High Socioeconomic Status Children Research Articles

Effect of social mobility on body mass index from birth to adolescence: a cohort study

It was evaluated the effect of family socioeconomic status (SES) and social mobility on the trajectory of Body Mass Index (BMI) from birth to adolescence. A population based sample of 2405 children aged 0 to 5 years, living in the city of Cuiabá‐MT, Brazil in 1999, was followed. Socioeconomic Status was classified by an asset‐based wealth index called in: low, middle and high classes. Anthropometric data were measured at childhood and adolescence. Weight and length at birth were those from hospital records. Linear mixed effect models were used (using SAS Proc MIXED). A total of 1716 adolescents were followed to adolescence (71.4% of baseline) and 51.2% were male. The prevalence of overweight/obesity was 20.4% in childhood and 27.7% in adolescence. At adolescence, higher family SES was associated with higher prevalence of overweight/obesity. Expressive social mobility occurred, mainly among lowest SES group. There was a greater rate of change of BMI from birth to adolescence among those who were from higher SES in childhood and those who remained in the higher SES from childhood to adolescence. In conclusion, tracking a high BMI from childhood to adolescence occurred in the families of high SES at childhood, with no effect of social mobility.Financial support:CNPq and FAPEMAT.

Socio-economic status over the lifecourse and internet use in older adulthood

ABSTRACTThis study explored associations between socio-economic status (SES) at different phases in the lifecourse and regular internet use among older adults. A sample (N = 11,035) from the 2010 wave of the United States Health and Retirement Study was used. Odds ratios were estimated to explore the relationship between regular internet use in older adulthood and measures of SES in childhood and in adulthood, and cumulative SES. Findings provided support for the lifecourse perspective, suggesting that variations observed among older adults are reflective of cumulative experiences. Three main themes emerged: higher SES in childhood increased the odds of being an internet user in older adulthood; SES advantages tended to accumulate, so that having at least one period of high SES in the lifecourse increased the odds of being an internet user in older adulthood; age did not appear to modify the positive relationship between cumulative SES and internet use.

Is socioeconomic status associated with dietary sodium intake in Australian children? A cross-sectional study

ObjectiveTo assess the association between socioeconomic status (SES) and dietary sodium intake, and to identify if the major dietary sources of sodium differ by socioeconomic group in a nationally representative...

Social Position and Chronic Conditions across the Life Span and Risk of Stroke: A Life Course Epidemiological Analysis of 22 847 American Adults in Ages over 50

Evidence is limited on the impact of childhood socioeconomic status, adulthood socioeconomic status and chronic conditions on risk of incident stroke in later life. We aimed to examine these associations using data from a nationally representative sample of the Health and Retirement Study. Stroke-free participants (n = 22,847) aged > 50 years in the Health and Retirement Study (1992-2008) were analyzed. Childhood and adulthood socioeconomic status were assessed using parental and participant's education attainments. Incident stroke was defined as self-reported first incident stroke. Of the study sample, 2298 subjects experienced first incident stroke (10.06%). Cox's regression models indicate that subjects with low childhood socioeconomic status had 1.36 times higher risk (95% confidence interval: 1.18-1.57) of first incident stroke than those with high childhood socioeconomic status. There was an 8% reduction of this association after adjustment for adulthood socioeconomic status. Adults with diabetes mellitus had the highest hazard ratio (1.91, 95% confidence interval: 1.63-2.23) for incident stroke, followed by heart disease (1.69, 1.48-1.93), and then hypertension (1.56, 1.40-1.75). Significant interaction effect of childhood socioeconomic status and diabetes mellitus, and combined effects of socioeconomic status and chronic conditions on risk of incident stroke were observed. Both low socioeconomic status in childhood and adulthood socioeconomic status predict the risk of stroke. There are significantly combined effects of socioeconomic status and chronic conditions on the risk of stroke. Improving socioeconomic status across the life span and aggressive control of chronic conditions may play pivotal roles in the prevention of stroke development.

