Nick Spencer1, Lyndall Strazdins2. 1. Division of Mental Health and Well-being, Warwick Medical School, Coventry, UK. 2. National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
Abstract
OBJECTIVE: To study the temporal relationship between socioeconomic disadvantage and onset of chronic disabling conditions in childhood. METHOD: Using parent reported data from the Longitudinal Study of Australian Children, we compared children who developed a chronic disabling condition between the ages of 6/7 and 10/11 years with children without a chronic disabling condition at either age. Logistic regression models assessed association between onset of chronic disabling condition and household income quintiles at 6/7 years, adjusting for confounders. To study the consequences of chronic disabling condition onset for family finances, a linear regression model was fitted on change in household income adjusted for income at 6/7. We compared prevalence of family material hardship in the two groups between 6/7 and 10/11. RESULTS: Of 4010 children present in both waves, complete data were available for 3629 of whom 233 (6.4%) developed a chronic disabling condition between 6/7 and 10/11. After adjustment for confounding, the children from the lowest income quintile were more than twice as likely to develop a chronic disabling condition as those from the highest income quintile. Onset of a chronic disabling condition was associated with a relatively smaller increase in household income over time, but no change in hardship prevalence. CONCLUSIONS: Family socioeconomic disadvantage when children are aged 6/7 is associated with their development of a chronic disabling condition over the next 4 years and with adverse effects on household income. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVE: To study the temporal relationship between socioeconomic disadvantage and onset of chronic disabling conditions in childhood. METHOD: Using parent reported data from the Longitudinal Study of Australian Children, we compared children who developed a chronic disabling condition between the ages of 6/7 and 10/11 years with children without a chronic disabling condition at either age. Logistic regression models assessed association between onset of chronic disabling condition and household income quintiles at 6/7 years, adjusting for confounders. To study the consequences of chronic disabling condition onset for family finances, a linear regression model was fitted on change in household income adjusted for income at 6/7. We compared prevalence of family material hardship in the two groups between 6/7 and 10/11. RESULTS: Of 4010 children present in both waves, complete data were available for 3629 of whom 233 (6.4%) developed a chronic disabling condition between 6/7 and 10/11. After adjustment for confounding, the children from the lowest income quintile were more than twice as likely to develop a chronic disabling condition as those from the highest income quintile. Onset of a chronic disabling condition was associated with a relatively smaller increase in household income over time, but no change in hardship prevalence. CONCLUSIONS: Family socioeconomic disadvantage when children are aged 6/7 is associated with their development of a chronic disabling condition over the next 4 years and with adverse effects on household income. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
Socioeconomic disadvantage; childhood chronic disabling conditions; cohort study
Authors: Alan Katz; Dan Chateau; Jennifer E Enns; Jeff Valdivia; Carole Taylor; Randy Walld; Scott McCulloch Journal: Ann Fam Med Date: 2018-05 Impact factor: 5.166