Childhood socioeconomic position, educational attainment, and adult cardiovascular risk factors: The Aberdeen children of the 1950s cohort study
Childhood socioeconomic position, educational attainment, and adult cardiovascular risk factors: The Aberdeen children of the 1950s cohort study
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DOI：
10.2105/ajph.2004.041129
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发表时间：
2005-07-01
影响因子：
12.7
通讯作者：
Leon, DA
中科院分区：
文献类型：
--
作者：
Lawlor, DA;Batty, GD;Leon, DA
目标.我们评估了儿童社会经济地位与心血管疾病危险因素（吸烟、酗酒和超重）的关系，并研究了教育程度和认知功能在这些关系中的作用。数据来源于一项队列研究，涉及7184人出生在阿伯丁，苏格兰，1950年和1956年之间，详细记录了围产期特征，儿童人体测量和认知功能，并回答了邮寄的问卷调查时，他们的年龄在45至52岁。出生时的社会阶层与吸烟、酗酒和超重之间存在很强的等级关联。教育程度的调整完全削弱了这些关联。然而，在控制了成人社会阶层、成人收入和其他潜在的混杂或中介因素后，一些相关性消失了。教育程度是儿童期社会经济逆境与成年期吸烟、酗酒和超重之间关系的重要中介因素。
Objectives. We assessed the associations of childhood socioeconomic position with cardiovascular disease risk factors (smoking, binge alcohol drinking, and being overweight) and examined the roles of educational attainment and cognitive functioning in these associations.Methods. Data were derived from a cohort study involving 7184 individuals who were born in Aberdeen, Scotland, between 1950 and 1956; had detailed records on perinatal characteristics, childhood anthropometry, and cognitive functioning; and responded to a mailed questionnaire when they were aged 45 to 52 years.Results. Strong graded associations existed between social class at birth and smoking, binge drinking, and being overweight. Adjustment for educational attainment completely attenuated these associations. However, after control for adult social class, adult income and other potential confounding or mediating factors, some association remained.Conclusions. Educational attainment is an important mediating factor in the relation between socioeconomic adversity in childhood and smoking, binge drinking, and being overweight in adulthood.