scholarly journals Mediating effects of early health on the relationship between early poverty and long-term health outcomes of children: a birth cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e052237
Author(s):  
Wan-Lin Chiang ◽  
Tung-liang Chiang
Keyword(s):  
Cohort Study ◽  
Health Outcomes ◽  
Birth Cohort ◽  
Poor Health ◽  
Birth Cohort Study ◽  
Mediating Effects ◽  
Early Health ◽  
Fair Poor ◽  
The Relationship

ObjectiveThis study analyses the mediating effects of early health prior to age 3 on the association between early poverty and the health outcomes of children at age 12.DesignPopulation-based longitudinal birth cohort study.SettingTaiwan Birth Cohort Study (TBCS), 2005–2017.Participants16 847 TBCS children born in 2005 and followed up at 18 months, 3, 5, 8 and 12 years with available data on poverty and health status.Main outcome measuresChild’s general health, measured by the mothers’ ratings of their child’s health, and hospitalisation experience at 12 years of age.ResultsAmong the TBCS children, the prevalence of fair/poor health and hospitalisation was 20.8% and 2.5% at age 12. The ORs of experiencing fair/poor health and hospitalisation at age 12 were 1.33 (95% CI 1.21 to 1.45) and 1.35 (1.07 to 1.69) for early poverty, respectively. When early poor health was added in the multiple logistic regression models, the effects of early poverty were attenuated on poor general health and no longer significant on hospitalisation for children aged 12 years. Mediation analysis showed that 50%–87% of the total effect of early poverty on health at age 12 was mediated by early health status before age 3.ConclusionsOur findings suggest that poor health in early life plays as a significant mediator in the relationship between early poverty and the long-term health outcomes of children. Universal health coverage thus should be achieved to prevent the adverse health effects of poverty throughout the life course, as one of the most important strategies for children growing up in poverty.

scholarly journals The long‐term cost of childhood conduct problems: Finnish Nationwide 1981 Birth Cohort Study

2021 ◽  
Author(s):  
Elisa Rissanen ◽  
Virpi Kuvaja‐Köllner ◽  
Henrik Elonheimo ◽  
Lauri Sillanmäki ◽  
André Sourander ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Cohort ◽  
Conduct Problems ◽  
Birth Cohort Study ◽  
Childhood Conduct Problems ◽  
Childhood Conduct

scholarly journals OP37 Childhood consumption of ultra-processed foods and long-term adiposity trajectories: findings from a UK birth cohort study

2021 ◽  
Author(s):  
Kiara Chang ◽  
Neha Khandpur ◽  
Daniela Neri ◽  
Mathilde Touvier ◽  
Inge Huybrechts ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Cohort ◽  
Birth Cohort Study ◽  
Processed Foods

Hospitalizations among children involved in the child protection system: A long-term birth cohort study from infancy to adulthood using administrative data

2020 ◽  
Vol 107 ◽  
pp. 104518
Author(s):  
Emmanuel Sumithran Gnanamanickam ◽  
Ha Nguyen ◽  
Jason M. Armfield ◽  
James C. Doidge ◽  
Derek S. Brown ◽  
...  
Keyword(s):  
Cohort Study ◽  
Birth Cohort ◽  
Administrative Data ◽  
Child Protection ◽  
Protection System ◽  
Birth Cohort Study ◽  
Term Birth ◽  
System A

scholarly journals THE EXTREME FACE OF SOCIAL ISOLATION: A COHORT STUDY OF UNBEFRIENDED INDIVIDUALS IN LONG-TERM CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S532-S533
Author(s):  
Stephanie Chamberlain ◽  
Wendy Duggleby ◽  
Pamela B Teaster ◽  
Janet Fast ◽  
Carole Estabrooks
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Health Outcomes ◽  
Social Isolation ◽  
Long Term Care ◽  
Poor Health ◽  
Term Care ◽  
Data Set ◽  
Family Contact

Abstract Even though social isolation is a significant predictor of poor health and mortality in older adults, very little is known about social isolation in long-term care (LTC) settings. The aim of this study was to describe the prevalence, demographic characteristics, health outcomes, and disease diagnoses of residents without family contact in Alberta LTC homes. Using data collected between April 2008 and March 2018, we conducted a retrospective cohort study using the Resident Assessment Instrument, Minimum Data Set, (RAI-MDS 2.0) data from 34 LTC facilities in Alberta. We identified individuals who had no contact with family or friends. Using descriptive statistics and binary logistic regression, we compared the characteristics, disease diagnoses, and functional status of individuals who had no contact with family and individuals who did have contact with family. We identified a cohort of 25,330 individuals, of whom 945 had no contact with family or friends. Different from residents who had family, the cohort with no contact was younger (81.47 years, SD=11.79), and had a longer length of stay (2.71 years, SD=3.63). For residents who had contact with family, residents with no contact had a greater number of mental health diagnoses, including depression (OR: 1.21, [95% CI: 1.06-1.39]), bipolar disorder (OR: 1.80, [95% CI: 1.22-2.68]), and schizophrenia (OR: 3.9, [95% CI: 2.96-5.14]). Interpretation: Residents without family contact had a number of unique care concerns, including mental health issues and poor health outcomes. These findings have implications for the training of staff and LTC services available to these vulnerable residents.

