The Influence of Early-Life Health Conditions on Life Course Health

• Published in: Demography 2023-04, Vol.60 (2), p.431-459
• Main Authors: Flores, Manuel, Wolfe, Barbara L.
• Format: Article
• Language: English
• Subjects: Age of onset; Aging; Cardiovascular diseases; Childhood; Children; Economics; Female; Headache; Headaches; Health disparities; Health problems; Health status; Humans; Inequality; Life Change Events; Life course; Links; Male; Men; Mental disorders; Mental Health; Migraine; Occupational health; Population Studies; Retirement; Retirement - psychology; Sociology; Women; Womens health
• ISSN: 0070-3370; 1533-7790
• DOI: 10.1215/00703370-10579184

We expand on previous studies investigating the links between early health and later health by examining four distinct dimensions of early-life health and multiple life course outcomes, including the age of onset of serious cardiovascular diseases (CVDs) and several job-related health outcomes. The four dimensions of childhood health are mental, physical, self-reported general health, and severe headaches or migraines. The data set we use includes men and women in 21 countries from the Survey of Health, Ageing and Retirement in Europe. We find that the different dimensions of childhood health have unique ties to later outcomes. For men, early mental health problems play a stronger role for life course job-related health outcomes, but early poor/fair general health is more strongly linked to the spike in onset of CVDs in their late 40s. For women, these links between childhood health dimensions and life course outcomes are similar but are less clear-cut than for men. The spike in onset of CVDs in women's late 40s is driven by those with severe headaches or migraines, while those with early poor/fair general health or mental health problems do worse as captured by job-related outcomes. We also delve into and control for possible mediating factors. Exploring the links between several dimensions of childhood health and multiple health-related life course outcomes will enable a better understanding of how health inequalities originate and are shaped over the course of people's lives.