151. Relative and absolute wealth mobility since birth in relation to health and human capital in middle adulthood: An analysis of a Guatemalan birth cohort
- Author
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Manuel Ramirez-Zea, Aryeh D. Stein, Shivani A. Patel, Jithin Sam Varghese, and Reynaldo Martorell
- Subjects
Health (social science) ,PCA, Principal Component Analysis ,LCA, Latent Class Analysis ,Human capital ,Article ,Conditional wealth ,03 medical and health sciences ,0302 clinical medicine ,Raven's Progressive Matrices ,LMIC, Low- and middle-income country ,Social mobility ,Latent class analysis ,030212 general & internal medicine ,H1-99 ,030505 public health ,Health Policy ,Public Health, Environmental and Occupational Health ,Odds ratio ,Latent class model ,INCAP, Institute of Nutrition of Central America and Panama ,Social sciences (General) ,Middle adulthood ,SEP, Socio-economic position ,MAR, Missing at Random ,SRQ-20, World Health Organization Self-Reporting Questionnaire-20 ,Life course approach ,Life course socio-economic position ,HIC, High income country ,Public aspects of medicine ,RA1-1270 ,BMI, Body Mass Index ,0305 other medical science ,Birth cohort ,Psychology ,Demography - Abstract
Background Wealth mobility, as both relative (positional) and absolute (material) wealth acquisition, may counteract negative consequences of early life adversities on adult health. Methods We use longitudinal data (1967–2018) from the INCAP birth cohort, Guatemala (n = 1386). Using wealth as a measure of socio-economic position, we assess the association of life course relative mobility using latent class analysis and absolute material gains using conditional wealth measures. We estimate associations of wealth mobility with indicators of human capital, specifically height, weight status (BMI in kg/m2), psychological distress (WHO SRQ-20 score) and fluid intelligence (Ravens Progressive Matrices score; RPM) in middle adulthood. Results We identified four latent classes of relative mobility – Stable Low (n = 498), Stable High (n = 223), Downwardly Mobile (n = 201) and Upwardly Mobile (n = 464). Attained schooling (years) was positively associated with membership in Upwardly Mobile (odds ratio; 1.50, 95%CI: 1.31, 1.71) vs Stable Low, and inversely with membership in Downwardly Mobile (0.65, 95%CI: 0.54, 0.79) vs Stable High. Being Upwardly Mobile (vs Stable Low) was positively associated with height (1.88 cm, 95%CI: 1.04, 2.72), relative weight (1.32 kg/m2, 95%CI: 0.57, 2.07), lower psychological distress (−0.82 units, 95%CI: 1.34, −0.29) and fluid intelligence (0.94 units, 95%CI: 0.28, 1.59). Being Downwardly Mobile (vs Stable High) was associated with lower fluid intelligence (−2.69 units, 95%CI: 3.69, −1.68), and higher psychological distress (1.15 units, 95%CI: 0.34, 1.95). Absolute wealth gains (z-scores) from early to middle adulthood were positively associated with relative weight (0.62 kg/m2, 95%CI: 0.28, 0.96), lower psychological distress (−0.37 units, 95%CI: 0.60, −0.14) and fluid intelligence (0.50 units, 95%CI: 0.21, 0.79). Conclusions Higher attained schooling provided a pathway for upward relative mobility and higher absolute wealth gains as well as protection against downward relative mobility. Upward mobility was associated with lower psychological distress and higher fluid intelligence but also higher weight status., Highlights • Early life wealth and educational attainment are associated with upward wealth mobility, both in relative and absolute terms. • Upward relative mobility is associated with lower psychological distress, and higher fluid intelligence and BMI. • Downward relative mobility is associated with lower fluid intelligence, lower height, and higher psychological distress. • Wealth gains from early to middle adulthood were associated with higher BMI and intelligence and lower psychological distress.
- Published
- 2021