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Work–family lifecourses and later-life health in the United Kingdom

Published online by Cambridge University Press:  23 December 2019

Marco Tosi Open the ORCID record for Marco Tosi [Opens in a new window]  and
Emily Grundy
Marco Tosi*
Affiliation:
Collegio Carlo Alberto, Turin, Italy
Emily Grundy
Affiliation:
Institute for Social and Economic Research, University of Essex, Colchester, UK
*
*Corresponding author. Email: [email protected]
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Abstract

Socio-economic inequalities in physical and mental health persist at older ages and previous studies have shown that partnership and parenthood histories are also associated with differentials in later-life health. These domains of adult life interact, and both may be influenced by earlier life circumstances, indicating a need for a holistic approach to understanding lifecourse influences on health at older ages. In this paper, we identify classes of lifecourse types for a United Kingdom (UK) cohort born 1933–1945 and investigate differences between the latent classes identified in physical and mental health, and changes in health over a five-year follow-up period. Data were drawn from Waves 1–5 (2009–2013) of the nationally representative UK Household Longitudinal Study. Multi-level models were used to analyse associations with summary indicators of physical and mental health measured using the SF-12, and changes in health, controlling for childhood circumstances and taking account of support from family and friends in later life. Lifecourses characterised by lower socio-economic position, early parenthood and large family size were associated with worse physical and mental health in later life, with respondents who had combined a high socio-economic position and two children being the most advantaged. The study indicates that socio-economic disparities in later-life health vary depending on the way in which individuals combine work and family life.

Keywords

lifecourse perspectiveworkfamilyhealtholder peopleUnited Kingdom (UK)
Type
Article
Information
Ageing & Society , Volume 41 , Special Issue 6: New Frontiers in International Retirement Migration , June 2021 , pp. 1371 - 1397
Copyright
Copyright © Cambridge University Press 2019

