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Accumulated occupational class and self-rated health. Can information on previous experience of class further our understanding of the social gradient in health?
Stockholm University, Faculty of Social Sciences, The Swedish Institute for Social Research (SOFI).
2013 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 81, 26-33 p.Article in journal (Refereed) Published
Abstract [en]

Previous research has shown a social gradient in health with better health for people in more advantaged positions in society. This research has mainly been on the relationship between current position and health, or social position in childhood and health, but less is known about the potential accumulative impact of positions held in adulthood. In this paper I use the economic activity histories from the Swedish Level of Living survey to examine the relationship between accumulated occupational class positions and health. Step-wise linear probability models are used to investigate how to best capture the potential association between class experience and self-rated health (SRH), and whether the effect of current class is modified when measures of accumulated class are included. I then further test the potentially lasting association between previous exposure to the health risk of working class by analysing only individuals currently in higher or intermediate level service class; the classes under least exposure. I find a positive association between accumulated experiences of working class and less than good SRH. Furthermore, even for employees currently in non-manual positions the risk for less than good SRH increases with each added year of previous experience within working class. This suggests that the social gradient can be both accumulative and lasting, and that more information on the mechanisms of health disparities can be found by taking detailed information on peoples' pasts into account. Although gender differences in health are not a focus in this paper, results also indicate that the influence of class experiences on health might differ between men and women.

Place, publisher, year, edition, pages
2013. Vol. 81, 26-33 p.
Keyword [en]
Social gradient, Self-rated health, Occupational class, Accumulation, Sweden
National Category
Sociology Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-89731DOI: 10.1016/j.socscimed.2013.01.006ISI: 000316710100004OAI: oai:DiVA.org:su-89731DiVA: diva2:620078
Note

AuthorCount:1

Available from: 2013-05-07 Created: 2013-05-06 Last updated: 2017-12-04Bibliographically approved
In thesis
1.
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