{"doi":"10.1093/geronb/gbaa036","title":"Do Welfare Regimes Moderate Cumulative Dis/advantages Over the Life Course? Cross-National Evidence from Longitudinal SHARE Data","abstract":"OBJECTIVES: This study aimed to examine the cumulative disadvantage of different forms of childhood misfortune and adult-life socioeconomic conditions (SEC) with regard to trajectories and levels of self-rated health in old age and whether these associations differed between welfare regimes (Scandinavian, Bismarckian, Southern European, and Eastern European). METHOD: The study included 24,004 respondents aged 50-96 from the longitudinal SHARE survey. Childhood misfortune included childhood SEC, adverse childhood experiences, and adverse childhood health experiences. Adult-life SEC consisted of education, main occupational position, and financial strain. We analyzed associations with poor self-rated health using confounder-adjusted mixed-effects logistic regression models for the complete sample and stratified by welfare regime. RESULTS: Disadvantaged respondents in terms of childhood misfortune and adult-life SEC had a higher risk of poor self-rated health at age 50. However, differences narrowed with aging between adverse-childhood-health-experiences categories (driven by Southern and Eastern European welfare regimes), categories of education (driven by Bismarckian welfare regime), and main occupational position (driven by Scandinavian welfare regime). DISCUSSION: Our research did not find evidence of cumulative disadvantage with aging in the studied life-course characteristics and age range. Instead, trajectories showed narrowing differences with differing patterns across welfare regimes.","journal":"The Journals of Gerontology Series B","year":2020,"id":95801,"datarank":1.2734823884648965,"base_score":3.58351893845611,"endowment":3.58351893845611,"self_citation_contribution":0.5375278407684165,"citation_network_contribution":0.7359545476964799,"self_endowment_contribution":0.5375278407684165,"citer_contribution":0.7359545476964799,"corpus_percentile":null,"corpus_rank":null,"citation_count":35,"citer_count":25,"citers_with_citation_signal":18,"citers_with_endowment":18,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8102,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":475435,"name":"Boris Cheval","orcid":"0000-0002-6236-4673","position":1,"is_corresponding":false},{"id":475436,"name":"Dan Orsholits","orcid":"0000-0003-4131-4148","position":2,"is_corresponding":false},{"id":475437,"name":"B. Lindén","orcid":"0000-0002-4815-2121","position":3,"is_corresponding":false},{"id":38710,"name":"Idris Guessous","orcid":"0000-0002-0491-6089","position":4,"is_corresponding":false},{"id":475438,"name":"Rainer Gabriel","orcid":"0000-0002-1656-5984","position":5,"is_corresponding":false},{"id":475439,"name":"Matthias Kliegel","orcid":"0000-0002-2001-2522","position":6,"is_corresponding":false},{"id":476279,"name":"Martina von Arx","orcid":null,"position":7,"is_corresponding":false},{"id":354330,"name":"Michelle Kelly‐Irving","orcid":"0000-0001-5749-4791","position":8,"is_corresponding":false},{"id":475440,"name":"Marja Aartsen","orcid":"0000-0003-4246-7621","position":9,"is_corresponding":false},{"id":64611,"name":"Matthieu P. Boisgontier","orcid":"0000-0001-9376-3071","position":10,"is_corresponding":false},{"id":475441,"name":"Delphine S. Courvoisier","orcid":"0000-0002-1956-2607","position":11,"is_corresponding":false},{"id":475442,"name":"Claudine Burton‐Jeangros","orcid":"0000-0003-2258-9728","position":12,"is_corresponding":false},{"id":475443,"name":"Stéphane Cullati","orcid":"0000-0002-3881-446X","position":13,"is_corresponding":false},{"id":475434,"name":"Stefan Sieber","orcid":"0000-0001-7669-2478","position":0,"is_corresponding":true}],"reference_count":58,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T22:33:57.534608Z","pmid":"32206791","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}