Adult offspring's education and parental mortality: A nationwide cohort study of the mediating role of lifestyle-related diseases.
Scand J Public Health
; : 14034948241234711, 2024 Mar 24.
Article
em En
| MEDLINE
| ID: mdl-38523257
ABSTRACT
Aim:
The mechanisms behind the association between adult offspring's socioeconomic position and their parents' mortality are not well understood. This study investigates lifestyle-related diseases as a potential mediating pathway between adult offspring's education and parental mortality.Methods:
This nationwide register-based cohort study consists of 963,742 older adults aged 65 years between 2000 and 2018. Lifestyle-related diseases were measured between 60 and 65 years and those with prior lifestyle-related diseases were excluded. Natural Effect Models were performed to assess potential mediation through lifestyle-related diseases of the association between offspring's education and parental mortality measured by additive hazard estimates with 95% confidence intervals (CIs).Results:
Between 60 and 65 years, 150,501 (15.6%) older adults were diagnosed with lifestyle-related diseases and 149,647 (15.5%) died during follow-up. Compared with having offspring with long education, short education was associated with 631 (95% CI 555; 707) and 581 (95% CI 525; 638) additional deaths per 100,000 person-years for women and men, respectively, of which 15.4% (95% CI 9.0; 21.6) and 16.8% (95% CI 14.6; 18.9) were mediated by lifestyle-related diseases. The corresponding numbers for medium education were 276 (95% CI 205; 347) and 299 (95% CI 255; 343) with 26.2% (95% CI 12.0; 40.6) and 27.6% (95% CI 25.1; 31.8) mediated by lifestyle-related diseases.Conclusions:
Lifestyle-related diseases accounted for 15-28% of the association between offspring's education and parental mortality for both men and women.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Scand J Public Health
Assunto da revista:
MEDICINA SOCIAL
/
SAUDE PUBLICA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Dinamarca