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Poverty and chronic illness in early childhood: a comparison between the United kingdom and Quebec.

机译:幼儿期的贫困与慢性病:英国与魁北克的比较。

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OBJECTIVES: Our goal was to examine the association between poverty, in the first and fourth years of life and cumulatively in the first and fourth years of life, and the health of children in the fourth year of life in the UK Millennium Cohort Study and in the Quebec Longitudinal Study of Child Development (QLSCD). METHODS: Data from the UK Millennium Cohort Study of 14 556 children and from the QLSCD of 1950 children were analyzed. Comparable measures of poverty were households in receipt of the safety-net benefit: income support in the United Kingdom and social welfare in Quebec. Three parent-reported health indicators were examined: asthma attack, long-standing illness, and limiting long-standing illness by the fourth year of life. Associations were explored with logistic regression modeling controlling for child characteristics and maternal education. RESULTS: Poverty only in the first year of life significantly increased the risk of asthma attacks and limiting long-standing illness in the fourth year of life among UK children; trends were in the expected direction in the QLSCD but did not reach statistical significance. Poverty in the fourth year of life only significantly increased the risk of all 3 outcomes for UK children but not for Quebec children. For children experiencing poverty in both the first and fourth years of life, the risks for all 3 outcomes also increased in the United Kingdom, whereas only the risk of limiting long-standing illness increased in Quebec. Adjustment for confounding had little effect on the increased risks associated with poverty. CONCLUSIONS: These findings suggest that experience of poverty at various times in early childhood increases the risk of asthma attacks and chronic illness in the fourth year of life; however, they also indicate that poverty at different stages of the early childhood life course may have different effects on chronic illness in different country settings.
机译:目的:我们的目标是在英国千禧年队列研究和研究中,检查贫困,生命的第一和第四年以及生命的第一和第四年的累积与儿童健康之间的联系。魁北克儿童发展纵向研究(QLSCD)。方法:分析了来自英国千年队列研究的14 556名儿童和1950名儿童的QLSCD的数据。可比的贫困程度是获得安全性净收益的家庭:英国的收入支持和魁北克的社会福利。检查了父母报告的三个健康指标:哮喘发作,长期疾病和在出生后第四年限制长期疾病。通过逻辑回归模型控制儿童特征和孕产妇教育,探索了协会。结果:仅在英国儿童的头一年贫困就大大增加了哮喘发作的风险,并限制了英国儿童在头四年的长期患病。趋势符合QLSCD的预期方向,但未达到统计学意义。生命第四年的贫困仅显着增加了英国儿童的所有三个结局的风险,而魁北克儿童则没有。对于在生命的第一和第四年都经历过贫困的儿童,在英国,所有这三种结果的风险也都增加了,而在魁北克,只有限制长期疾病的风险增加了。混杂的调整对与贫困相关的增加的风险影响不大。结论:这些发现表明,在幼儿期的不同时间经历贫困会增加在第四年生活中哮喘发作和慢性疾病的风险。但是,它们也表明,在儿童早期生活过程的不同阶段,贫困可能在不同的国家/地区对慢性病产生不同的影响。

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