Abstract
Childhood conditions can influence some aspects of development of an individual and thus affect health in adult life. To evaluateassociations between early life conditions and health, as reported by the survey SABE in 2000, 2006, and 2010. Early or previous conditions refer to the situations before 15 years of age of the interviewees, such as economic condition, famine, health assessment, medical conditions, and having lived in the countryside for over 5 years. The control variables were gender, education, andincome. The outcome was self-reported health as "good" or "bad." This study focused on ages between 60 and 65years. Bivariate analysis showed significant associations of the individual's origin in all the three cohorts. Economic and famine conditions were also significant for cohort B (2006). Multivariate Poisson regression was used with prevalence ratio as an element of comparison. Rural origin was the only significant early condition in the initial model. Thecontrol variables - gender, cohort, and education - were also significant. In the final model, the significant variables in the initial model were included, plus relation between rural origin and the number of diseases. Cohorts, gender, education, and the number of diseases were still significant factors when individuals had rural origin, but were not associated with the outcome if their origin was urban. There were connections between early conditions of life and the health of the elderly, and this might be an important tool for health care for both the individual and the community.
Highlights
Childhood conditions can influence some aspects of development of an individual and affect health in adult life
This study aimed at evaluating the possible effects of previous health conditions on self-reported current health status of a group of elderly people interviewed in the three waves of the SABE study, which has been held in São Paulo and had phases completed in 2000, 2006, and 2010
Important to note was the stability of the composition by gender between sociodemographic variables resulting from poststratification and the significant improvement observed from the first to the last cohort in the levels of schooling
Summary
Childhood conditions can influence some aspects of development of an individual and affect health in adult life. Gender, education, and the number of diseases were still significant factors when individuals had rural origin, but were not associated with the outcome if their origin was urban. Finding a diagnosis as early as possible, preventing diseases, and avoiding adverse health conditions in the elderly have stimulated studies and research on the history of the diseases and its associations with consequent disabilities. Blackwell Hayward and Crimmins[3] corroborated this theory by associating the conditions in early life stages with diseases in the elderly. They suggested that individuals who were exposed to unfavorable social and economic conditions as well as family conflicts and other situations in childhood were at a greater risk of becoming ill from chronic diseases. Some authors wonder whether not considering health in the childhood when analyzing chronic diseases could lead to an overestimation of the effects of socioeconomic status in the analysis of health in adult life[3]
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