title: Mediating role of education and lifestyles in the relationship between early-life conditions and health: evidence from the 1958 British cohort.
abstract: The paper focuses on the long-term effects of early-life conditions with comparison to lifestyles and educational attainment on health status in a cohort of British people born in 1958. Using the longitudinal follow-up data at age 23, 33, 42 and 46, we build a dynamic model to investigate the influence of each determinant on health and the mediating role of education and lifestyles in the relationship between early-life conditions and later health. Direct and indirect effects of early-life conditions on adult health are explored using auxiliary linear regressions of education and lifestyles and panel Probit specifications of self-assessed health with random effects addressing individual unexplained heterogeneity. Our study shows that early-life conditions are important parameters for adult health accounting for almost 20% of explained health inequality when mediating effects are identified. The contribution of lifestyles reduces from 32% down to 25% when indirect effects of early-life conditions and education are distinguished. Noticeably, the absence of father at the time of birth and experience of financial hardships represent the lead factors for direct effects on health. The absence of obesity at 16 influences health both directly and indirectly working through lifestyles.
authors.affiliation: AUHE, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK. s.tubeuf@leeds.ac.uk
authors.forename: Sandy
authors.initials: S
authors.lastname: Tubeuf
authors.forename: Florence
authors.initials: F
authors.lastname: Jusot
authors.forename: Damien
authors.initials: D
authors.lastname: Bricard
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003627:Data Interpretation, Statistical; D004522:Educational Status; D005260:Female; D006304:Health Status; D054624:Health Status Disparities; D006801:Humans; D008019:Life Style; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D006113:United Kingdom