Madeleine Didsbury1,2, Anita van Zwieten1,2, Kerry Chen2, Laura J James1,2, Anna Francis1,2,3, Siah Kim1,2, Steven McTaggart3, Amanda Walker4, Fiona Mackie5, Tonya Kara6, Chanel Prestidge6, Armando Teixeira-Pinto1,2, Belinda Barton7, Jennifer Lorenzo8, Suncica Lah9,10, Kirsten Howard2, Natasha Nassar11, Eric Au1,2, Allison Tong1,2, Jonathan C Craig1,2, Germaine Wong12,13,14. 1. Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia. 2. Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia. 3. Child & Adolescent Renal Service, Lady Cilento Children's Hospital, Brisbane, Australia. 4. Department of Renal Medicine, The Royal Children's Hospital, Melbourne, Australia. 5. Department of Nephrology, Sydney Children's Hospital at Randwick, Sydney, Australia. 6. Department of Nephrology, Starship Children's Hospital, Auckland, New Zealand. 7. Children's Hospital Education Research Institute, The Children's Hospital at Westmead, Sydney, Australia. 8. Institute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, Australia. 9. School of Psychology, The University of Sydney, Sydney, Australia. 10. The ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia. 11. Menzies Centre for Health Policy, Sydney School of Public Health, The University of Sydney, Sydney, Australia. 12. Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, Australia. germaine.wong@health.nsw.gov.au. 13. Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia. germaine.wong@health.nsw.gov.au. 14. Centre for Transplant and Renal Research, Westmead Hospital, Sydney, Australia. germaine.wong@health.nsw.gov.au.
Abstract
OBJECTIVE: To determine the association of socioeconomic disadvantage and parent-rated health in children with chronic kidney disease (CKD). METHODS: A total of 377 children (aged 6-18 years) with CKD stages I-V (n = 199), on dialysis (n = 43), or with a kidney transplant (n = 135) were recruited from 2012 to 2016 in Australia and New Zealand. Associations of five socioeconomic status (SES) components and the global SES index with parent-rated health of the child were examined using adjusted logistic regression. RESULTS: The median age of participants was 12.6 years (interquartile range (IQR) 8.9-15.5). In the entire cohort, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for poor parent-rated health were 1.85 (1.13-3.03) for lower household income, 1.78 (1.08-2.96) for families that did not own their own home, 2.50 (1.50-4.16) for caregivers who rated their financial status as poor, 0.84 (0.51-1.38) for lower educational attainment, and 1.68 (1.04-2.72) for children whose primary caregivers were unemployed. With reference to the highest global SES index quartile, adjusted ORs for poor parent-rated health in descending order were 1.49 (0.69-3.21), 2.11 (1.06-4.20), and 2.20 (1.09-4.46), respectively. The association between low SES and poor parent-rated health was modified by CKD stage, where lower global SES index was independently associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis or with kidney transplants (p = 0.04). CONCLUSIONS: Low SES is associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis and with kidney transplants.
OBJECTIVE: To determine the association of socioeconomic disadvantage and parent-rated health in children with chronic kidney disease (CKD). METHODS: A total of 377 children (aged 6-18 years) with CKD stages I-V (n = 199), on dialysis (n = 43), or with a kidney transplant (n = 135) were recruited from 2012 to 2016 in Australia and New Zealand. Associations of five socioeconomic status (SES) components and the global SES index with parent-rated health of the child were examined using adjusted logistic regression. RESULTS: The median age of participants was 12.6 years (interquartile range (IQR) 8.9-15.5). In the entire cohort, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for poor parent-rated health were 1.85 (1.13-3.03) for lower household income, 1.78 (1.08-2.96) for families that did not own their own home, 2.50 (1.50-4.16) for caregivers who rated their financial status as poor, 0.84 (0.51-1.38) for lower educational attainment, and 1.68 (1.04-2.72) for children whose primary caregivers were unemployed. With reference to the highest global SES index quartile, adjusted ORs for poor parent-rated health in descending order were 1.49 (0.69-3.21), 2.11 (1.06-4.20), and 2.20 (1.09-4.46), respectively. The association between low SES and poor parent-rated health was modified by CKD stage, where lower global SES index was independently associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis or with kidney transplants (p = 0.04). CONCLUSIONS: Low SES is associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis and with kidney transplants.
Authors: Allison Tong; Paul Henning; Germaine Wong; Steve McTaggart; Fiona Mackie; Robert P Carroll; Jonathan C Craig Journal: Am J Kidney Dis Date: 2013-01-10 Impact factor: 8.860
Authors: Andrea K Morrison; Matthew P Myrvik; David C Brousseau; Raymond G Hoffmann; Rachel M Stanley Journal: Acad Pediatr Date: 2013-03-05 Impact factor: 3.107
Authors: Aminu K Bello; Jean Peters; Jan Rigby; Alhussein A Rahman; Meguid El Nahas Journal: Clin J Am Soc Nephrol Date: 2008-06-25 Impact factor: 8.237
Authors: Guillermo Hidalgo; Derek K Ng; Marva Moxey-Mims; Maria Lourdes Minnick; Tom Blydt-Hansen; Bradley A Warady; Susan L Furth Journal: Am J Kidney Dis Date: 2013-08-07 Impact factor: 8.860
Authors: Germaine Wong; Meredith Medway; Madeleine Didsbury; Allison Tong; Robin Turner; Fiona Mackie; Steven McTaggart; Amanda Walker; Sarah White; Kirsten Howard; Siah Kim; Jonathan C Craig Journal: BMC Public Health Date: 2014-04-04 Impact factor: 3.295
Authors: Chandana Guha; Rabia Khalid; Anita van Zwieten; Anna Francis; Carmel M Hawley; Allison Jauré; Armando Teixeira-Pinto; Alistair R Mallard; Amelie Bernier-Jean; David W Johnson; Deirdre Hahn; Donna Reidlinger; Elaine M Pascoe; Elizabeth G Ryan; Fiona Mackie; Hugh J McCarthy; Jonathan C Craig; Julie Varghese; Charani Kiriwandeniya; Kirsten Howard; Nicholas G Larkins; Luke Macauley; Amanda Walker; Martin Howell; Michelle Irving; Patrina H Y Caldwell; Reginald Woodleigh; Shilpanjali Jesudason; Simon A Carter; Sean E Kennedy; Stephen I Alexander; Steven McTaggart; Germaine Wong Journal: Pediatr Nephrol Date: 2022-10-20 Impact factor: 3.651
Authors: Daniella Levy Erez; Melissa R Meyers; Swathi Raman; Melissa Thomas; Susan Furth; Christopher B Forrest; Michelle Denburg Journal: Front Pediatr Date: 2022-05-23 Impact factor: 3.569
Authors: Anita van Zwieten; Elizabeth G Ryan; Patrina Caldwell; Kirsten Howard; Allison Tong; Jonathan C Craig; Stephen I Alexander; Martin Howell; Armando Teixeira-Pinto; Carmel M Hawley; Shilpanjali Jesudason; Amanda Walker; Fiona Mackie; Sean E Kennedy; Steven McTaggart; Hugh J McCarthy; Simon A Carter; Siah Kim; Reginald Woodleigh; Anna Francis; Alistair R Mallard; Amélie Bernier-Jean; David W Johnson; Deirdre Hahn; Donna Reidlinger; Elaine Pascoe; Julie Varghese; Charani Kiriwandeniya; Liza Vergara; Nicholas Larkins; Luke Macauley; Michelle Irving; Rabia Khalid; Chandana Guha; Germaine Wong Journal: Trials Date: 2022-09-30 Impact factor: 2.728