Gender, weight status and socioeconomic differences in psychosocial correlates of physical activity in schoolchildren

This study sought to assess differences in attraction to physical activity, perceived physical competence and parental socialization influences across gender, body mass index and socioeconomic status in Portuguese children. Cross-sectional study. 683 children, aged 8-10 years, from elementary schools were participants. Attraction to physical activity, perceived physical competence, parental socialization influences and socioeconomic status were assessed via standardized questionnaires. The prevalence of overweight and obesity was calculated using body mass index, based on the international cut-off points. MANOVA and ANOVA models were conducted. Boys reported greater enjoyment of games and sports participation than did girls. Boys and normal-weight children perceived themselves as being more successful and physically competent than did girls and obese children. Normal-weight girls enjoyed participation in vigorous physical activity more than did overweight and obese girls. Obese children felt less accepted by their peers in games and sports than did normal-weight and overweight children. High and medium socioeconomic status children perceived physical activity participation as of greater importance than did low-socioeconomic status children. High-socioeconomic status girls reported greater liking of the exertional aspects of physical activity compared to low socioeconomic status girls. High socioeconomic status children were more likely to perceive their parents as positive role models and perceived that they had greater enjoyment of physical activity than did lower socioeconomic status children. These results suggest that physical activity promotion interventions should focus on girls, obese children and lower socioeconomic status children as these individuals tend to have lower levels of attraction to physical activity, lower perceived physical competence and less parent physical activity support, which puts them at greater risk of being physically inactive.

Refining the Preschool Self‐regulation Assessment for Use in Preschool Classrooms

To aid in understanding preschoolers' self‐regulation and refinement of measurement, we examined properties of a field‐based assessment battery of preschooler's self‐regulation, the Preschool Self‐regulation Assessment (PSRA). The PSRA, which includes seven age‐appropriate tasks that tap children's executive control, was administered to 313 preschoolers and then to 261 of these children approximately 3 months later. Teachers reported on children's school readiness (social competence and classroom adjustment) at the end of preschool and kindergarten years, and on academic success in kindergarten. PSRA tasks were examined for ceiling effects at 35–65 months; Pencil Tap, Balance Beam, Toy Wrap and Snack Delay were retained for lack of such effects. Confirmatory factor analyses showed two components at each time point – hot and cool executive control – and cross‐time correlations showed significant stability of individual differences. Four‐year‐old girls and children of higher socioeconomic status outperformed 3‐year‐old boys and those at socioeconomic risk. Children, especially girls, scored higher on hot executive control. Finally, aspects of executive control differentially predicted teacher‐reports of school readiness at both times of assessment, with age, gender and risk status controlled. These selected PSRA tasks, as a shortened battery, have potential for research and applied usage, and findings speak to theoretical understanding of preschoolers' self‐regulation. Copyright © 2012 John Wiley & Sons, Ltd.

Children of low socioeconomic status show accelerated linear growth in early childhood; results from the Generation R Study.

ObjectivesPeople of low socioeconomic status are shorter than those of high socioeconomic status. The first two years of life being critical for height development, we hypothesized that a low socioeconomic status is associated with a slower linear growth in early childhood. We studied maternal educational level (high, mid-high, mid-low, and low) as a measure of socioeconomic status and its association with repeatedly measured height in children aged 0–2 years, and also examined to what extent known determinants of postnatal growth contribute to this association.MethodsThis study was based on data from 2972 mothers with a Dutch ethnicity, and their children participating in The Generation R Study, a population-based cohort study in Rotterdam, the Netherlands (participation rate 61%). All children were born between April 2002 and January 2006. Height was measured at 2 months (mid-90% range 1.0–3.9), 6 months (mid-90% range 5.6–11.4), 14 months (mid-90% range 13.7–17.9) and 25 months of age (mid-90% range 23.6–29.6).ResultsAt 2 months, children in the lowest educational subgroup were shorter than those in the highest (difference: −0.87 cm; 95% CI: −1.16, −0.58). Between 1 and 18 months, they grew faster than their counterparts. By 14 months, children in the lowest educational subgroup were taller than those in the highest (difference at 14 months: 0.40 cm; 95% CI: 0.08,0.72). Adjustment for other determinants of postnatal growth did not explain the taller height. On the contrary, the differences became even larger (difference at 14 months: 0.61 cm; 95% CI: 0.26,0.95; and at 25 months: 1.00 cm; 95% CI: 0.57,1.43)ConclusionsCompared with children of high socioeconomic status, those of low socioeconomic status show an accelerated linear growth until the18th month of life, leading to an overcompensation of their initial height deficit. The long-term consequences of these findings remain unclear and require further study.