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References

Albertini, M and Tosi, M (2018) Grandparenting after parental divorce: the association between non-resident parent–child meetings and grandparenting in Italy. European Journal of Ageing 15, 277–286.CrossRefGoogle ScholarPubMed
Arpino, B, Gumà, J and Julià, A (2018) Early-life conditions and health at older ages: the mediating role of educational attainment, family and employment trajectories. PLOS ONE 13, e0195320.CrossRefGoogle ScholarPubMed
Avendano, M, Berkman, LF, Brugiavini, A and Pasini, G (2015). The long-run effect of maternity leave benefits on mental health: evidence from European countries. Social Science & Medicine 132, 45–53.CrossRefGoogle ScholarPubMed
Barnett, RC and Hyde, JS (2001). Women, men, work, and family: an expansionist theory. American Psychologist 56, 781–796.CrossRefGoogle Scholar
Bartley, M and Plewis, I (2002) Accumulated labour market disadvantage and limiting long-term illness: data from the 1971–1991 Office for National Statistics’ Longitudinal Study. International Journal of Epidemiology 31, 336–341.Google ScholarPubMed
Benson, R, Glaser, K, Corna, LM, Platts, LG, Di Gessa, G, Worts, D and Sacker, A (2017) Do work and family care histories predict health in older women? European Journal of Public Health 27, 1010–1015.CrossRefGoogle ScholarPubMed
Berkman, LF, Zheng, Y, Glymour, MM, Avendano, M, Börsch-Supan, A and Sabbath, EL (2015) Mothering alone: cross-national comparisons of later-life disability and health among women who were single mothers. Journal of Epidemiology and Community Health 69, 865–872.CrossRefGoogle ScholarPubMed
Carr, D (2002) The psychological consequences of work–family trade-offs for three cohorts of men and women. Social Psychology Quarterly 65, 103–124.CrossRefGoogle Scholar
Chandola, T, Ferrie, J, Sacker, A and Marmot, M (2007) Social inequalities in self reported health in early old age: follow-up of prospective cohort study. BMJ 334, 990–997.CrossRefGoogle ScholarPubMed
Chandola, T, Booker, CL, Kumari, M and Benzeval, M (2019). Are flexible work arrangements associated with lower levels of chronic stress-related biomarkers? a study of 6025 employees in the UK household longitudinal study. Sociology, DOI: 10.1177/0038038519826014CrossRefGoogle Scholar
Dempster, AP, Laird, NM and Rubin, DB (1977) Maximum likelihood from incomplete data via the EM algorithm. Journal of the Royal Statistical Society, Series B (Methodological) 39, 1–38.CrossRefGoogle Scholar
Frech, A and Damaske, S (2012). The relationships between mothers' work pathways and physical and mental health. Journal of Health and Social Behavior 53, 396–412.CrossRefGoogle ScholarPubMed
Gandek, B, Ware, JE, Aaronson, NK, Apolone, G, Bjorner, JB, Brazier, JE and Sullivan, M (1998) Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA Project. Journal of Clinical Epidemiology 51, 1171–1178.CrossRefGoogle ScholarPubMed
Gove, WR (1984) Gender differences in mental and physical illness: the effects of fixed roles and nurturant roles. Social Science & Medicine 19, 77–84.CrossRefGoogle ScholarPubMed
Grundy, E and Holt, G (2000) Adult life experiences and health in early old age in Great Britain. Social Science & Medicine 51, 1061–1074.CrossRefGoogle ScholarPubMed
Grundy, E and Read, S (2015) Pathways from fertility history to later life health: results from analyses of the English Longitudinal Study of Ageing. Demographic Research 32, 107–146.CrossRefGoogle Scholar
Grundy, E and Sloggett, A (2003) Health inequalities in the older population: the role of personal capital, social resources and socio-economic circumstances. Social Science & Medicine 56, 935–947.CrossRefGoogle ScholarPubMed
Grundy, E and Tomassini, C (2010) Marital history, health and mortality among older men and women in England and Wales. BMC Public Health 10, 554–568.CrossRefGoogle ScholarPubMed
Grundy, E, Van den Broek, T and Keenan, K (2019) Number of children, partnership status, and later-life depression in Eastern and Western Europe. Journals of Gerontology: Psychological Sciences and Social Sciences 74B, 353–363.CrossRefGoogle Scholar
Holdsworth, C, Mendonça, M, Pikhart, H, Frisher, M, de Oliveira, C and Shelton, N (2016) Is regular drinking in later life an indicator of good health? Evidence from the English Longitudinal Study of Ageing. Journal of Epidemiology and Community Health 70, 764–770.CrossRefGoogle ScholarPubMed
House, JS, Lantz, PM and Herd, P (2005) Continuity and change in the social stratification of aging and health over the life course: evidence from a nationally representative longitudinal study from 1986 to 2001/2002 (Americans’ Changing Lives Study). Journals of Gerontology: Psychological Sciences and Social Sciences 60B, S15–S26.CrossRefGoogle Scholar
