Childhood housing conditions and later mortality in the Boyd Orr cohort
Childhood housing conditions and later mortality in the Boyd Orr cohort
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DOI：
10.1136/jech.55.1.10
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发表时间：
2001-01-01
影响因子：
6.3
通讯作者：
Frankel, S
中科院分区：
文献类型：
--
作者：
Dedman, DJ;Gunnell, D;Frankel, S
研究目标-检查儿童时期住房条件的五项指标与随后因各种原因、必然的心脏病、中风和癌症导致的死亡率之间的关系。设计-历史队列研究。环境-从英格兰和苏格兰16个地区的调查中心收集住房条件数据。参与者——战前英国（1937-1939）参加卡内基家庭饮食和健康调查的家庭的孩子，分析基于1948年1月1日被追踪并活着的4168人的子集。主要结果：较差的住房条件通常与成人死亡率增加有关。在对儿童和成人社会经济因素进行调整后，只有缺乏私人室内自来水供应与冠心病死亡率增加之间存在统计学上显著的关联（风险比1.73,95% CI 1.13, 2.64）；以及不良通风与总体死亡率之间的关系（来自最差通风与最佳通风家庭的人的风险比为1.30,95% CI 0.97, 1.74）。结论：这项研究提供的证据表明，儿童时期的住房条件与成年后常见疾病的死亡率之间的联系并不强，但在某些方面与社会剥夺之间的联系是不同的。
Study objectives-To examine associations between five measures of housing conditions during childhood and subsequent mortality from all causes, corollary heart disease, stroke, and cancer.Design-Historical cohort study.Setting-Data on housing conditions were collected from survey centres in 16 areas of England and Scotland.Participants-Children of families participating in the Carnegie Survey of Family Diet and Health in pre-war Britain (1937-1939), Analyses are based on a subset of 4168 people who were traced and alive on 1 January 1948.Main results-Poorer housing conditions were generally associated with increased adult mortality. After adjustment for childhood and adult socioeconomic factors, statistically significant associations were only found between lack of private indoor tapped water supply and increased mortality from coronary heart disease (hazard ratio 1.73, (95% CI 1.13, 2.64); and between poor ventilation and overall mortality (hazard ratio for people from households with poorest ventilation relative to best ventilation 1.30, 95% CI 0.97, 1.74).Conclusions-This study provides evidence that associations between housing conditions in childhood and mortality from common diseases in adulthood are not strong, but are in some respects distinguishable from those of social deprivation.