Does childhood health affect chronic morbidity in later life?
Abstract
Our analysis examines whether childhood health has long-term and enduring consequences for chronic morbidity. As a part of this analysis, we address two methodological issues of concern in the literature. Is adult height a surrogate for childhood health experiences in modeling chronic disease in later life? And, are the effects of adult socioeconomic status on chronic disease overestimated when childhood health is not accounted for? The analysis is based on a topical module to the third wave of the Health and Retirement Study, a representative survey of Americans aged 55-65 in 1996. Our results support the hypothesis that poor childhood health increases morbidity in later life. This association was found for cancer, lung disease, cardiovascular conditions, and arthritis/rheumatism. The associations were highly persistent in the face of statistical controls for both adult and childhood socioeconomic status. No support was found for using adult height as a proxy for the effects of childhood health experiences. Further, the effects of adult socioeconomic status were not overestimated when childhood health was excluded from the explanatory models. Our results point to the importance of an integrated health care policy based on the premise of maximizing health over the entire life cycle.
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Other medical conditions such as cardiovascular disease, arthritis, and diabetes are disproportionately distributed according to socio-demographic characteristics.
“other medical conditions, such as cardiovascular disease (Galobardes, Smith, and Lynch 2006; Karlamangla, Singer, Williams, Schwartz, Matthews, Kiefe, and Seeman 2005), arthritis and diabetes (Blackwell, Hayward, and Crimmins 2001), are disproportionately distributed according to socio-demographic characteristics.”
From Disproportionality and Learning Disabilities: Parsing Apart Race, Socioeconomic Status, and Language (2011) · cites this paper as Blackwell, Hayward, and Crimmins 2001
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“older adults, and predict aging outcomes in these samples (Blackwell et al. 2001).”
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- Authors
- Blackwell, D. L., Hayward, M. D., & Crimmins, E. M.
- Affiliations
- National Center for Health Statistics (US)
- Pennsylvania State University (US)
- University of Southern California (US)
- Corresponding author
- Blackwell, Debra L
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2001-04
- Volume
- 52
- Issue
- 8
- Pages
- 1269-1284
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2127102393
- Cited by
- 424
- References
- 1
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 10 · 2023: 12 · 2022: 20 · 2021: 15 · 2020: 13 · 2019: 17 · 2018: 21 · 2017: 24 · 2016: 21 · 2015: 17 · 2014: 23 · 2013: 25 · 2012: 19
- FWCI
- 13.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (T32AG00208, R01 AG-11235, T32AG000208, R01AG011758, R01 AG11758, R01AG011235, U01AG009740)
- National Institute of Child Health and Human Development
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- child health, chronic morbidity, adult height, socioeconomic status, cancer, lung disease, cardiovascular disease, arthritis, life course, Health and Retirement Study, health policy
- MeSH terms
- Age Factors, Autoimmune Diseases, Body Height, Child, Child Welfare, Chronic Disease, Communicable Diseases, Cultural Deprivation, Female, Humans, Male, Middle Aged, Morbidity, Retirement, Risk Factors, Socioeconomic Factors, United States, Prevalence
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