Childhood socioeconomic position, adult socioeconomic position and social mobility in relation to markers of adiposity in early adulthood: evidence of differential effects by gender in the 1978/79 Ribeirao Preto cohort study.

Background:Longitudinal studies drawn from high-income countries demonstrate long-term associations of early childhood socioeconomic deprivation with increased adiposity in adulthood. However, there are very few data from resource-poor countries where there are reasons to anticipate different gradients. Accordingly, we sought to characterise the nature of the socioeconomic status (SES)-adiposity association in Brazil.Methods:We use data from the Ribeirao Preto Cohort Study in Brazil in which 9067 newborns were recruited via their mothers in 1978/79 and one-in-three followed up in 2002/04 (23–25years). SES, based on family income (salaries, interest on savings, pensions and so on), was assessed at birth and early adulthood, and three different adiposity measures (body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR)) ascertained at follow-up. The association between childhood SES, adult SES and social mobility (defined as four permutations of SES in childhood and adulthood: low–low, low–high, high–low, high–high), and the adiposity measures was examined using linear regression.Results:There was evidence that the association between SES and the three markers of adiposity was modified by gender in both adulthood (P<0.02 for all outcomes) and childhood SES (P<0.02 for WC and WHR). Thus, in an unadjusted model, linear regression analyses showed that higher childhood SES was associated with lower adiposity in women (coefficient (95% confidence intervals) BMI: −1.49 (−2.29,−0.69); WC: −3.85 (−5.73,−1.97); WHR: −0.03 (−0.04,−0.02)). However, in men, higher childhood SES was related to higher adiposity (BMI: 1.03 (0.28,−1.78); WC: 3.15 (1.20, 5.09); WHR: 0.009 (−0.001, 0.019)) although statistical significance was not seen in all analyses. There was a suggestion that adult SES (but not adult health behaviours or birthweight) accounted for these relationships in women only. Upward mobility was associated with protection against greater adiposity in women but not men.Conclusion:In the present study, in men there was some evidence that both higher childhood and adulthood SES was related to a higher adiposity risk, while the reverse gradient was apparent in women.

The influence of demographic factors, processing speed and short-term memory on Iranian children's pedestrian skills

ObjectivesYoung children, children from lower socioeconomic status and boys have the highest risk of pedestrian injury. This study examined the relationship between cognition and specific pedestrian skills of these groups of children in Iran. Methods180 Iranian children aged 7 and 11years from lower- and higher-socioeconomic status backgrounds participated in the study. A task to identify safe and dangerous road crossing sites and to plan a safe route to cross a road was administered to measure pedestrian skills. Coding and Digit Span subscales of WISC-R were administered to assess processing speed and short-term memory. ResultsIdentifying safe/dangerous road crossing-sites and safe route-construction abilities increased with age. Boys scored higher than girls when identifying road crossing sites but did not differ to girls in route-construction. Lower socioeconomic status children scored higher than higher socioeconomic status children on the route-construction task. Girls from lower socioeconomic status backgrounds scored lowest on the identifying safe/dangerous sites task and girls from higher socioeconomic status backgrounds scored lowest on the route construction task. Speed of processing was a significant predictor for identifying crossing sites and socioeconomic status was a significant predictor for route-construction. ConclusionsPedestrian skills are complex and influenced by age, gender, socioeconomic status and cognitive development. Results are discussed in relation to child pedestrian safety research in Iran and road safety education for children.

Profiles in Bilingualism: Factors Influencing Kindergartners’ Language Proficiency

