Life course studies

生活课程研究
  • 文章类型: Journal Article
    自然哺乳动物种群的实地研究提供了强大的机会,可以使用对整个生命过程中已知个体的细粒度观察来研究健康和衰老的决定因素。这里,我们从一项这样的研究中综合了五十年的发现:肯尼亚安博塞利生态系统的野生狒狒。首先,我们讨论了早期生活逆境之间的深刻联系,成人社会条件,以及这个人群的主要老龄化结果,尤其是生存。第二,我们回顾了我们人群早期生活逆境与生存之间关系的潜在中介因素。值得注意的是,我们对两个主要的候选中介——社会隔离和糖皮质激素水平——的测试未能确定一个,早期生活对成人生存影响的强大媒介。相反,早期逆境,社会孤立,糖皮质激素与成人寿命独立相关,为减轻早期生活逆境的负面影响提供了相当大的空间。第三,我们回顾了我们关于早期生命对死亡率影响的进化原理的工作,目前反对明确的预测性适应性反应。最后,最后,我们强调了社会性研究中出现的主要主题,发展,在安博塞利狒狒中衰老,以及未来工作的重要开放性问题。
    Field studies of natural mammal populations present powerful opportunities to investigate the determinants of health and aging using fine-grained observations of known individuals across the life course. Here, we synthesize five decades of findings from one such study: the wild baboons of the Amboseli ecosystem in Kenya. First, we discuss the profound associations between early life adversity, adult social conditions, and key aging outcomes in this population, especially survival. Second, we review potential mediators of the relationship between early life adversity and survival in our population. Notably, our tests of two leading candidate mediators-social isolation and glucocorticoid levels-fail to identify a single, strong mediator of early life effects on adult survival. Instead, early adversity, social isolation, and glucocorticoids are independently linked to adult lifespans, suggesting considerable scope for mitigating the negative consequences of early life adversity. Third, we review our work on the evolutionary rationale for early life effects on mortality, which currently argues against clear predictive adaptive responses. Finally, we end by highlighting major themes emerging from the study of sociality, development, and aging in the Amboseli baboons, as well as important open questions for future work.
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  • 文章类型: Journal Article
    先前的研究已经记录了当前社会经济状况(SES)与巨细胞病毒(CMV)之间的一致关联。早期生命可能是CMV暴露和免疫发育的关键时期,但对早期社会经济因素和CMV的了解较少,尤其是老年人群。使用健康与退休研究的数据,我们调查了老年人生命过程中的社会经济劣势与CMV免疫应答之间的关联.
    使用订购的Logit模型,我们在一个包含8,168名50岁以上受访者的样本中,估计了几种社会经济劣势指标与进入较高CMV免疫球蛋白G(IgG)应答类别的几率之间的关联.
    我们发现教育程度与CMVIgG应答之间存在显著关联。与具有大学学历或更高学历的人相比,高中学历以下的人处于较高CMV类别的几率为2.00倍(95%置信区间[CI]:1.67-2.40)。此外,我们还观察到与父母教育和CMV反应显著相关.与父母受教育程度高于高中的人相比,父母受教育程度低于8年的人的CMV反应几率为2.32倍(95%CI:2.00-2.70)。
    老年人CMVIgG水平与生命早期和成年SES有关。生命过程的社会经济劣势可能导致免疫衰老的差异。
    Previous research has documented a consistent association between current socioeconomic status (SES) and cytomegalovirus (CMV). Early life is likely a critical period for CMV exposure and immune development, but less is known about early-life socioeconomic factors and CMV, particularly in older age populations. Using data from the Health and Retirement Study, we investigated the association between life course socioeconomic disadvantage and immune response to CMV among older adults.
    Using ordered logit models, we estimated associations between several measures of socioeconomic disadvantage and the odds of being in a higher CMV Immunoglobulin G (IgG) response category in a sample of 8,168 respondents aged older than 50 years.
    We found a significant association between educational attainment and CMV IgG response. Those with less than a high school education had 2.00 (95% confidence interval [CI]: 1.67-2.40) times the odds of being in a higher CMV category compared to those with a college degree or greater. In addition, we also observed a significant association with parental education and CMV response. Individuals with parents having 8 years or less of schooling had 2.32 (95% CI: 2.00-2.70) times the odds of higher CMV response compared to those whose parents had greater than high school education.
    CMV IgG levels in older adults are associated with both early-life and adult SES. Life course socioeconomic disadvantage may contribute to disparities in immunological aging.
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  • 文章类型: Journal Article
    A large body of research identifies the critical role of early-life social contexts such as neighborhoods and households in shaping life course trajectories of health. Less is known about whether and how school characteristics affect individual health and contribute to population health inequality. However, recent scholarship argues that some school environments are so stressful due to high levels of violence, disorder, and poverty that they may be \"toxic\" to student health, but this hypothesis has not been tested using population data. Integrating insights from the life course perspective and stress process model, we use rich longitudinal data from the National Longitudinal Study of Adolescent to Adult Health (n = 11,382), diverse markers of physiological functioning and psychological well-being, and multilevel regression models to examine whether and how school characteristics shape trajectories of physiological dysregulation and depressive risk from adolescence through early adulthood. Findings reveal that, across multiple measures of physiological functioning and psychological well-being, the social and structural characteristics of schools play an essential role in shaping health risk from adolescence through young adulthood-long after students left school. In particular, indicators of school-level violence and perceptions of safety and school social disconnectedness had especially strong associations with health risk in both the short- and long-term. School socioeconomic composition was also strongly associated with physiological dysregulation in young adulthood, net of individual and neighborhood socioeconomic exposures. Together, findings from this study suggest that school environments can serve as early-life stressors in the lives of young people that unequally shape health trajectories and contribute to broader patterns of health inequality.
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  • 文章类型: Journal Article
    BACKGROUND: The incidence of major depression among adults has been shown to be socially differentiated, and there are reasons to seek explanations for this before adulthood. In this cohort study, we examined whether academic performance in adolescence predicts depression in adulthood, and the extent to which externalizing disorders explain this association.
    METHODS: We followed 26,766 Swedish women and men born 1967-1982 from the last year of compulsory school, at age about 16, up to 48 years of age. We investigated the association between grade point average (GPA, standardized by gender) and first diagnosis of depression in national registers of in- or out-patient psychiatric care. We used Cox proportional hazards models, adjusting for lifetime externalizing diagnoses and potential confounders including childhood socioeconomic position and IQ.
    RESULTS: During follow-up, 7.0% of the women and 4.4% of the men were diagnosed with depression. A GPA in the lowest quartile, compared with the highest, was associated with an increased risk in both women (hazard ratio 95% confidence interval 1.7, 1.3-2.1) and men (2.9, 2.2-3.9) in models controlling for potential confounders. Additional control for externalizing disorders attenuated the associations, particularly in women.
    CONCLUSIONS: The findings suggest that poor academic performance is associated with depression in young adulthood and that the association is partly explained by externalizing disorders. Our results indicate the importance of early detection and management of externalizing disorders among children and adolescents.
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