Does social mobility influence health status? A systematic review
e202111187
Keywords:
Health, Poverty, Social mobility, Social class, Socioeconomic factorsAbstract
Background: In the debate on the determinants of social class variation in health, it has been suggested that social mobility and associated factors play an important role in this variation. Social mobility describes changes or stability between social class positions. The aim of this paper was to identify studies on the association between social mobility and health.
Methods: The databases consulted were MEDLINE/PubMed, Cochrane, SciELO, CRD. The keywords used (in English), through the MeSH methodology, were: Health (MajorTerm), Class mobility, Vertical mobility, Social position, Socioeconomic factors, Social class, Social conditions, Social environment, Poverty and Social marginalisation (MeSHTerm). The search period was from January 2010 to December 2019. The STROBE statement has been used to develop the checklist. Finally, the evaluation of the studies has been carried out by means of a qualitative systematic review.
Results: The search identified 1,092 potentially relevant studies. After analysis, 376 studies were retained and their full texts were reviewed in depth, resulting in a final set of 42 studies. Of these, 2 studies were identified on Class Mobility and Health; 5 studies were also identified on Poverty and Health, showing evidence of effect on Health by Social Mobility; 9 studies on Social Class and Health, showing effect of Social Mobility on Health and 8 studies showing effect of Social Position on Health.
Conclusions: Social mobility measures convey additional information to that of poverty indices. Using indices of social position and their impact on health inequalities could be empirically useful. More research is needed on this issue.
Downloads
References
Solar O, Irwin A. Social determinants, political contexts and civil society action: a historical perspective on the Commission on Social Determinants of Health. Health Promotion Journal of Australia, 2006, 17(3):180-185.
World Health Organization. Commission on social determinants of health: note by the Secretariat. Geneva, World Health Organization (document number: EB115/35), 2004.
Sartorius, N.: The Meanings of Health and its Promotion; Croatian Medical Journal, 2006 Aug; 47(4): 662–664.
Tiikkaja, Sanna; Social mobility in relation to Cardiovascular and Psychiatric Health, Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden, 2013.
Arksey H, O’Malley L. Scoping studies: Towards a Methodological Framework. Int J Soc Res Methodol. 2005;8:19–32. doi: 10.1080/1364557032000119616.
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9. PMID: 18313558.
Gruer L, Hart CL, Watt GC. After 50 years and 200 papers, what can the Midspan cohort studies tell us about our mortality? Public Health. 2015 Aug 5. pii: S0033-3506(15)00260-7. doi: 10.1016/j.puhe.2015.06.017.
Das-Munshi J, Leavey G, Stansfeld SA, Prince MJ. Migration, social mobility and common mental disorders: critical review of the literature and meta-analysis. Ethn Health. 2012;17(1-2):17-53. doi: 10.1080/13557858.2011.632816. Epub 2011 Nov 10.
Aizer A, Currie J. The intergenerational transmission of inequality: maternal disadvantage and health at birth. Science. 2014 May 23;344(6186):856-61. doi: 10.1126/science.1251872.
Pilkington K, Boshnakova A, Clarke M, Richardson J. “No language restrictions” in database searches: what does this really mean? J Altern Complement Med. 2005 Feb;11(1):205-7.
Moher D, Jadad AR, Tugwell P. Assessing the quality of randomized controlled trials. Current issues and future directions. Int J Technol Assess Health Care. 12 (1996), pp. 195-208.
Moher D, Jadad AR, Nichol G, Penman M, Tugwell P, Walsh S. Assessing the quality of randomized controlled trials: an annotated bibliography of scales and checklists. Control Clin Trials. 16 (1995), pp. 62-73
Jüni P, Altman DG, Egger M. Systematic reviews in health care: Assessing the quality of controlled clinical trials. BMJ. 2001 Jul 7;323(7303):42-6.
Malo M, Robert E. Proposition: canevas pour une Scoping Study.2011. Available: http://equiperenard.ca/fr/grille-danalys?e.html
Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M et al Chapter 2: Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z, editors. Joanna Briggs Institute Reviewer’s Manual. The Joanna Briggs Institute; 2017.
Power C et al. “Health in Childhood and Social Inequalities in Health in Young Adults.” Journal of the Royal Statistical Society. Series A (Statistics in Society), vol. 153, no. 1, [Wiley, Royal Statistical Society], 1990, pp. 17–28,
Wilkinson RG. (1986c), ‘Occupational class, selection and inequalities in health: a reply to Raymond Illsley’, Quarterly Journal of Social Affairs, 2 (4), 415–422.
