Volume 23 Issue 4
Apr.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(4): 685-690
QI Dandan, LIANG Xiao, NING Zhenlian, QIAO Mingliang, MENG Yi. Relationship between socioeconomic status and restricted mobility trajectory in the life course of middle-aged and elderly people[J]. Chinese Journal of General Practice, 2025, 23(4): 685-690. doi: 10.16766/j.cnki.issn.1674-4152.003980
Citation: QI Dandan, LIANG Xiao, NING Zhenlian, QIAO Mingliang, MENG Yi. Relationship between socioeconomic status and restricted mobility trajectory in the life course of middle-aged and elderly people[J]. Chinese Journal of General Practice, 2025, 23(4): 685-690. doi: 10.16766/j.cnki.issn.1674-4152.003980
shu

Relationship between socioeconomic status and restricted mobility trajectory in the life course of middle-aged and elderly people

doi: 10.16766/j.cnki.issn.1674-4152.003980
  • 1.

    The Second Clinical Medical College of Henan University of Chinese Medicine, Zhengzhou, Henan 450002, China

Funds:

 2021JDZX2041

 2021JDZX2111

  • Received Date: 2024-04-22
    Available Online: 2025-06-30
    Abstract
  •   Objective  To evaluate the association between socioeconomic status and the trajectory of mobility limitation over the life course, and to provide evidence to support the identification of risk factors for late quality of life in middle-aged and older adults.  Methods  Based on the China Health and Retirement Tracking Survey (CHARLS) data, into the third followed up and observed at least twice limited mobility of 7 714 subjects, the trajectory model based on group to explore mobile capacity constrained optimal trajectory group. Multinomial logistic regression models were used to assess the socioeconomic status of each follow-up and the association between socioeconomic status (SES) trajectories over the life course and mobility limitation trajectories. Mediating effect analysis was used to explore the mediating effect of adult socioeconomic status (ASE) on the association between childhood socioeconomic status (CSE) and the trajectory of mobility limitation.  Results  The participants with low SES in childhood or adulthood were at higher risk of developing into the poor mobility limitation trajectory group. Compared with high-high SES, high-low SES and low-low SES were both associated with an increased risk of persistent moderate and increasing to high mobility limitation trajectories, respectively, and the cumulative risk of exposure to adverse SES was greatest during these two periods. In addition, ASE had a significant indirect effect on the association between CSE and the persistent trajectory group or the increasing trajectory group, and the correlation between the mobility limitation trajectory and CSE could reach 13.68%-35.90%.  Conclusion  Intervention in socioeconomic status exposure in childhood and adulthood can effectively reduce the risk of mobility limitations in later life.

     

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