Measuring socioeconomic adversity in early life

Autor: FeiFei Qin, Kanwaljeet J. S. Anand, Nicole R. Bush, Robert Davis, Donald A. Barr, Kaja Z. LeWinn, Cynthia R. Rovnaghi, Joseph Rigdon, Frances A. Tylavsky, Sahil Tembulkar, Ian H. Gotlib
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Child abuse
Adult
Pediatric Research Initiative
Socio-economic status
Poison control
Outcomes
Reproductive health and childbirth
Perinatal
Suicide prevention
Basic Behavioral and Social Science
Pediatrics
Occupational safety and health
Article
Cohort Studies
Paediatrics and Reproductive Medicine
03 medical and health sciences
Young Adult
0302 clinical medicine
Pregnancy
Adverse Childhood Experiences
2.3 Psychological
030225 pediatrics
Injury prevention
Behavioral and Social Science
Medicine
Humans
Health Status Indicators
030212 general & internal medicine
Aetiology
Socioeconomic status
Poverty
Pediatric
business.industry
Prevention
General Medicine
Mental health
Brain Disorders
Mental Health
Good Health and Well Being
Socioeconomic Factors
Pediatrics
Perinatology and Child Health
Marital status
Female
social and economic factors
business
Demography
Zdroj: Acta Paediatr
Acta paediatrica (Oslo, Norway : 1992), vol 108, iss 7
Popis: Aim Early life adversity leads to enduring effects on physical and mental health, school performance and other outcomes. We sought to identify potentially modifiable factors associated with socioeconomic adversity in early life. Methods We enrolled 1503 pregnant women aged 16-40 years, without pregnancy complications or pre-existing conditions from Shelby County, Tennessee. Social, familial and economic variables were analysed using principal components (PCs) analyses to generate the Socioeconomic Adversity Index (SAI). This was replicated using the National Survey of Children's Health (NSCH). Health and social outcomes were compared across the quintile groups defined by SAI values at the county, state and national levels. Results Significant differences occurred across the SAI Quintile-1 to Quintile-5 groups in marital status, household structure, annual income, education and health insurance. Significantly worse health and social outcomes occurred in the lower versus higher SAI quintiles, including maternal depression, parental incarceration, child's birthweight and potential for child abuse. Maternal age and race also differed significantly across the SAI quintiles. Conclusion Modifiable factors contributing to socioeconomic adversity in early life included marital status, household structure, annual income, education and health insurance. Those exposed to greater socioeconomic adversity as defined by SAI values had significantly worse maternal and child outcomes.
Databáze: OpenAIRE
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