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medRxiv PreprintsInternational5 November 2026

The life course shaping of quality of life in older age: does childhood poverty associate with control, autonomy, self-realisation and pleasure? A retrospective and prospective study of HRS, ELSA, SHARE and TILDA cohorts

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Later-life quality of life is increasingly recognised as a life-course achievement, yet ageing research has focused more on dysfunction and decline than on positive wellbeing. This study examines whether childhood poverty shapes later-life quality of life, measured by CASP: control, autonomy, self-realisation and pleasure. METHODS: I analysed harmonised data from 59,569 adults aged over 50 in 29 countries, drawn from HRS, ELSA, SHARE and TILDA (U.S. Health and Retirement Study, English Longitudinal Study of Ageing, Survey of Health, Ageing and Retirement in Europe, The Irish Longitudinal Study
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