Multimorbidity in Early Childhood and Socioeconomic Disadvantage: Findings From a Large New Zealand Child Cohort.
In contrast with multimorbidity during adulthood, the relationship of childhood multimorbidity with socioeconomic position (SEP) is poorly understood. We aimed to describe early childhood multimorbidity and investigate the relationship of this with SEP. Within a diverse prospective child cohort stud...
| Publicado en: | Academic Pediatrics Vol. 20; no. 5; pp. 619 - 628 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Jul2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143824937&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143824937 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18762859 8NBK jtl: Academic Pediatrics issn: 18762859 maglogo: N pubinfo: dt: Jul2020 vid: 20 iid: 5 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 143824937 143824937 143824937 10.1016/j.acap.2019.09.007 143824937 ppf: 619 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multimorbidity in Early Childhood and Socioeconomic Disadvantage: Findings From a Large New Zealand Child Cohort. aug: au: Russell, Jin Grant, Cameron C. Morton, Susan M.B. affil: Centre for Longitudinal Research—He Ara Ki Mua, University of Auckland (J Russell and SMB Morton), Auckland, New Zealand sug: subj: Comorbidity In Infancy and Childhood Child Health Socioeconomic Factors Human New Zealand Prospective Studies Mothers Female Male Infant Child, Preschool Adult Educational Status Interviews Descriptive Statistics Smoking Health Status Depression Odds Ratio Confidence Intervals Infant: 1-23 months Child, Preschool: 2-5 years Adult: 19-44 years Female Male ab: In contrast with multimorbidity during adulthood, the relationship of childhood multimorbidity with socioeconomic position (SEP) is poorly understood. We aimed to describe early childhood multimorbidity and investigate the relationship of this with SEP. Within a diverse prospective child cohort study, we determined associations of SEP with multimorbidity (defined as the presence of 2 or more chronic conditions) at age 2 years. Maternal SEP was ranked into 5 categories using an index constructed from variables collected antenatally describing maternal education, employment, financial stress, beneficiary status, housing tenure, overcrowding, and residential mobility. Missing values were handled using multiple imputation with chained equations. Independent associations of SEP with multimorbidity were described using adjusted odds ratios (OR) and 95% confidence intervals (CI). Of the 6822 women and 6853 children who were enrolled into the cohort study, 5737 (84%) mother-child dyads had complete antenatal data and were interviewed at age 2 years. Of these 5737, for 3826 (67%) dyads, there were complete data for all variables. Multimorbidity was present in 374/3838 (9.7%) of the cohort children. After multiple imputation and adjustment for maternal ethnicity, smoking, poor health, depressive symptoms, and child gender, the odds of multimorbidity being present were increased for children of mothers in the most (OR 1.74, 95% CI 1.16–2.59) and second most (OR 1.43, 95% CI 1.00–2.04) versus the least disadvantaged group. The odds of multimorbidity are increased for children whose mothers have lower SEP. Cumulative socioeconomic disadvantage increases the potential for a chronic illness trajectory to develop in early childhood. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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