BACKGROUND Welfare regimes in Europe modify individuals' socioeconomic trajectories over their life-course, and, ultimately, the link between socioeconomic circumstances (SECs) and health. This paper aimed to assess whether the associations between life-course SECs (early-life, young adult-life, middle-age and old-age) and risk of poor self-rated health (SRH) trajectories in old age are modified by welfare regimes (Scandinavian [SC], Bismarckian [BM], Southern European [SE], Eastern European [EE]). METHODS We used data from the longitudinal SHARE survey. Early-life SECs consisted of four indicators of living conditions at age 10. Young adult-life, middle-age, and old-age SECs indicators were education, main occupation and satisfaction with household income, respectively. The association of life-course SECs with poor SRH trajectories was analysed by confounder-adjusted multilevel logistic regression models stratified by welfare regime. We included 24 011 participants (3626 in SC, 10 256 in BM, 6891 in SE, 3238 in EE) aged 50 to 96 years from 13 European countries. RESULTS The risk of poor SRH increased gradually with early-life SECs from most advantaged to most disadvantaged. The addition of adult-life SECs differentially attenuated the association of early-life SECs and SRH at older age across regimes: education attenuated the association only in SC and SE regimes and occupation only in SC and BM regimes; satisfaction with household income attenuated the association across regimes. CONCLUSIONS Early-life SECs have a long-lasting effect on SRH in all welfare regimes. Adult-life SECs attenuated this influence differently across welfare regimes.

中文翻译：

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福利制度改变了处于不利地位的成年人的社会经济状况与年老时自我评价的健康之间的联系。

背景技术欧洲的福利制度改变了个人在其整个生命过程中的社会经济轨迹，并最终改变了社会经济状况（SEC）与健康之间的联系。本文旨在评估是否可以通过福利来改变生命历程SEC（早年，成年年轻人，中年人和老年人）与老年人自评健康（SRH）轨迹不良的风险之间的关联政权（斯堪的纳维亚[SC]，Bi斯麦[BM]，南欧[SE]，东欧[EE]）。方法我们使用了来自纵向SHARE调查的数据。早期SEC SEC包括10岁时生活状况的四个指标，成年SEC指标，中年和老年SEC指标分别是教育程度，主要职业和对家庭收入的满意度。通过由福利制度分层的混杂因素调整的多级逻辑回归模型，分析了生命周期SEC与SRH轨迹不良的关联。我们包括来自欧洲13个国家的50到96岁的24 011名参与者（SC中的3626人，BM的10256人，SE的6891人，EE的3238人）。结果随着早期SEC的出现，从最有利到最不利的人群，SRH不良的风险逐渐增加。成年SEC的加入在不同制度下差异性地减弱了较早年龄的SEC和SRH的关联：教育仅在SC和SE体制下减弱了关联，而在SC和BM体制下仅有职业。对家庭收入的满意度削弱了各个政权之间的联系。结论早期SEC在所有福利制度中对SRH都有长期影响。