Upward Mobility Context and Health Outcomes and Behaviors during Transition to Adulthood: The Intersectionality of Race and Sex.

Emma Zang, Melissa Tian
Author Information
  1. Emma Zang: Yale University, New Haven, CT, USA. ORCID
  2. Melissa Tian: Yale University, New Haven, CT, USA.

Abstract

This study investigates how upward mobility context affects health during transition to adulthood and its variations by race and sex. Using county-level upward mobility measures and data from the Panel Study of Income Dynamics, we apply propensity score weighting techniques to examine these relationships. Results show that low upward mobility context increases the likelihood of poor self-rated health, obesity, and cigarette use but decreases alcohol consumption probability. Conversely, high upward mobility context raises the likelihood of distress, chronic conditions, and alcohol use but reduces cigarette use likelihood. In low-opportunity settings, Black individuals have lower risks of chronic conditions and cigarette use than White men. In high-opportunity settings, Black women are more likely to experience depression and chronic conditions, and Black men are likelier to smoke than White men. Our findings emphasize the complex link between upward mobility context and health for different racial and sex groups.

Keywords

References

  1. Am J Public Health. 2014 Jan;104(1):143-50 [PMID: 24228655]
  2. J Behav Med. 1983 Sep;6(3):259-78 [PMID: 6663614]
  3. J Adolesc Health. 2006 Sep;39(3):305-17 [PMID: 16919791]
  4. Soc Sci Med. 2021 Jul;281:114085 [PMID: 34090157]
  5. Health Place. 2020 May;63:102336 [PMID: 32543425]
  6. Public Health Rep. 2010 Nov-Dec;125(6):810-6 [PMID: 21121226]
  7. Alcohol Clin Exp Res. 2016 May;40(5):1010-9 [PMID: 26996826]
  8. Demography. 2017 Feb;54(1):175-200 [PMID: 28092071]
  9. Soc Sci Res. 2023 Feb;110:102818 [PMID: 36796994]
  10. J Youth Adolesc. 2018 Oct;47(10):2073-2087 [PMID: 29185208]
  11. J Health Econ. 2006 Sep;25(5):979-1003 [PMID: 16580079]
  12. J Racial Ethn Health Disparities. 2016 Oct 17;: [PMID: 27753050]
  13. BMJ. 2019 Oct 23;367:l5657 [PMID: 31645336]
  14. Health Place. 2019 Jul;58:102159 [PMID: 31280141]
  15. Obes Rev. 2017 May;18(5):581-593 [PMID: 28273680]
  16. Front Neurol. 2019 Apr 12;10:366 [PMID: 31031696]
  17. Cult Med Psychiatry. 1994 Jun;18(2):163-82 [PMID: 7924399]
  18. JAMA Intern Med. 2020 Mar 1;180(3):429-436 [PMID: 31961379]
  19. Behav Sci (Basel). 2018 Nov 21;8(11): [PMID: 30469353]
  20. N Engl J Med. 2007 Jul 26;357(4):370-9 [PMID: 17652652]
  21. Ethn Racial Stud. 2018;41(9):1594-1611 [PMID: 30245537]
  22. Front Psychol. 2022 Oct 26;13:953304 [PMID: 36389468]
  23. Soc Sci Med. 2012 Jun;74(11):1791-801 [PMID: 22326306]
  24. Obes Rev. 2011 May;12(5):329-38 [PMID: 20880111]
  25. J Gerontol B Psychol Sci Soc Sci. 2022 May 27;77(Suppl_2):S199-S208 [PMID: 35106575]
  26. Soc Sci Med. 2013 Sep;93:139-46 [PMID: 23906131]
  27. Subst Use Misuse. 2018 Oct 15;53(12):1984-1996 [PMID: 29578821]
  28. J Appl Psychol. 2006 Mar;91(2):426-36 [PMID: 16551193]
  29. Lancet Public Health. 2016 Nov;1(1):e18-e25 [PMID: 29253376]
  30. Am J Public Health. 2003 Sep;93(9):1576-82 [PMID: 12948983]
  31. Arch Gen Psychiatry. 2003 Feb;60(2):184-9 [PMID: 12578436]
  32. Circulation. 2012 Feb 28;125(8):996-1004 [PMID: 22291127]
  33. J Gerontol B Psychol Sci Soc Sci. 2021 Feb 17;76(3):583-595 [PMID: 32064519]
  34. Soc Sci Med. 2009 Aug;69(3):327-34 [PMID: 19552992]
  35. J Black Psychol. 2016 Jun;42(3):221-243 [PMID: 27529626]
  36. Annu Rev Psychol. 2022 Jan 4;73:599-628 [PMID: 34579546]
  37. SSM Popul Health. 2020 Mar 09;11:100564 [PMID: 32195315]
  38. Soc Psychiatry Psychiatr Epidemiol. 2012 Mar;47(3):373-81 [PMID: 21293845]
  39. J Health Soc Behav. 2018 Mar;59(1):56-73 [PMID: 29300495]
  40. Am J Public Health. 2016 Mar;106(3):478-84 [PMID: 26691108]
  41. Epidemiology. 2017 Mar;28(2):e12-e13 [PMID: 27787290]
  42. J Child Adolesc Psychiatr Nurs. 2013 Feb;26(1):62-73 [PMID: 23351109]
  43. Malays J Med Sci. 2008 Oct;15(4):9-18 [PMID: 22589633]
  44. Am J Health Promot. 2008 Jul-Aug;22(6):400-7 [PMID: 18677880]
  45. Health Place. 2021 Jul;70:102628 [PMID: 34280713]
  46. Sociol Health Illn. 2021 Sep;43(8):1754-1773 [PMID: 33884635]
  47. BMC Public Health. 2019 Dec 5;19(1):1637 [PMID: 31805907]
  48. Lancet Public Health. 2020 Mar;5(3):e140-e149 [PMID: 32007134]
  49. Am Econ Rev. 2016 Apr;106(4):855-902 [PMID: 29546974]
  50. Psychol Assess. 2016 Jun;28(6):775-9 [PMID: 26214014]
  51. J Adolesc Health. 2009 Jul;45(1):8-24 [PMID: 19541245]

Grants

  1. P30 AG021342/NIA NIH HHS
  2. R21 AG074238/NIA NIH HHS
  3. R25 HD083146/NICHD NIH HHS

MeSH Term

Humans
Male
Female
Adult
Sex Factors
Health Behavior
White People
Social Mobility
Health Status
Black or African American
Young Adult
Alcohol Drinking
Middle Aged
Smoking
Adolescent
Racial Groups

Word Cloud

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