Three common assumptions concerning bilingual children’s language proficiency are: (1) their proficiency in two languages is usually unbalanced; (2) low socioeconomic status (SES) indicates low proficiency in both languages; and (3) encouraging parents to speak some societal language at home will promote its development. Examining the vocabulary scores of 282 bilingual Singaporean kindergartners (167 Chinese, 70 Malay, and 45 Tamil), the current study found that these young children were evenly divided among four language profiles: strong in ethnic language (Chinese, Malay or Tamil) or English, strong in both languages, or weak in both. Children with high proficiency in both languages were proportionally represented in the low, middle and high SES groups, demonstrating the achievability of strong vocabulary in two languages for children of different SES. However, low SES children were most at risk for low proficiency in both languages, although many achieved high proficiency in ethnic language or both. Middle and high SES children were most likely to demonstrate low ethnic language with high English proficiency. Children mostly exposed to one language from different sources generally showed strength in that language. Children exposed to both languages at home were most likely to show low proficiency in both languages, although plenty of children exposed to both languages developed high proficiency in English or both. These results affirm previous findings that SES and home language exposure influence bilingual children’s proficiency. Implications include the importance of teachers assessing bilingual children’s proficiency in both languages and collaborating with parents to develop bilingual children’s vocabulary.

Linguistic processing in Hebrew-speaking children from low and high SES backgrounds

The aim of this study was to investigate the impact of Socio-Economic Status (SES) on Hebrew-speaking children’s developing ability to pluralize nouns and mark adjectives in agreement with them. Participants were 180 gradeschool children from mid-high SES and 180 peers from low SES, in six consecutive grade levels. The task consisted of 32 singular noun-adjective pairs with nouns classified into four categories by suffix type (Regular and Irregular) and by stem type (Nonchanging and Changing). Results showed a consistent advantage to the high SES children in accuracy of noun and adjective plurals, with gaps widening when the morphological requirements were harder, that is, in the irregular categories. Moreover, the fact that low SES children’s reaction times to producing the full plural phrase hardly decreased indicates that, unlike their high SES peers, they also did not gain more processing efficiency with age and schooling.

Early life conditions and financial risk-taking in older age

Abstract Using life-history survey data from 11 European countries, we investigate whether childhood conditions – such as socioeconomic status, cognitive abilities and health problems – influence portfolio choice, including homeownership, and risk attitudes later in life. After accounting for the corresponding conditions in adulthood, we find that both higher childhood socioeconomic status and cognition (especially mathematical ability) are strongly and positively associated with owning risky financial assets, a house, as well as with one’s willingness to take financial risks. In stark contrast, having had health problems in early life negatively affects only homeownership in older age. Finally, favorable childhood conditions are also positively associated with the transition in and out of risky asset ownership several decades later, both by facilitating investing and making divesting less likely.

Predisposing, Reinforcing and Enabling Predictors of Middle School Children's After-school Physical Activity Participation

Background: Children's participation in after-school physical activity can attenuate the overweight and obesity rates among rural, low socioeconomic status (SES) children. Children's individual determination, as well as social and environmental factors, can influence their behaviors. Purpose: The purposes of this study were to determine if a difference existed in after-school physical activity participation among children from different socioeconomic strata and to identify predisposing, reinforcing, and enabling predictors of after-school physical activity. Methods: A crosssectional, descriptive research design using surveys was used with rural, middle school children. Results: Low SES children were more active than high SES children. Physical activity self-efficacy, attraction to physical activity, and access to equipment were statistically significant in predicting children's after-school physical activity level. Discussion: Interventions enhancing self-efficacy and providing enjoyable options with adequate equipment can foster children's after-school physical activity behavior. Further research however should examine reasons (e.g., farming) why low SES children reported themselves to be more active than not-low SES children; these results are contrary to results from other studies. Translation to Health Education Practice: Increasing overweight and obesity rates should prompt practitioners to consider implementing both physical activity and nutrition interventions specific to rural children.

Changes in 10-12 year old's fruit and vegetable intake in Norway from 2001 to 2008 in relation to gender and socioeconomic status - a comparison of two cross-sectional groups

