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Early Adversity and Late-Life Health
There is growing recognition that early socioeconomic adversity can have long-term consequences for mental and physical health. Adverse life circumstances during childhood may initiate and shape problematic trajectories of poor mental and physical health. However, the health consequences of childhood adversity tend to emerge during later years. Although youths have lower rates of serious illnesses than do adults, an emerging pattern of socioeconomic health inequalities becomes evident by late adolescence and continues into adulthood. Some youths are capable of avoiding the influence of early adversities, thereby redirecting adverse health trajectories. For others, however, adverse mental and physical health trajectories continue and potentially disrupt the successful transition to adulthood as youths become more vulnerable to adult health problems by their selection into adverse life circumstances. That is, early adversities appear to compound across the life course to produce cumulative consequences from one stage of life to another. Recent research suggests that the effects of early adversity on health persist across the life span, with diminished strength of the association between early adversity and health evident only during later old age.
Early Adversity
The socioeconomic characteristics of one's family of origin share strong links with the early adverse circumstances of an individual. Social stress research clearly documents that people of lower socioeconomic status (SES) experience more stressful events and circumstances than do people of higher social status. This is particularly evident among lower SES parents when considering family stressful events. Lower SES parents are also disadvantaged in the quality and quantity of psychological and social resources they can rely on to cope with family adversity. Thus, for lower SES parents, the opportunity to control family stressful events and circumstances or to protect children from the influence of such circumstances is limited.
Lower family income often serves as a marker for early family adversity. Research shows that parents who work in low-paid employment are the most materially disadvantaged in terms of income. They also experience risk of exposure to an array of related stresses such as higher job and financial insecurity and more work instability. Thus, children from low-income families may face reduced access to housing, proper sanitation, vehicles, household equipment, food, and health insurance. In addition, these children often live in disadvantaged communities that offer poor health, educational, recreational, and social services.
Poor parental education also serves as an important marker of early adverse circumstances of an individual that shapes family income and, in turn, family economic hardship. Research shows that families with poorly educated parents experience greater family adversity than do families with comparatively better educated parents even when the families possess identical levels of income. For example, studies reveal that parental education is associated not only with poorer pulmonary function of adults but also with declines in pulmonary function over time. This may be attributed to the fact that higher levels of education among parents offer greater access to social–psychological resources, skills, and information that helps to protect children from adverse influences stemming from stressful family circumstances.
Family structure also serves as an important marker of early family adversity. Research shows that consistent single motherhood contributes to persistent family financial difficulties, scarce job prospects, and employment limited to marginal occupations. In addition to risks linked with low income, female-headed families often lose the “safety net” that exists when part of a two-parent family. Female-headed single-parent families often face reduced access to housing, vehicles, household equipment, food, health insurance, and other important services. Thus, children from single-parent families typically experience greater early adverse circumstances than do children from intact families.
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- Aging and the Brain
- Alzheimer's Disease
- Apolipoprotein E
- Consortium to Establish a Registry for Alzheimer's Disease
- Creutzfeldt–Jakob Disease
- Delirium and Confusional States
- Imaging of the Brain
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