Macintyre S, West P. (1991a). Lack of class variation in health in adolescence: an artefact of an occupational measure of social class? Social Science and Medicine.
Lundberg O. Causal explanations for class inequality in health--an empirical analysis. Soc Sci Med. 1991;32(4):385-393.
Blane D, Smithh GD, Bartley M. Social selection: what does it contribute to social class differences in health? Sociology of Health & Illness Vol. 15 No. 1 Volume15, Issue1, January 1993: 1-15
Davis K, Drey N, Gould D. What are scoping studies? A review of the nursing literature. Int J Nurs Stud. 2009;46:1386–1400.
Anderson S, Allen P, Peckham S, Goodwin N. Asking the right questions: scoping studies in the commissioning of research on the organisation and delivery of health services. Health Res Policy Sys. 2008;6:7. doi: 10.1186/1478-4505-6-7.
Juneau CE, Benmarhnia T, Poulin AA, Côté S, Potvin L. Socioeconomic position during childhood and physical activity during adulthood: a systematic review. Int J Public Health. 2015 Nov;60(7):799-813. doi: 10.1007/s00038-015-0710-y. Epub 2015 Aug 23.
Hillier-Brown FC, Bambra CL, Cairns JM, Kasim A, Moore HJ, Summerbell CD. A systematic review of the effectiveness of individual, community and societal-level interventions at reducing socio-economic inequalities in obesity among adults. Int J Obes (Lond). 2014 Dec;38(12):1483-90. doi: 10.1038/ijo.2014.75. Epub 2014 May 12.
Montano D, Hoven H, Siegrist J. A meta-analysis of health effects of randomized controlled worksite interventions: does social stratification matter? Scand J Work Environ Health. 2014 May 1;40(3):230-4. doi: 10.5271/sjweh.3412.
Subramanian SV, Corsi DJ, Subramanyam MA, Smith GD. Jumping the gun: the problematic discourse on
socioeconomic status and cardiovascular health in India. Int J Epidemiol. 2013 Oct;42(5):1410-26.
Scollan-Koliopoulos M, Bleich D, Rapp KJ, Wong P, Hofmann CJ, Raghuwanshi M. Health-related quality of life, disease severity, and anticipated trajectory of diabetes. Diabetes Educ. 2013 Jan-Feb;39(1):83-91. doi: 10.1177/0145721712467697. Epub 2012 Nov 21.
Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012 Jun;24(3):176-88. doi: 10.3109/09540261.2012.688195.
Aidala AA, Wilson MG, Shubert V, Gogolishvili D, Globerman J, Rueda S, Bozack AK, Caban M, Rourke SB. Housing Status, Medical Care, and Health Outcomes Among People Living With HIV/AIDS: A Systematic Review. Am J Public Health. 2016 Jan;106(1):e1-e23. doi: 10.2105/AJPH.2015.302905.
Huisman M, Read S, Towriss CA, Deeg DJ, Grundy E. Socioeconomic inequalities in mortality rates in old age in the World Health Organization Europe region. Epidemiol Rev. 2013;35:84-97. doi: 10.1093/epirev/mxs010. Epub 2013 Feb 4.
Laba TL, Bleasel J, Brien JA, Cass A, Howard K, Peiris D, Redfern J, Salam A, Usherwood T, Jan S. Strategies to improve adherence to medications for cardiovascular diseases in socioeconomically disadvantaged populations: a systematic review. Int J Cardiol. 2013 Sep 10;167(6):2430-40. doi: 10.1016/j.ijcard.2013.01.049. Epub 2013 Feb 13.
Nordahl H et al (2013) Education and risk of coronary heart disease: assessment of mediation by behavioral risk factors using the additive hazards model, European Journal of Epidemiology, 28: 149-147.
Nordahl H et al (2014a) Combined effects of socioeconomic position, smoking, and hypertension on risk of ischemic and hemorrhagic stroke, Stroke, 45: 2582-2587.
Wong MCS, Lao XQ, Ho KF, Goggins WB, Tse SLA. Incidence and mortality of lung cancer: global trends and association with socioeconomic status. Sci Rep. 2017 Oct 30;7(1):14300.
Read S, Grundy E, Foverskov E. (2016) Socio-economic position and subjective health and well-being among older people in Europe: a systematic narrative review, Aging & Mental Health, 20 (5): 529-542.