BackgroundNorwegian children and adolescents eat less than half of the recommended 5 portions of fruit and vegetables (FV) per day. Gender and socioeconomic disparities in FV consumption shows that boys and children of lower socioeconomic status (SES) eat less FV than girls and high SES children. We also know that accessibility and preferences has been identified as two important determinants of FV intake. The objectives of this study were to compare FV intake among Norwegian 6th and 7th graders in 2001 and 2008, to explore potential mediated effects of accessibility and preferences on changes in FV over time, to explore whether these changes in FV intake was moderated by gender and/or SES and whether a moderated effect in FV intake was mediated by accessibility and preferences of FV.MethodsThe baseline survey of the Fruits and Vegetables Make the Marks project was conducted in 2001 at 38 randomly chosen schools in two Norwegian counties. A second survey was conducted at the same schools in 2008. A total of 27 schools participated in both surveys (2001 n = 1488, 2008 n = 1339). FV intake was measured by four food frequency questions (times/week) in a questionnaire which the pupils completed at school. SES was based on parents' reports of their own educational level in a separate questionnaire. The main analyses were multilevel linear regression analyses.ResultsA significant year*parental educational level interaction was observed (p = 0.01). FV intake decreased among pupils of parents with lower educational level (13.9 vs. 12.6 times/week in 2001 and 2008, respectively), but increased among pupils of parents with higher education (14.8 vs. 15.0 times/week, respectively). This increasing SES disparity in FV intake was partly mediated by an increasing SES disparity in accessibility and preferences over time, wherein children with higher educated parents had a steeper increase in accessibility and preferences over time than children with lower educated parents. The year*sex interaction was not significant (p = 0.54).ConclusionsThis study shows an increase in SES disparities in 6th and 7th graders FV intake from 2001 to 2008, partly mediated by an increasing SES disparity in accessibility and preferences of FV.

An intercultural and semi-confessional reflection on blood donation

<h3>Background</h3> A life course approach has been suggested as the most appropriate to establish the total impact of socioeconomic status (SES) on adult health outcomes; however, such an approach has been poorly used within Mediterranean populations. We aimed to examine the SES trajectories from childhood to adulthood associated with mortality risk in a large general population-based cohort and to test potential pathways (eg, inflammation) underlying such associations. <h3>Methods</h3> Longitudinal analyses on 22 194 subjects recruited in the Moli-sani Study, Italy (2005–2010). Low and high SES in childhood, educational attainment (low/high) and SES during adulthood (measured by a score including material resources and dichotomised as low/high) were used to define overall trajectories. <h3>Results</h3> Over 8.3 years of follow-up, 1155 deaths occurred. In the group with poor childhood SES, an upward trajectory in both educational and material circumstances was associated with lower risk of all-cause death (HR=0.64; 95% CI 0.47 to 0.87), as opposed to subjects who remained stably low (low education and adulthood SES). Subjects with high childhood SES, but not educational achievement, were at increased risk of total and cardiovascular disease (CVD) death, although reporting higher material SES in adult life, as compared with the stably high SES group (HR=1.44; 1.02 to 2.02 and HR=1.90; 1.10 to 3.28, respectively). Inflammatory markers marginally accounted for such associations. <h3>Conclusion</h3> For individuals with low SES in early life, an educational and material upward trajectory over the life course was associated with lower mortality risk. In the high SES childhood group, lack of a higher educational attainment appeared to be unfavourably associated with survival.

Dental visiting trajectory patterns and their antecedents

This study aimed to test whether socioeconomic status (SES) in childhood may affect dental visiting patterns between ages 18 and 32 years. Using data from a complete birth cohort, childhood SES status was measured (using the New Zealand Elley-Irving index) at each study stage between birth and 15 years. Longitudinal dental visiting data were available for 833 study participants from ages 15, 18, 26, and 32, and these were analyzed by trajectory analysis. Three separate dental visiting trajectories were identified; these were categorized as opportunists (13.1%), decliners (55.9%), and routine attenders (30.9%). Bivariate analyses showed low SES in childhood, male sex, and dental anxiety to be associated with membership of the "opportunist" dental visiting trajectory. Multinomial logistic regression showed that low childhood SES and dental anxiety were statistically significant predictors for membership in the opportunist or decliner trajectories after accounting for potential confounding variables. Individuals who grew up experiencing low childhood SES were less likely to adopt a routine dental visiting trajectory in adulthood than those with a high childhood SES. Dental anxiety was also an important predictor of dental visiting patterns.

Childhood Socioeconomic Status and Race Are Associated With Adult Sleep

Race and current socioeconomic status (SES) are associated with sleep. Parental education, a commonly studied component of childhood SES, is predictive of adult health outcomes; yet, its impact on adult sleep remains unclear. In this study, the sleep of 128 Black and White adults was investigated. Participants with lower childhood SES (assessed via parental education) spent more time in Stage 2 sleep and less time in slow-wave sleep (SWS) than those with higher childhood SES. In addition, women from low childhood SES backgrounds took longer to fall asleep than women from high SES backgrounds. Black participants spent less time in SWS than their White counterparts, and an Age × Race interaction was detected in the prediction of subjective sleep quality. Results were not mediated via current SES or health practices.

