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Author: Francis, Kate
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Spencer, Nicholas James Ludvigsson, Johnny You, Yueyue Francis, Kate Awad, Yara Abu Markham, Wolfgang Faresjö, Tomas Goldhaber-Fiebert, Jeremy White, Pär Andersson Raat, Hein Mensah, Fiona Gauvin, Lise McGrath, Jennifer J. |
Household Income and Maternal Education in Early Childhood and Activity-limiting Chronic Health Conditions in Late Childhood: Findings from Birth Cohort Studies from Six Countries Journal of Epidemiology and Community Health published online (July 2022): DOI: 10.1136/jech-2022-219228. Also: https://jech.bmj.com/content/early/2022/07/21/jech-2022-219228 Cohort(s): Children of the NLSY79, NLSY79 Publisher: BMJ Publishing Group, Ltd. - British Medical Journal Publishing Group Keyword(s): Australia, Australian; Britain, British; Canadian National Longitudinal Survey of Children and Youth (NLSCY); Health, Chronic Conditions; Household Income; Mothers, Education; Sweden, Swedish Permission to reprint the abstract has not been received from the publisher. Background: We examined absolute and relative relationships between household income and maternal education during early childhood (<5 years) with activity-limiting chronic health conditions (ALCHC) during later childhood in six longitudinal, prospective cohorts from high-income countries (UK, Australia, Canada, Sweden, Netherlands, USA). Methods: Relative inequality (risk ratios, RR) and absolute inequality (Slope Index of Inequality) were estimated for ALCHC during later childhood by maternal education categories and household income quintiles in early childhood. Estimates were adjusted for mother ethnicity, maternal age at birth, child sex and multiple births, and were pooled using meta-regression. Results: Pooled estimates, with over 42 000 children, demonstrated social gradients in ALCHC for high maternal education versus low (RR 1.54, 95% CI 1.28 to 1.85) and middle education (RR 1.24, 95% CI 1.11 to 1.38); as well as for high household income versus lowest (RR 1.90, 95% CI 1.66 to 2.18) and middle quintiles (RR 1.34, 95% CI 1.17 to 1.54). Absolute inequality showed decreasing ALCHC in all cohorts from low to high education (range: −2.85% Sweden, −13.36% Canada) and income (range: −1.8% Sweden, −19.35% Netherlands). |
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Bibliography Citation
Spencer, Nicholas James, Johnny Ludvigsson, Yueyue You, Kate Francis, Yara Abu Awad, Wolfgang Markham, Tomas Faresjö, Jeremy Goldhaber-Fiebert, Pär Andersson White, Hein Raat, Fiona Mensah, Lise Gauvin and Jennifer J. McGrath. "Household Income and Maternal Education in Early Childhood and Activity-limiting Chronic Health Conditions in Late Childhood: Findings from Birth Cohort Studies from Six Countries." Journal of Epidemiology and Community Health published online (July 2022): DOI: 10.1136/jech-2022-219228.
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