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Lifetime Trajectories and Drivers of Socioeconomic Health Disparities: Evidence from Longitudinal Biomarkers in the Netherlands

Author

Listed:
  • Shui, Ailun

    (University of Groningen)

  • van den Berg, Gerard J.

    (University of Groningen)

  • Mierau, Jochen O.

    (University of Groningen)

  • Viluma, Laura

    (University of Groningen)

Abstract
This study investigates lifetime socioeconomic health disparities through longitudinal biomarkers from the Dutch Lifelines cohort study and biobank. We construct an allostatic load index from 12 biomarkers and analyze the dynamics of health and its association with socioeconomic status (SES) over the life cycle. Our findings reveal that health risks linked to lower SES emerge early and precede chronic disease onset. Further analysis investigates the drivers of allostatic load and emphasizes health behaviors. The results highlight the need for early interventions targeting SES-related health disparities and provide new insights into the physiological pathways linking SES to long-term health outcomes.

Suggested Citation

  • Shui, Ailun & van den Berg, Gerard J. & Mierau, Jochen O. & Viluma, Laura, 2025. "Lifetime Trajectories and Drivers of Socioeconomic Health Disparities: Evidence from Longitudinal Biomarkers in the Netherlands," IZA Discussion Papers 17796, Institute of Labor Economics (IZA).
  • Handle: RePEc:iza:izadps:dp17796
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    References listed on IDEAS

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    1. Johnson, Sarah C. & Cavallaro, Francesca L. & Leon, David A., 2017. "A systematic review of allostatic load in relation to socioeconomic position: Poor fidelity and major inconsistencies in biomarkers employed," Social Science & Medicine, Elsevier, vol. 192(C), pages 66-73.
    2. Seeman, Teresa E. & Crimmins, Eileen & Huang, Mei-Hua & Singer, Burton & Bucur, Alexander & Gruenewald, Tara & Berkman, Lisa F. & Reuben, David B., 2004. "Cumulative biological risk and socio-economic differences in mortality: MacArthur Studies of Successful Aging," Social Science & Medicine, Elsevier, vol. 58(10), pages 1985-1997, May.
    3. Vincenzo Carrieri & Apostolos Davillas & Andrew M. Jones, 2020. "A latent class approach to inequity in health using biomarker data," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 808-826, July.
    4. Davillas, Apostolos & Jones, Andrew M, 2020. "Ex ante inequality of opportunity in health, decomposition and distributional analysis of biomarkers," Journal of Health Economics, Elsevier, vol. 69(C).
    5. Lanlin Ding & Andrew M. Jones & Peng Nie, 2022. "Ex ante Inequality of Opportunity in Health among the Elderly in China: A Distributional Decomposition Analysis of Biomarkers," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 68(4), pages 922-950, December.
    6. Jeffrey T. Howard & P. Johnelle Sparks, 2016. "The Effects of Allostatic Load on Racial/Ethnic Mortality Differences in the United States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 35(4), pages 421-443, August.
    7. Kaveh Danesh & Jonathan T. Kolstad & William D. Parker & Johannes Spinnewijn, 2024. "The Chronic Disease Index: Analyzing Health Inequalities Over the Lifecycle," NBER Working Papers 32577, National Bureau of Economic Research, Inc.
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    More about this item

    Keywords

    lifestyle; biomarkers; allostatic load; chronic diseases; life cycle;
    All these keywords.

    JEL classification:

    • D31 - Microeconomics - - Distribution - - - Personal Income and Wealth Distribution
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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