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An Enduring Health Risk of Childhood Adversity: Earlier, More Severe, and Longer Lasting Work Disability in Adult Life

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  • Sarah B Laditka
  • James N Laditka

Abstract

Objectives Childhood adversity has been linked with adult health problems. We hypothesized that childhood adversity would also be associated with work limitations due to physical or nervous health problems, known as work disability. MethodWith data from the Panel Study of Income Dynamics (PSID) (1968–2013; n = 6,045; 82,374 transitions; 129,107 person-years) and the 2014 PSID Childhood Retrospective Circumstances Study, we estimated work disability transition probabilities with multinomial logistic Markov models. Four or more adversities defined a high level. Microsimulations quantified adult work disability patterns for African American and non-Hispanic white women and men, accounting for age, education, race, sex, diabetes, heart disease, obesity, and sedentary behavior. Results Childhood adversity was significantly associated with work disability. Of African American women with high adversity, 10.2% had moderate work disability at age 30 versus 4.1% with no reported adversities; comparable results for severe work disability were 5.6% versus 1.9% (both p < .01). Comparable results for whites were 11.3% versus 4.7%, and 3.5% versus 1.1% (p < .01). The association of childhood adversity with work disability remained significant after adjusting for diabetes, heart disease, obesity, and sedentary behavior (p < .05).ConclusionsChildhood adversity may increase work disability throughout adult life.

Suggested Citation

  • Sarah B Laditka & James N Laditka, 2019. "An Enduring Health Risk of Childhood Adversity: Earlier, More Severe, and Longer Lasting Work Disability in Adult Life," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 74(1), pages 136-147.
    • Handle: RePEc:oup:geronb:v:74:y:2019:i:1:p:136-147.
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    File URL: http://hdl.handle.net/10.1093/geronb/gby018
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    Cited by:

    1. Brady, David & Guerra, Christian & Kohler, Ulrich & Link, Bruce, 2022. "The Long Arm of Prospective Childhood Income for Mature Adult Health in the United States," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 63(4), pages 543-559.

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