Socioeconomic multi-domain health inequalities in Dutch primary school children
| Autor: | Marije Oosterhoff, Peter Muris, Hans Bosma, Maartje Willeboordse, Angelique P. A. Vermeiren, Nina Bartelink |
|---|---|
| Přispěvatelé: | Family Medicine, RS: CAPHRI - R5 - Optimising Patient Care, Promovendi PHPC, Health promotion, RS: CAPHRI - R2 - Creating Value-Based Health Care, Section Clinical Psychology, RS: FPN CPS III, Sociale Geneeskunde, RS: CAPHRI - R4 - Health Inequities and Societal Participation |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Gerontology
Male Parents Cross-sectional study Psychological intervention CHILDHOOD 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine ADOLESCENTS medicine Humans 030212 general & internal medicine Association (psychology) Child Socioeconomic status Cardiovascular fitness AGED CHILDREN Netherlands Self-efficacy Schools SCHOOLCHILDREN Public Health Environmental and Occupational Health SEDENTARY BEHAVIOR SELF-EFFICACY CONSUMPTION Health Status Disparities ASSOCIATION Mental health SLEEP Cross-Sectional Studies PHYSICAL-ACTIVITY Socioeconomic Factors Child Preschool Learning disability Educational Status Female medicine.symptom Psychology |
| Zdroj: | European Journal of Public Health, 28(4), 610-616. Oxford University Press |
| ISSN: | 1101-1262 |
| DOI: | 10.1093/eurpub/cky055 |
| Popis: | Background: This study assesses socio-economic health inequalities (SEHI) over primary school-age (4- to 12-years old) across 13 outcomes (i.e. body-mass index [BMI], handgrip strength, cardiovascular fitness, current physical conditions, moderate to vigorous physical activity, sleep duration, daily fruit and vegetable consumption, daily breakfast, exposure to smoking, mental strengths and difficulties, self-efficacy, school absenteeism and learning disabilities), covering four health domains (i.e. physical health, health behaviour, mental health and academic health).Methods: Multilevel mixed effect (linear and logistic) regression analyses were applied to cross-sectional data of a Dutch quasi-experimental study that included 1403 pupils from nine primary schools. Socioeconomic background (high-middle-low) was indicated by maternal education (n = 976) and parental material deprivation (n = 784).Results: Pupils with higher educated mothers had lower BMIs, higher handgrip strength and higher cardiovascular fitness; their parents reported more daily fruit and vegetable consumption, daily breakfast and less exposure to smoking. Furthermore these pupils showed less mental difficulties and less school absenteeism compared with pupils whose mothers had a lower education level. When using parental material deprivation as socio-economic indicator, similar results were found for BMI, cardiovascular fitness, sleep duration, exposure to smoking and mental strengths and difficulties. Socio-economic differences in handgrip strength, cardiovascular fitness and sleep duration were larger in older than in younger pupils.Conclusions: Childhood SEHI are clearly found across multiple domains, and some are larger in older than in younger pupils. Interventions aiming to tackle SEHI may therefore need a comprehensive and perhaps more fundamental approach. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|