Uphoff E, Cabieses B, Pinart M, Valdés M, Antó JM, Wright J. A systematic review of socioeconomic position in relation to asthma and allergic diseases. Eur Respir J. 2015 Aug;46(2):364-74. doi: 10.1183/09031936.00114514. Epub 2014 Dec 23. PMID: 25537562.
Niedzwiedz CL, Katikireddi SV, Pell JP, Mitchell R. Life course socio-economic position and quality of life in adulthood: a systematic review of life course models. BMC Public Health. 2012 Aug 9;12:628. doi: 10.1186/1471-2458-12-628.
Van Vuuren CL, Reijneveld SA, van der Wal MF, Verhoeff AP. Neighborhood socioeconomic deprivation characteristics in child (0-18 years) health studies: a review. Health Place. 2014 Sep;29:34-42. doi: 10.1016/j.healthplace.2014.05.010. Epub 2014 Jun 20.
Busingye D, Arabshahi S, Subasinghe AK, Evans RG, Riddell MA, Thrift AG. Do the socioeconomic and hypertension gradients in rural populations of low- and middle-income countries differ by geographical region? A systematic review and meta-analysis. Int J Epidemiol. 2014 Oct;43(5):1563-77. doi: 10.1093/ije/dyu112. Epub 2014 May 26.
Kivimäki M, Vahtera J, Tabák AG, Halonen JI, Vineis P, Pentti J, Pahkala K, Rovio S, Viikari J, Kähönen M, Juonala M1, Ferrie JE, Stringhini S, Raitakari OT. Neighbourhood socioeconomic disadvantage, risk factors, and diabetes from childhood to middle age in the Young Finns Study: a cohort study. Lancet Public Health. 2018 Aug;3(8):e365-e373.
Barriuso L, Miqueleiz E, Albaladejo R, Villanueva R, Santos JM, Regidor E. Socioeconomic position and childhood-adolescent weight status in rich countries: a systematic
review, 1990-2013. BMC Pediatr. 2015 Sep 21;15:129. doi: 10.1186/s12887-015-0443-3.
Bleich SN, Jarlenski MP, Bell CN, LaVeist TA. Health inequalities: trends, progress, and policy. Annu Rev Public Health. 2012 Apr;33:7-40. doi: 10.1146/annurev-publhealth-031811-124658. Epub 2012 Jan 6.
Vohra J, Marmot MG, Bauld L, Hiatt RA. (2015) Socioeconomic position in childhood and cancer in adulthood: a rapid-review, Journal of Epidemiology & Community Health, 0: 1-6, doi: 10.1136/jech-2015-206274.
Luz M, Letelier S, Manríquez JJ, Rada G. (2005). Medicina Basada en Evidencia Revisiones sistemáticas y metaanálisis: ¿son la mejor evidencia? Rev Méd Chile, 133, 246–249.
World Health Organization. A Conceptual Framework for Action on the Social Determinants of Health. Geneva: World Health Organization, 2010.
Marmot M. Status syndrome : how your social standing directly affects your health and life expectancy. London: Bloomsbury, 2004.
Gilman SE, Kawachi I, Fitzmaurice GM, Buka SL. Socioeconomic status in childhood and the lifetime risk of major depression. Int J Epidemiol 2002;31(2):359-367.
Manor O, Matthews S, Power C. Health selection: the role of inter- and intragenerational mobility on social inequalities in health. Soc Sci Med 2003;57(11):2217-2227.
Dahl E. Social mobility and health: cause or effect? Brit Med J 1996;313(7055):435-436.
Elstad JI. Health-related mobility, health inequalities and gradient constraint. Discussion and results from a Norwegian study. Eur J Public Health 2001;11(2):135-140.
Blane D, Harding S, Rosato M. Does social mobility affect the size of the socioeconomic mortality differential?: evidence from the Office for National Statistics Longitudinal Study. J R Stat Soc Ser A Stat Soc 1999;162(Pt. 1):59- 70.
Natal G. Assembling the Pieces of a Systematic Review: A Guide for Librarians. J Med Libr Assoc. 2018;106(3):393. doi:10.5195/jmla.2018.462.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2021 Francisco Reyes-Santias, Bruno Casal, David Cantareron, Carla Blazquez, Adolfo Figueiras, Marta Pascual
![Creative Commons License](http://i.creativecommons.org/l/by-nc-nd/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.