Socioeconomic disadvantage and onset of childhood chronic disabling conditions: a cohort study.

Abstract:

OBJECTIVE:To study the temporal relationship between socioeconomic disadvantage and onset of chronic disabling conditions in childhood. METHOD:Using parent reported data from the Longitudinal Study of Australian Children, we compared children who developed a chronic disabling condition between the ages of 6/7 and 10/11 years with children without a chronic disabling condition at either age. Logistic regression models assessed association between onset of chronic disabling condition and household income quintiles at 6/7 years, adjusting for confounders. To study the consequences of chronic disabling condition onset for family finances, a linear regression model was fitted on change in household income adjusted for income at 6/7. We compared prevalence of family material hardship in the two groups between 6/7 and 10/11. RESULTS:Of 4010 children present in both waves, complete data were available for 3629 of whom 233 (6.4%) developed a chronic disabling condition between 6/7 and 10/11. After adjustment for confounding, the children from the lowest income quintile were more than twice as likely to develop a chronic disabling condition as those from the highest income quintile. Onset of a chronic disabling condition was associated with a relatively smaller increase in household income over time, but no change in hardship prevalence. CONCLUSIONS:Family socioeconomic disadvantage when children are aged 6/7 is associated with their development of a chronic disabling condition over the next 4 years and with adverse effects on household income.

journal_name

Arch Dis Child

authors

Spencer N,Strazdins L

doi

10.1136/archdischild-2013-305634

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

317-22

issue

4

eissn

0003-9888

issn

1468-2044

pii

archdischild-2013-305634

journal_volume

100

pub_type

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