Beverage consumption and anthropometric outcomes among schoolchildren in Guatemala

This analysis explores the clustering of beverage patterns in a single day in private vs. public school children in urban Guatemala. This study is based on measurements taken from 356 third- and fourth-grade pupils from the highland city of Quetzaltenango. Height, weight and body mass index were assessed, and one day's intake of all foods and beverages using a pictorial workbook and dietician assisted recall. Mean differences in beverage consumption were compared for private vs. public school children and by anthropometric outcomes (stunting, overweight and obesity). Plain water was consumed by 30.9% of the children on the day intakes were measured, with higher proportions of water drinkers among private school children. Children having reported water intake on that day consumed 154 fewer kcal (-7.7%) compared with the energy intake of children not having reported water intake (P = 0.02). Significantly more children of high socio-economic status (SES) consumed dairy, fruit juice, commercial fruit juice, fruit drink and soda whereas low SES children consumed thin gruels and infusions. A key result from this study is the finding of a lower energy intake shown by children reporting water intake.

Influence of socio-economic status on habitual physical activity and sedentary behavior in 8- to 11-year old children.

BackgroundWhile socio-economic status has been shown to be an important determinant of health and physical activity in adults, results for children and adolescents are less consistent. The purpose of this study, therefore, is to examine whether physical activity and sedentary behavior differs in children by socio-economic status (SES) independent of body mass index.MethodsData were from two cohorts including 271 children (117 males; 154 females) in study 1 and 131 children in study 2 (63 males; 68 females). The average age was 9.6 and 8.8 years respectively. Height and body mass were assessed according to standard procedures and body mass index (BMI, kg/m2) was calculated. Parent-reported household income was used to determine SES. Habitual, free-living physical activity (PA) was assessed by a pedometer (steps/day) in study 1 and accelerometer (time spent in moderate-to-vigorous PA) in study 2. Self-reported time spent watching TV and on the computer was used as measure of sedentary behavior. Differences in PA and sedentary behavior by SES were initially tested using ANOVA. Further analyses used ANCOVA controlling for BMI, as well as leg length in the pedometer cohort.ResultsIn study 1, mean daily steps differed significantly among SES groups with lower SES groups approximating 10,500 steps/day compared to about 12,000 steps/day in the higher SES groups. These differences remained significant (p < 0.05) when controlling for leg length. Lower SES children, however, had higher body mass and BMI compared to higher SES groups (p < 0.05) and PA no longer remained significant when further controlling for BMI. In study 2 results depended on the methodology used to determine time spent in moderate-to-vigorous physical activity (MVPA). Only one equation resulted in significant group differences (p = 0.015), and these differences remained after controlling for BMI. Significant differences between SES groups were shown for sedentary behavior in both cohorts (P < 0.05) with higher SES groups spending less time watching TV than low SES groups.ConclusionsChildren from a low SES show a trend of lower PA levels and spend more time in sedentary behavior than high SES children; however, differences in PA were influenced by BMI. The higher BMI in these children might be another factor contributing to increased health risks among low SES children compared to children from with a higher SES.

Socioeconomic Status, Physical Fitness, Self-Concept, Attitude toward Physical Education, and Academic Achievement of Children

The goal was to analyze the physical fitness, self-concept, attitudes toward physical education, and academic achievement of Turkish elementary school children by socioeconomic status. 198 (101 boys, 97 girls) students from Grades 7 and 8 completed the Children's Attitude Inventory towards Physical Education, the Piers-Harris Children's Self-concept Scale, and Eurofit Physical Fitness Test Battery. Significant differences were found between the groups of Low and High socioeconomic status (SES) in terms of physical fitness and academic achievement. While the Low SES group had higher mean scores on physical fitness, mean academic achievements of the High SES group were higher. Mean differences in height, self-concept, and children's attitudes toward physical education by socioeconomic status were not statistically significant. Particular attention should be paid to physical fitness in children of high socioeconomic status and the academic achievement of children with low socioeconomic status.