Date of Award
Doctor of Philosophy (PhD)
Socioeconomic inequalities in health research comprises the investigation of the pathways through which differential access to resources affects the distribution of morbidity and mortality in the population. Because many of the factors that influence health are cumulative, researchers have incorporated a life course approach into their work by linking socioeconomic conditions in one stage of the life course to health at a later stage. The childhood period has acquired particular significance due to conflicting theories about the relative importance of early life events for health inequalities during adulthood. Using seven waves of the child component of the National Longitudinal Study of Youth (1986-98), I employ generalized linear mixed models to examine the effect of household income on child physical and mental health over the entire childhood period. The results of this dissertation support the hypothesis that household income influences the physical and mental health of children, both concurrently and over time. In generalized linear mixed models, the stable component of household income, that is, the average household income for a given child over the period in which he or she is observed, exerts a strong influence on risk for child chronic health limitation, child anxiety/depression and antisocial behaviour, and to a lesser extent, child medically attended accident or injury. However, the dynamic component of household income, defined as deviations in household income over time from the observed average of that household, is mostly unrelated to child health. These findings have broader implications for life course theory and for the discipline of sociology as health inequalities researchers track the impact of socially significant events over time and reveal the long term processes underlying the social distribution of health.
Strohschein, Lisa, "A Life Course Approach to Socioeconomic Inequalities in Health: Tracking the Influence ofIncome Dynamics on the Health of Children" (2002). Open Access Dissertations and Theses. Paper 1491.