Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata
Accepted manuscript version. Published version available at https://doi.org/10.1136/jech-2016-208671 . Background : Previous methods for assessing mediation assume no multiplicative interactions. The inverse odds weighting (IOW) approach has been presented as a method that can be used even when inte...
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ftunivtroemsoe:oai:munin.uit.no:10037/13132 2023-05-15T18:34:49+02:00 Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata Sheikh, Mashhood Ahmed Abelsen, Birgit Olsen, Jan Abel 2017-09-12 https://hdl.handle.net/10037/13132 https://doi.org/10.1136/jech-2016-208671 eng eng BMJ Publishing Group Journal of Epidemiology and Community Health http://jech.bmj.com/content/71/11/1037 Sheikh, M.A., Abelsen, B. & Olsen, J.A. (2017). Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata. Journal of Epidemiology and Community Health. 71(11), 1037-1045. https://doi.org/10.1136/jech-2016-208671 FRIDAID 1493171 doi:10.1136/jech-2016-208671 0143-005X 1470-2738 https://hdl.handle.net/10037/13132 openAccess VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Education Subjective Social Status Income Occupational hierarchy position Social Epidemiology Health-related quality of life Subjective well-being Andre: Helse- og velferdsøkonomi Other : Health and welfare economics Journal article Tidsskriftartikkel Peer reviewed 2017 ftunivtroemsoe https://doi.org/10.1136/jech-2016-208671 2021-06-25T17:55:44Z Accepted manuscript version. Published version available at https://doi.org/10.1136/jech-2016-208671 . Background : Previous methods for assessing mediation assume no multiplicative interactions. The inverse odds weighting (IOW) approach has been presented as a method that can be used even when interactions exist. The substantive aim of this study was to assess the indirect effect of education on health and well-being via four indicators of adult socioeconomic status (SES): income, management position, occupational hierarchy position and subjective social status. Methods : 8516 men and women from the Tromsø Study (Norway) were followed for 17 years. Education was measured at age 25–74 years, while SES and health and well-being were measured at age 42–91 years. Natural direct and indirect effects (NIE) were estimated using weighted Poisson regression models with IOW. Stata code is provided that makes it easy to assess mediation in any multiple imputed dataset with multiple mediators and interactions. Results : Low education was associated with lower SES. Consequently, low SES was associated with being unhealthy and having a low level of well-being. The effect (NIE) of education on health and well-being is mediated by income, management position, occupational hierarchy position and subjective social status. Conclusion: This study contributes to the literature on mediation analysis, as well as the literature on the importance of education for health-related quality of life and subjective well-being. The influence of education on health and well-being had different pathways in this Norwegian sample. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø Journal of Epidemiology and Community Health jech-2016-208671 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Education Subjective Social Status Income Occupational hierarchy position Social Epidemiology Health-related quality of life Subjective well-being Andre: Helse- og velferdsøkonomi Other : Health and welfare economics |
spellingShingle |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Education Subjective Social Status Income Occupational hierarchy position Social Epidemiology Health-related quality of life Subjective well-being Andre: Helse- og velferdsøkonomi Other : Health and welfare economics Sheikh, Mashhood Ahmed Abelsen, Birgit Olsen, Jan Abel Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Education Subjective Social Status Income Occupational hierarchy position Social Epidemiology Health-related quality of life Subjective well-being Andre: Helse- og velferdsøkonomi Other : Health and welfare economics |
description |
Accepted manuscript version. Published version available at https://doi.org/10.1136/jech-2016-208671 . Background : Previous methods for assessing mediation assume no multiplicative interactions. The inverse odds weighting (IOW) approach has been presented as a method that can be used even when interactions exist. The substantive aim of this study was to assess the indirect effect of education on health and well-being via four indicators of adult socioeconomic status (SES): income, management position, occupational hierarchy position and subjective social status. Methods : 8516 men and women from the Tromsø Study (Norway) were followed for 17 years. Education was measured at age 25–74 years, while SES and health and well-being were measured at age 42–91 years. Natural direct and indirect effects (NIE) were estimated using weighted Poisson regression models with IOW. Stata code is provided that makes it easy to assess mediation in any multiple imputed dataset with multiple mediators and interactions. Results : Low education was associated with lower SES. Consequently, low SES was associated with being unhealthy and having a low level of well-being. The effect (NIE) of education on health and well-being is mediated by income, management position, occupational hierarchy position and subjective social status. Conclusion: This study contributes to the literature on mediation analysis, as well as the literature on the importance of education for health-related quality of life and subjective well-being. The influence of education on health and well-being had different pathways in this Norwegian sample. |
format |
Article in Journal/Newspaper |
author |
Sheikh, Mashhood Ahmed Abelsen, Birgit Olsen, Jan Abel |
author_facet |
Sheikh, Mashhood Ahmed Abelsen, Birgit Olsen, Jan Abel |
author_sort |
Sheikh, Mashhood Ahmed |
title |
Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
title_short |
Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
title_full |
Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
title_fullStr |
Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
title_full_unstemmed |
Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata |
title_sort |
education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in stata |
publisher |
BMJ Publishing Group |
publishDate |
2017 |
url |
https://hdl.handle.net/10037/13132 https://doi.org/10.1136/jech-2016-208671 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Journal of Epidemiology and Community Health http://jech.bmj.com/content/71/11/1037 Sheikh, M.A., Abelsen, B. & Olsen, J.A. (2017). Education and health and well-being: direct and indirect effects with multiple mediators and interactions with multiple imputed data in Stata. Journal of Epidemiology and Community Health. 71(11), 1037-1045. https://doi.org/10.1136/jech-2016-208671 FRIDAID 1493171 doi:10.1136/jech-2016-208671 0143-005X 1470-2738 https://hdl.handle.net/10037/13132 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1136/jech-2016-208671 |
container_title |
Journal of Epidemiology and Community Health |
container_start_page |
jech-2016-208671 |
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1766219753374875648 |