Moderators of the Relationship Between Physical Activity Enjoyment and Physical Activity in Children

2015 ◽  
Vol 12 (8) ◽  
pp. 1066-1073 ◽  
Author(s):  
Teun Remmers ◽  
Ester F.C. Sleddens ◽  
Stef P.J. Kremers ◽  
Carel Thijs
Keyword(s):  
Physical Activity ◽  
Cohort Study ◽  
Important Determinant ◽  
Birth Cohort Study ◽  
Future Studies ◽  
Interaction Terms ◽  
The Relationship ◽  
Linear Regressions ◽  
Activity Enjoyment

Background:Physical activity (PA) enjoyment may be an important determinant of long-term habitual, self-sustained PA behavior in children. The objective of the current study was to contribute toward a better understanding of how children’s PA enjoyment is associated with PA behavior by examining the influence of age, gender, BMI, and impulsivity as theoretically hypothesized moderators of this relationship.Methods:PA was measured in 171 children (77 boys, 91 girls) using accelerometers, and PA enjoyment was assessed with the validated Physical Activity Enjoyment Scale in 9-year-old children from the KOALA Birth Cohort Study, the Netherlands. Linear regressions were fitted. Moderation was tested by adding interaction terms between PA enjoyment and the potential moderators.Results:We found a significant 3-way interaction (PA enjoyment × gender × impulsivity) for all intensities of PA behavior. In boys, impulsivity strengthened the relationship between PA enjoyment and PA behavior, whereas in girls impulsivity weakened this relationship.Conclusion:In girls, this may be explained by the relative automatic occurrence of PA behavior in impulsive girls (independent of PA enjoyment). In boys, the possibility that impulsivity is associated with hyperactivity may explain this moderation. The current study may encourage researchers to investigate these interactions in future studies.

scholarly journals Association of public care in childhood with social, criminal, cognitive, and health outcomes in middle-age: five decades of follow-up of members of the 1958 birth cohort study

2020 ◽  
pp. jech-2020-214737
Author(s):  
Tiffany Xie ◽  
Carlos de Mestral ◽  
G David Batty
Keyword(s):  
Cohort Study ◽  
Confidence Interval ◽  
Health Outcomes ◽  
Birth Cohort ◽  
Middle Age ◽  
Early Adulthood ◽  
Cognitive Test ◽  
Birth Cohort Study ◽  
Public Care ◽  
Childhood Care

BackgroundChildren who have been exposed to public (out-of-home) care experience a range of negative outcomes by late adolescence and early adulthood. The longer-term impact of childhood care is, however, uncertain.AimTo examine if there is a prospective association between childhood public care and adverse life outcomes in middle-age.MethodsWe used data from the UK 1958 birth cohort study of 18 558 individuals. Parents reported offspring care status at age 7, 11 and 16. An array of social, criminal, cognitive, and health outcomes was self-reported by cohort members at age 42 (71% response proportion in eligible sample) and a cognitive test battery was administered at age 50 (62% response).ResultsA total of 420 (3.8%) of 11 160 people in the analytical sample experienced childhood public care by age 16. Net of confounding factors, experience of public care (vs none) was linked to 11 of the 28 non-mutually exclusive endpoints captured in middle-age, with the most consistent effects apparent for psychosocial characteristics: 4/7 sociodemographic (eg, odds ratio; 95% confidence interval for homelessness: 2.1; 1.4 to 3.1); 2/2 antisocial (eg, use of illicit drug: 2.0; 1.2 to 3.5); 2/3 psychological (eg, mental distress: 1.6; 1.2 to 2.1); 1/3 health behaviours (eg, current cigarette smoker: 1.7; 1.3 to 2.2); 2/8 somatic health (physical disability: 2.7; 1.9 to 3.8); and 0/5 cognitive function (eg, beta coefficient; 95% confidence interval for immediate word recall: −0.1; −0.3 to 0.1) endpoints.ConclusionsThe present study suggests that selected associations apparent between childhood care and outcomes in adolescence and early adulthood are also evident in middle-age.

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