Johansson, G, Huang, Q and Lindfors, P (2007) A life-span perspective on women's careers, health, and well-being. Social Science & Medicine 65, 685–697.CrossRefGoogle ScholarPubMed
Keenan, K, Ploubidis, GB, Silverwood, RJ and Grundy, E (2017) Life-course partnership history and midlife health behaviours in a population based birth cohort. Journal of Epidemiology and Community Health 71, 232–238.CrossRefGoogle Scholar
Knies, G (2017) Understanding Society: The UK Household Longitudinal Study, Waves 1–7: User Guide. Colchester, UK: Institute for Social and Economic Research, University of Essex.Google Scholar
Kravdal, Ø, Grundy, E, Lyngstad, TH and Wiik, KA (2012) Family life history and late mid-life mortality in Norway. Population and Development Review 38, 237–257.CrossRefGoogle Scholar
Kravdal, Ø and Rindfuss, RR (2008) Changing relationships between education and fertility: a study of women and men born 1940 to 1964. American Sociological Review 73, 854–873.CrossRefGoogle Scholar
Kuh, D, Ben-Shlomo, Y, Lynch, J, Hallqvist, J and Power, C (2003) Life course epidemiology. Journal of Epidemiology & Community Health 57, 778–783.CrossRefGoogle ScholarPubMed
Lacey, RE, Sacker, A, Bell, S, Kumari, M, Worts, D, McDonough, P and McMunn, A (2017) Work–family life courses and BMI trajectories in three British birth cohorts. International Journal of Obesity 41, 332–339.CrossRefGoogle ScholarPubMed
Lacey, RE, Sacker, A, Kumari, M, Worts, D, McDonough, P, Booker, C and McMunn, A (2016 a) Work–family life courses and markers of stress and inflammation in mid-life: evidence from the National Child Development Study. International Journal of Epidemiology 45, 1247–1259.CrossRefGoogle ScholarPubMed
Lacey, R, Stafford, M, Sacker, A and McMunn, A (2016 b) Work–family life courses and subjective wellbeing in the MRC National Survey of health and development (the 1946 British birth cohort study). Journal of Population Ageing 9, 69–89.CrossRefGoogle Scholar
Lahelma, E, Arber, S, Kivelä, K and Roos, E (2002) Multiple roles and health among British and Finnish women: the influence of socioeconomic circumstances. Social Science & Medicine 54, 727–740.CrossRefGoogle ScholarPubMed
Leupp, K (2017) Depression, work and family roles, and the gendered life course. Journal of Health and Social Behavior 58, 422–441.CrossRefGoogle ScholarPubMed
Lu, W, Benson, R, Glaser, K, Platts, LG, Corna, LM, Worts, D and Sacker, A (2017) Relationship between employment histories and frailty trajectories in later life: evidence from the English Longitudinal Study of Ageing. Journal of Epidemiology & Community Health 71, 439–445.CrossRefGoogle ScholarPubMed
Marinho, V, Blay, SL, Andreoli, SB and Gastal, F (2008) A prevalence study of current tobacco smoking in later life community and its association with sociodemographic factors, physical health and mental health status. Social Psychiatry and Psychiatric Epidemiology 43, 490–497.CrossRefGoogle ScholarPubMed
McCarron, P, Smith, GD, Okasha, M and McEwen, J (2001) Smoking in adolescence and young adulthood and mortality in later life: prospective observational study. Journal of Epidemiology & Community Health 55, 334–335.CrossRefGoogle Scholar
McDonough, P, Worts, D, Booker, C, McMunn, A and Sacker, A (2015) Cumulative disadvantage, employment–marriage, and health inequalities among American and British mothers. Advances in Life Course Research 25, 49–66.CrossRefGoogle Scholar
McKetta, S, Prins, SJ, Platt, J, Bates, LM and Keyes, K (2018) Social sequencing to determine patterns in health and work–family trajectories for US women, 1968–2013. SSM – Population Health 6, 301–308.CrossRefGoogle Scholar
McMunn, A, Bartley, M, Hardy, R and Kuh, D (2006) Life course social roles and women's health in mid-life: causation or selection? Journal of Epidemiology & Community Health 60, 484–489.CrossRefGoogle ScholarPubMed
McMunn, A, Lacey, RE, Kumari, M, Worts, D, McDonough, P and Sacker, A (2016) Work–family life courses and metabolic markers in mid-life: evidence from the British National Child Development Study. Journal of Epidemiology & Community Health 45, 1247–1259.Google Scholar
Mirowsky, J and Ross, CE (2002) Depression, parenthood, and age at first birth. Social Science & Medicine 54, 1281–1298.CrossRefGoogle ScholarPubMed
Montez, JK, Martikainen, P, Remes, H and Avendano, M (2015) Work–family context and the longevity disadvantage of US women. Social Forces 3, 1567–1597.CrossRefGoogle Scholar
Nordenmark, M (2004) Multiple social roles and well-being: a longitudinal test of the role stress theory and the role expansion theory. Acta Sociologica 47, 115–126.CrossRefGoogle Scholar
