[{"_id":"project:7003","_type":"project","abstract":{"sv":"Social status överförs mellan generationer. Föräldrars socioekonomiska status kan påverka barns hälsa dels via familjens inkomst, utbildningsnivå, hälsa och relativa position. Föräldrars betydelse för barns hälsa är därför en bidragande faktor bakom bristande social rörlighet. Syftet med detta projekt är att öka vår förståelse av den socioekonomiska gradienten i barns hälsa och undersöka dess konsekvenser för social rörlighet. Vi studerar hur den socioekonomiska gradienten utvecklas genom barndomen och vilka typer av hälsoproblem som är mest frekventa i olika åldrar. Att förstå vilka typer ohälsa som bidrar till hälsogradienten vid olika åldrar är potentiellt viktigt för vår förståelse av gradienten och för hur politik som utjämnar livschanser ska utformas. Vi kommer också att studera hur den socioekonomiska gradienten i barns hälsa har påverkats av de senaste decenniernas ökade inkomstskillnader. Slutligen avser vi att undersöka hur hälsoproblemen i barndomen påverkar utbildnings- och arbetsmarknadsutfall i syfte att belysa på vilket sätt den socioekonomiska gradienten påverkar social mobilitet. Projektet kommer att använda en unik databas med information om barn och deras föräldrar från socialförsäkrings- , patient- , läkemedels- och medicinska födelseregistren. Detta kombineras med information från arbetsförmedlingen och SCB för åren 1987-frammåt.","en":"There is strong persistence in social status across generations. Parental socioeconomic status may affect child health through channels such as parent’s income, education level, health and relative social status. As a result, transmission of health potentially contributes to the intergenerational persistence in social status. The aim of this project is to increase our understanding of the socioeconomic gradient in child health and its consequences for social mobility. We study how the socioeconomic gradient evolves through childhood and what types of health problems are most frequent at different ages. Understanding these patterns is potentially important for our understanding of the gradient and for the design of policy. We will also study how the socioeconomic gradient in child health has responded to the recent increases in income inequality, which will further contribute to our understanding of its underlying determinants. Finally, the project explores how health problems in childhood affect school performance and labor market outcomes, a finding that will help uncover how the socioeconomic gradient transmits over generations. The project will rely on register data combining information on children and their parents from social insurance-, patient-, prescription drug- and birth registers, with information from the employment agency and statistics Sweden 1987-onwards."},"project_id":"P15-0812:1_RJ","identifier_short":"P15-0812:1","dates":{"start_date":"2016-01-01","end_date":"2018-12-30"},"organizations":[{"funding":[{"_id":5,"id":"802012-1276","sv":"Riksbankens Jubileumsfond","en":"Riksbankens Jubileumsfond"}]},{"coordinating":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}],"people":[{"project_leaders":[{"_id":"authority-person:14673","orcid":"0000-0003-3072-5224","name":"Svaleryd, Helena","role":"principal_investigator","affiliation":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}]},{"other_personnel":[{"_id":"authority-person:14673","orcid":"0000-0003-3072-5224","name":"Svaleryd, Helena","role":"co_investigator","affiliation":[{"_id":978,"id":"202100-2932","sv":"Uppsala universitet","en":"Uppsala University"}]}]}],"tags":[{"_id":11739,"id":"50201","sv":"Nationalekonomi","en":"Economics"},{"_id":11690,"id":"30302","sv":"Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi","en":"Public Health, Global Health, Social Medicine and Epidemiology"}],"titles":{"sv":"Den sociala gradienten i barns hälsa; hur förändras den över ålder och tid","en":"The socioeconomic gradient in child health through childhood and across time"},"total_funding":"3815001","type_of_awards":{"sv":"Projektbidrag","en":"Project grant"},"publications":[{"id":"diva2:1742925","type":"article-journal","status":"Published","issued":{"date-parts":[[2023]]},"title":"Birth order and health disparities throughout the life course","language":"eng","author":[{"family":"Björkegren","given":"Evelina","affiliation":[{"name":"Stockholm Univ, Dept Econ, Box 514, S-10691 Stockholm, Sweden."}]},{"family":"Svaleryd","given":"Helena","ORCID":"0000-0003-3072-5224","localId":"helsv714","affiliation":[{"id":"1255","name":"Uppsala universitet, Nationalekonomiska institutionen"}]}],"abstract":"Background: Research has shown ample evidence of how birth order affects health; however, these studies focus on specific health outcomes and ages.Objective: We provide a comprehensive picture of the effects of birth order on health disparities over the life course.Method: We study the effects of birth order from birth to age 70 on hospitalizations, visits to open care facilities and mortality using Swedish register data from 1987 to 2016. We identify the effects by comparing siblings within the same family.Results: We find that firstborns have worse health at birth. In adolescence, the birth-order effects switch direction, and younger siblings are more likely to be hospitalized and visit open care facilities. From early age younger siblings receive more care for injuries, in adolescence for drug and alcohol abuse, and from middle age for diseases of the circulatory system compared to older siblings. Younger siblings also stay longer in hospital. Age 0-2, younger siblings are more likely to be hospitalized for infections, diseases of the respiratory system, eyes and ears, whereas the pattern is the opposite for children age 3-6. Firstborns are more likely to receive care for depression and ADHD in childhood and endocrine diseases after age 50.Interpretation: Birth order affects health over the life-cycle and this is likely due to biological factors as well as parental behavior and the family environment. Firstborns have worse health at birth, but in adolescence the effects switch direction due to health issues related to younger siblings engaging in more risky behavior. For small children, having siblings at home increases the risk of being hospitalized for infections, diseases of the respiratory system, eyes and ears. The adverse conditions in utero for firstborns may be the cause of increased risk of metabolic syndromes such as obesity and diabetes later in life.","DOI":"10.1016/j.socscimed.2022.115605","PMID":"36630815","NBN":"urn:nbn:se:uu:diva-498122","volume":"318","number":"115605","container-title":"Social Science and Medicine","ISSN":"1873-5347","keyword":"Birth order; Health; Life cycle","publisher":"Elsevier","published":[{"raw":"2023-03-13T11:02:00.000+01:00"}],"created":[{"raw":"2023-03-13T11:02:11.938+01:00"}],"updated":[{"raw":"2025-02-20T21:26:59.280+01:00"}],"URL":"https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-498122"}],"links":[{"type":"pid","link":"https://su.diva-portal.org/smash/api/project/swecris/project:7003"}]}]