dc.contributor.author |
Russell, Jin |
|
dc.contributor.author |
Grant, Cameron C |
|
dc.contributor.author |
Morton, Susan MB |
|
dc.coverage.spatial |
United States |
|
dc.date.accessioned |
2022-01-24T01:30:44Z |
|
dc.date.available |
2022-01-24T01:30:44Z |
|
dc.date.issued |
2020-7 |
|
dc.identifier.issn |
1876-2859 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/58050 |
|
dc.description.abstract |
<h4>Objective</h4>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.<h4>Methods</h4>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).<h4>Results</h4>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.<h4>Conclusion</h4>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. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Elsevier BV |
|
dc.relation.ispartofseries |
Academic pediatrics |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.subject |
Humans |
|
dc.subject |
Risk Factors |
|
dc.subject |
Cohort Studies |
|
dc.subject |
Prospective Studies |
|
dc.subject |
Pregnancy |
|
dc.subject |
Social Class |
|
dc.subject |
Socioeconomic Factors |
|
dc.subject |
Adult |
|
dc.subject |
Child |
|
dc.subject |
Child, Preschool |
|
dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Multimorbidity |
|
dc.subject |
child health |
|
dc.subject |
chronic conditions |
|
dc.subject |
multimorbidity |
|
dc.subject |
socioeconomic disadvantage |
|
dc.subject |
Adult |
|
dc.subject |
Child |
|
dc.subject |
Child, Preschool |
|
dc.subject |
Cohort Studies |
|
dc.subject |
Female |
|
dc.subject |
Humans |
|
dc.subject |
Multimorbidity |
|
dc.subject |
New Zealand |
|
dc.subject |
Pregnancy |
|
dc.subject |
Prospective Studies |
|
dc.subject |
Risk Factors |
|
dc.subject |
Social Class |
|
dc.subject |
Socioeconomic Factors |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Pediatrics |
|
dc.subject |
child health |
|
dc.subject |
chronic conditions |
|
dc.subject |
multimorbidity |
|
dc.subject |
socioeconomic disadvantage |
|
dc.subject |
GROWING-UP |
|
dc.subject |
HEALTH-CARE |
|
dc.subject |
OBESITY |
|
dc.subject |
RISK |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Population & Society |
|
dc.subject |
Public Health |
|
dc.subject |
Prevention |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Basic Behavioral and Social Science |
|
dc.subject |
Pediatric |
|
dc.subject |
2.3 Psychological, social and economic factors |
|
dc.subject |
1114 Paediatrics and Reproductive Medicine |
|
dc.title |
Multimorbidity in Early Childhood and Socioeconomic Disadvantage: Findings From a Large New Zealand Child Cohort. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1016/j.acap.2019.09.007 |
|
pubs.issue |
5 |
|
pubs.begin-page |
619 |
|
pubs.volume |
20 |
|
dc.date.updated |
2021-12-31T00:14:38Z |
|
dc.rights.holder |
Copyright: The author |
en |
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/31574311 |
|
pubs.end-page |
627 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
784829 |
|
dc.identifier.eissn |
1876-2867 |
|
dc.identifier.pii |
S1876-2859(19)30390-0 |
|