Gender Differences in the Life Course Origins of Adult Functioning and Mortality


Book Description

A high degree of physical functioning is necessary for independently performing the numerous routine and valued tasks of daily life. Poor functioning not only hinders independent living, it can lower the quality of life, impede full social participation, and elevate the risk of death. However, not all adults are at equal risk of poor functioning: women experience worse functioning and live a greater number of years functionally impaired compared with men. Studies of this gap have focused on inequities in adult circumstances, such as socioeconomic status, but have generally fallen short of fully accounting for it. Recasting this research within a life-course, epidemiological framework points to the potential role of early-life circumstances. Early-life circumstances may impart a biological imprint, and they may also launch long-term trajectories of social circumstances, that could differentially shape functioning for men and women. Thus, this dissertation examines the life course origins of the gender gap in functioning and active life expectancy among older U.S. adults using two nationally-representative datasets: the National Survey of Midlife Development in the United States and the Health and Retirement Study. In sum, the findings reveal that: (a) a host of early-life circumstances, such as parents' education levels, leave an indelible stamp on functional ability and active life expectancy for women and men, irrespective of adult circumstances, (b) while some early-life adversities, such as extreme poverty, were marginally more consequential for women's than men's functioning, they appear to be primarily more consequential for precipitating metabolic conditions such as diabetes and obesity rather than directly impacting functioning, (c) explanations of the gap must incorporate endogenous biological differences between men and women; explanations that focus exclusively on socially-structured inequities are insufficient, and (d) exposures to socioeconomic resources accumulate across the life course to shape functioning differently for men than women; particularly between white men, who enjoy better functioning with higher educational attainment irrespective of early-life socioeconomic exposures, and white women whose functioning gains plateau if they experienced early-life socioeconomic adversities. Overall, the results underscore the importance of a life course perspective in explicating gender disparities in functioning, longevity, and active life expectancy.




A Life Course Approach to Chronic Disease Epidemiology


Book Description

From reviews of the previous edition:'We still have much to learn if disease patterns are to be explained by taking a life course approach... this book provides strong arguments for this approach... the book is a highly qualified starting point for the debate... it will remain a useful summary of pioneer research of huge potential importance for public health.' -Epidemiology'This is not just another epidemiology textbook. It is essential reading for anyone with an active mind who is interested in public health.' -Journal of Public Health Medicine'A truly exciting and extremely informative endeavour for anyone interested in the determinants of human health and disease. This discussion is at the core of current public health issues.' -European Journal of Public Health'The conclusion is of major importance to public health policy. It reinforces the need for a life course strategy, with attention being paid to the mother, baby, child adolescent, and elderly person.' -BMJ'Provokes thought about the origins of chronic diseases, suggests new approaches to identifying particular susceptible individuals and encourages the identification of optimal points in the life course for possible preventive interventions.' -Chronic Diseases in CanadaThe first edition in 1997 of A life course approach to chronic disease epidemiology became a classic text for epidemiological and public health researchers interested in the childhood origins of adult chronic disease. Since then the new field of life course epidemiology has expanded rapidly, attracting the interest not only of academics across the health and social sciences but also policy makers, funding bodies, and the general public. Its purpose is to study how biological and social factors during gestation, childhood, adolescence and earlier adult life independently, cumulatively and interactively influence later life health and disease.Contributors to this fully revised second edition capture the excitement of the developing field and assess the latest evidence regarding sources of risk to health across the life course and across generations. The original chapters on life course influences on cardiovascular disease, diabetes, blood pressure, respiratory disease and cancer have been updated and extended. New chapters on life course influences on obesity, biological ageing and neuropsychiatric disorders have been added. Life course explanations for disease trends and for socioeconomic differentials in disease risk are given more attention in this new edition, reflecting recent developments in the field. The section on policy implications has been expanded, assessing the role of interventions to improve childhood social circumstances, as well as interventions to improve early growth. Emerging new research themes and the theoretical and methodological challenges facing life course epidemiology are highlighted.Readership: Epidemiologists, public health researchers, public health policy makers for developed and developing countries, sociologists and biologists, psychiatrists and social and chronic disease epidemiologists




A Demographic Perspective on Gender, Family and Health in Europe


Book Description

This open access book examines the triangle between family, gender, and health in Europe from a demographic perspective. It helps to understand patterns and trends in each of the three components separately, as well as their interdependencies. It overcomes the widely observable specialization in demographic research, which usually involves researchers studying either family or fertility processes or focusing on health and mortality. Coverage looks at new family and partnership forms among the young and middle-aged, their relationship with health, and the pathways through which they act. Among the old, lifelong family biography and present family situation are explored. Evidence is provided that partners advancing in age start to resemble each other more closely in terms of health, with the health of the partner being a crucial factor of an individual’s own health. Gender-specific health outcomes and pathways are central in the designs of the studies and the discussion of the results. The book compares twelve European countries reflecting different welfare state regimes and offers country-specific studies conducted in Austria, Germany, Italy - all populations which have received less attention in the past - and Sweden. As a result, readers discover the role of different concepts of family and health as well as comparisons within European countries and ethnic groups. It will be an insightful resource for students, academics, policy makers, and researchers that will help define future research in terms of gender and public health.




