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Association between children's experience of socioeconomic disadvantage and adult health: a life-course study.

Publication ,  Journal Article
Poulton, R; Caspi, A; Milne, BJ; Thomson, WM; Taylor, A; Sears, MR; Moffitt, TE
Published in: Lancet (London, England)
November 2002

Research into social inequalities in health has tended to focus on low socioeconomic status in adulthood. We aimed to test the hypothesis that children's experience of socioeconomic disadvantage is associated with a wide range of health risk factors and outcomes in adult life.We studied an unselected cohort of 1000 children (born in New Zealand during 1972-73) who had been assessed at birth and ages 3, 5, 7, 9, 11, 13, and 15 years. At age 26 years, we assessed these individuals for health outcomes including body-mass index, waist:hip ratio, blood pressure, cardiorespiratory fitness, dental caries, plaque scores, gingival bleeding, periodontal disease, major depression, and tobacco and alcohol dependence, and tested for associations between these variables and childhood and adult socioeconomic status.Compared with those from high socioeconomic status backgrounds, children who grew up in low socioeconomic status families had poorer cardiovascular health. Significant differences were also found on all dental health measures, with a threefold increase in adult periodontal disease (31.1% vs 11.9%) and caries level (32.2% vs 9.9%) in low versus high childhood socioeconomic status groups. Substance abuse resulting in clinical dependence was related in a similar way to childhood socioeconomic status (eg, 21.5% vs 12.1% for adult alcohol dependence). The longitudinal associations could not be attributed to life-course continuity of low socioeconomic status, and upward mobility did not mitigate or reverse the adverse effects of low childhood socioeconomic status on adult health.Protecting children against the effects of socioeconomic adversity could reduce the burden of disease experienced by adults. These findings provide strong impetus for policy makers, practitioners, and researchers to direct energy and resources towards childhood as a way of improving population health.

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Published In

Lancet (London, England)

DOI

EISSN

1474-547X

ISSN

0140-6736

Publication Date

November 2002

Volume

360

Issue

9346

Start / End Page

1640 / 1645

Related Subject Headings

  • Socioeconomic Factors
  • Social Class
  • Risk Factors
  • Poverty
  • Oral Health
  • New Zealand
  • Mental Health
  • Longitudinal Studies
  • Humans
  • Health Status
 

Citation

APA
Chicago
ICMJE
MLA
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Poulton, R., Caspi, A., Milne, B. J., Thomson, W. M., Taylor, A., Sears, M. R., & Moffitt, T. E. (2002). Association between children's experience of socioeconomic disadvantage and adult health: a life-course study. Lancet (London, England), 360(9346), 1640–1645. https://doi.org/10.1016/s0140-6736(02)11602-3
Poulton, Richie, Avshalom Caspi, Barry J. Milne, W Murray Thomson, Alan Taylor, Malcolm R. Sears, and Terrie E. Moffitt. “Association between children's experience of socioeconomic disadvantage and adult health: a life-course study.Lancet (London, England) 360, no. 9346 (November 2002): 1640–45. https://doi.org/10.1016/s0140-6736(02)11602-3.
Poulton R, Caspi A, Milne BJ, Thomson WM, Taylor A, Sears MR, et al. Association between children's experience of socioeconomic disadvantage and adult health: a life-course study. Lancet (London, England). 2002 Nov;360(9346):1640–5.
Poulton, Richie, et al. “Association between children's experience of socioeconomic disadvantage and adult health: a life-course study.Lancet (London, England), vol. 360, no. 9346, Nov. 2002, pp. 1640–45. Epmc, doi:10.1016/s0140-6736(02)11602-3.
Poulton R, Caspi A, Milne BJ, Thomson WM, Taylor A, Sears MR, Moffitt TE. Association between children's experience of socioeconomic disadvantage and adult health: a life-course study. Lancet (London, England). 2002 Nov;360(9346):1640–1645.
Journal cover image

Published In

Lancet (London, England)

DOI

EISSN

1474-547X

ISSN

0140-6736

Publication Date

November 2002

Volume

360

Issue

9346

Start / End Page

1640 / 1645

Related Subject Headings

  • Socioeconomic Factors
  • Social Class
  • Risk Factors
  • Poverty
  • Oral Health
  • New Zealand
  • Mental Health
  • Longitudinal Studies
  • Humans
  • Health Status