O'Flaherty, M, Baxter, J, Haynes, M and Turrell, G (2016) The family life course and health: partnership, fertility histories, and later-life physical health trajectories in Australia. Demography 53, 777–804.CrossRefGoogle ScholarPubMed
Platts, LG, Netuveli, G, Webb, E, Zins, M, Goldberg, M, Blane, D and Wahrendorf, M (2013) Physical occupational exposures during working life and quality of life after labour market exit: results from the GAZEL study. Aging & Mental Health 17, 697–706.CrossRefGoogle ScholarPubMed
Read, S and Grundy, E (2011) Fertility history and quality of life in older women and men. Ageing & Society 31, 125–145.CrossRefGoogle Scholar
Read, S, Grundy, E and 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, 529–542.CrossRefGoogle ScholarPubMed
Read, S, Grundy, E and Wolf, DA (2011) Fertility history, health, and health changes in later life: a panel study of British women and men born 1923–49. Population Studies 65, 201–215.CrossRefGoogle ScholarPubMed
Richards, L and Paskov, M (2016) Social class, employment status and inequality in psychological well-being in the UK: cross-sectional and fixed effects analyses over two decades. Social Science & Medicine 167, 45–53.CrossRefGoogle ScholarPubMed
Sabbath, EL, Guevara, IM, Glymour, MM and Berkman, LF (2015 a) Use of life course work–family profiles to predict mortality risk among US women. American Journal of Public Health 105, e96–e102.CrossRefGoogle ScholarPubMed
Sabbath, EL, Guevara, IM, Noelke, C and Berkman, LF (2015 b) The long-term mortality impact of combined job strain and family circumstances: a life course analysis of working American mothers. Social Science & Medicine 146, 111–119.CrossRefGoogle ScholarPubMed
Schnettler, S and Wohler, T (2016) No children in later life, but more and better friends? Substitution mechanisms in the personal and support networks of parents and the childless in Germany. Ageing & Society 36, 1339–1363.CrossRefGoogle Scholar
Siegrist, J and Marmot, M (2004) Health inequalities and the psychosocial environment – two scientific challenges. Social Science & Medicine 58, 1463–1473.CrossRefGoogle ScholarPubMed
Stone, J, Evandrou, M, Falkingham, J and Vlachantoni, A (2015) Women's economic activity trajectories over the life course: implications for the self-rated health of women aged 64+ in England. Journal of Epidemiology & Community Health 69, 873–879.CrossRefGoogle ScholarPubMed
Teo, AR, Choi, H, Andrea, SB, Valenstein, M, Newsom, JT, Dobscha, SK and Zivin, K (2015) Does mode of contact with different types of social relationships predict depression in older adults? Evidence from a nationally representative survey. Journal of the American Geriatrics Society 63, 2014–2022.CrossRefGoogle ScholarPubMed
Tosi, M (2017). Leaving-home transition and later parent-child relationships: proximity and contact in Italy. European Societies 19, 69–90.CrossRefGoogle Scholar
Tosi, M and Gähler, M (2016) Nest-leaving, childhood family climate and later parent–child contact in Sweden. Acta Sociologica 59, 249–268.CrossRefGoogle Scholar
Tosi, M and Grundy, E (2018) Intergenerational contacts and depressive symptoms among older parents in Eastern Europe. Aging & Mental Health 23, 686–692.CrossRefGoogle ScholarPubMed
University of Essex, Institute for Social and Economic Research, NatCen Social Research and Kantar Public (2018) Understanding Society: Waves 1–8, 2009–2017. Data collection, 11th Edn. UK Data Service. SN: 6614. Available at http://doi.org/10.5255/UKDA-SN-6614-12.CrossRefGoogle Scholar
Van den Broek, T, Tosi, M and Grundy, E (2019) Offspring and later-life loneliness in Eastern and Western Europe. ZfF – Zeitschrift für Familienforschung/Journal of Family Research 31, 199–216.CrossRefGoogle Scholar
Van Hedel, K, Mejía-Guevara, I, Avendaño, M, Sabbath, EL, Berkman, LF, Mackenbach, JP and van Lenthe, FJ (2016) Work–family trajectories and the higher cardiovascular risk of American women relative to women in 13 European countries. American Journal of Public Health 106, 1449–1456.CrossRefGoogle ScholarPubMed
Wahrendorf, M (2015) Previous employment histories and quality of life in older ages: sequence analyses using SHARELIFE. Ageing & Society 35, 1928–1959.CrossRefGoogle Scholar
Wahrendorf, M, Blane, D, Bartley, M, Dragano, N and Siegrist, J (2013) Working conditions in mid-life and mental health in older ages. Advances in Life Course Research 18, 16–25.CrossRefGoogle ScholarPubMed
Wolff, JL and Kasper, JD (2006). Caregivers of frail elders: Updating a national profile. The Gerontologist 46, 344–356.CrossRefGoogle ScholarPubMed
Worts, D, Sacker, A, McMunn, A and McDonough, P (2013) Individualization, opportunity and jeopardy in American women's work and family lives: a multi-state sequence analysis. Advances in Life Course Research 18, 296–318.CrossRefGoogle ScholarPubMed
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