Explaining Divergent Levels of Longevity in High-Income Countries


Book Description

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.




Handbook of Aging and the Social Sciences


Book Description

Handbook of Aging and the Social Sciences, Seventh Edition, provides extensive reviews and critical evaluations of research on the social aspects of aging. It also makes available major references and identifies high-priority topics for future research. The book is organized into four parts. Part 1 reviews developments in the field of age and the life course (ALC) studies and presents guidelines on conducting cohort analysis. Part 2 covers the demographic aspects of aging; longevity trends; disability and aging; and stratification and inequality research. Part 3 includes chapters that examine socioeconomic position and racial/ethnic disparities in health at older ages; the role of social factors in the distribution, antecedents, and consequences of depression; and aspects of private wealth transfers and the changing nature of family gift-giving. Part 4 deals with pension reform in Europe; the political activities of older Americans; the future of retirement security; and gender differences in old age. The Handbook is intended for researchers, professional practitioners, and students in the field of aging. It can also serve as a basic reference tool for scholars, professionals, and others who are not presently engaged in research and practice directly focused on aging and the aged. Contains all the main areas of social science gerontological research in one volume Begins with a section on theory and methods Edited by one of the fathers of gerontology (Binstock) and contributors represent top scholars in gerontology




A Life Course Approach to Healthy Ageing


Book Description

This title investigates the lifetime determinants of healthy ageing and their implications for policy and practice, bringing together authorities in ageing research and knowledge transfer from across the world.




Gender and Health


Book Description

Gender and Health is the first book to examine how men's and women's lives and their physiology contribute to differences in their health. In a thoughtful synthesis of diverse literatures, the authors demonstrate that modern societies' health problems ultimately involve a combination of policies, personal behavior, and choice. The book is designed for researchers, policymakers, and others who seek to understand how the choices of individuals, families, communities, and governments contribute to health. It can inform men and women at each of these levels how to better integrate health implications into their everyday decisions and actions.




Oxford Textbook of Global Public Health


Book Description

Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline




A Life Course Perspective on Health Trajectories and Transitions


Book Description

This open access book examines health trajectories and health transitions at different stages of the life course, including childhood, adulthood and later life. It provides findings that assess the role of biological and social transitions on health status over time. The essays examine a wide range of health issues, including the consequences of military service on body mass index, childhood obesity and cardiovascular health, socio-economic inequalities in preventive health care use, depression and anxiety during the child rearing period, health trajectories and transitions in people with cystic fibrosis and oral health over the life course. The book addresses theoretical, empirical and methodological issues as well as examines different national contexts, which help to identify factors of vulnerability and potential resources that support resilience available for specific groups and/or populations. Health reflects the ability of individuals to adapt to their social environment. This book analyzes health as a dynamic experience. It examines how different aspects of individual health unfold over time as a result of aging but also in relation to changing socioeconomic conditions. It also offers readers potential insights into public policies that affect the health status of a population.




International Handbook of Adult Mortality


Book Description

This handbook presents a comprehensive and up-to-date overview of unprecedented substantive, theoretical, methodological, and statistical developments and insights, and an in-depth examination of trends and patterns, in adult mortality around the world. With over two dozen chapters and more than 50 authors, this volume draws from top international mortality experts to provide one of the best overviews of life expectancy extant. The book documents remarkable gains in life expectancy, which stand out as one of the most important accomplishments of the twentieth century. Individuals in more developed countries can expect to live longer now than ever before, especially the Japanese who enjoy record-setting life expectancies. The book also explores unfortunate declines in life expectancy in selected countries brought on by such factors as infectious diseases; accidents, suicides, and homicides; and political and economic conflict and turmoil. This book synthesizes the wealth of mortality information available, clearly articulates the central findings to-date, identifies the most appropriate datasets and methods currently available, illuminates the central research questions, and develops an agenda to address these research questions. The authors carefully examine central factors related to mortality, including health behaviors, socioeconomic status, social relations, biomarkers, and genetic factors. The book will prove especially relevant to researchers, students, and policy makers within social and health sciences who want to better understand international trends and patterns in adult mortality.