Measuring socioeconomic adversity in early life.
Outcomes
Perinatal
Poverty
Pregnancy
Socio-economic status
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
received:
08
09
2018
revised:
02
01
2019
accepted:
04
01
2019
pubmed:
8
1
2019
medline:
7
7
2020
entrez:
8
1
2019
Statut:
ppublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 30614554
doi: 10.1111/apa.14715
pmc: PMC6584079
mid: NIHMS1005261
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1267-1277Subventions
Organisme : Intramural NIH HHS
ID : Z99 MH999999
Pays : United States
Organisme : The Urban Child Institute to the UTHSC Department of Preventive Medicine
Pays : International
Organisme : Maternal & Child Health Research Institute at Stanford University
Pays : International
Organisme : NIDA NIH HHS
ID : R41 DA046983
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH101495
Pays : United States
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Informations de copyright
©2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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