis, severe chest pain. and proportion living in deprived areas.
Decreasing values were seen for serum cholesterol, height.
FEV1. exercise. never and ex-smokers, wine drinkers and car users.
For mobility between childhood and screening and between childhood and labour market entry, mortality risk was highest for the stable manual group and lowest for the stable non manual group for all cause, cardiovascular disease and other causes of death.
The upwardly and downwardly mobile groups had intermediate risks. (...)
Mots-clés Pascal : Mortalité, Classe sociale, Statut socioéconomique, Mobilité sociale, Epidémiologie, Facteur risque, Homme, Mâle, Etude cohorte, Ecosse, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Mortality, Social class, Socioeconomic status, Social mobility, Epidemiology, Risk factor, Human, Male, Cohort study, Scotland, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0424564
Code Inist : 002B30A01A2. Création : 25/01/1999.