Measuring socioeconomic adversity in early life
Measuring socioeconomic adversity in early life
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DOI：
10.1111/apa.14715
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发表时间：
2019-07-01
期刊：
影响因子：
3.8
通讯作者：
Gotlib, Ian H.
中科院分区：
文献类型：
--
作者：
Anand, Kanwaljeet J. S.;Rigdon, Joseph;Gotlib, Ian H.
目的早期生活逆境会对身心健康、学业成绩等产生持久的影响。我们试图找出与早期生活中的社会经济逆境相关的潜在的可改变因素。方法我们从田纳西州谢尔比县招募了1503名年龄在16-40岁、无妊娠并发症或既往疾病的孕妇。社会、家庭和经济变量使用主成分(PC)分析来生成社会经济逆境指数(SAI)。通过全国儿童健康调查(NSCH)重复了这一点。在县、州和国家层面对SAI值定义的五分之一组的健康和社会结果进行了比较。结果SAI1~5组在婚姻状况、家庭结构、年收入、教育和医疗保险等方面存在显著差异。SAI较低的五分位数与较高的SAI五分位数相比，健康和社会结果明显更差，包括母亲抑郁、父母监禁、儿童出生体重和虐待儿童的可能性。产妇的年龄和种族在SAI五分位数之间也有显著差异。结论婚姻状况、家庭结构、年收入、受教育程度和医疗保险是影响儿童早期社会经济逆境发生的可变因素。根据SAI值的定义，暴露在更大社会经济逆境中的人的母婴结局明显更差。
Aim 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. Methods 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. Results 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. Conclusion 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.