Household income and health status in children and adolescents in Britain

Eric Emerson · Hilary M. Graham · Chris Hatton

82 citations0/0 files storedEuropean Journal of Public Health

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Health disparities and outcomes Child and Adolescent Health Public Health and Social Inequalities

Abstract

BACKGROUND: Mortality, health, and well-being across the lifespan are associated with socioeconomic position (typically operationalised as occupational status). There is some evidence that adolescence represents a period of 'relative equalisation' of health inequalities. Our aim was to examine the association between inequalities in household income and health in childhood and adolescence. METHODS: Cross-sectional survey using multistage stratified random sample of households in Britain. Information was collected on 10438 children aged 5-15 years. RESULTS: Low levels of equivalised household income was associated with poorer health for 13 out of the 22 indicators examined (odds ratio P < 0.05 for > or =1 income quintile). Multivariate analyses controlling for child characteristics, parental socioeconomic status and household composition indicated that low levels of equivalised household income increased the odds of poor health for 9 out of the 22 indicators examined. There was little evidence of any systematic differences in the extent of health inequalities across age groups (5-10 and 11-15 years). CONCLUSION: Household income is related to a range of health outcomes for children and adolescents, even when other indicators of socioeconomic status are taken into account. We found little evidence that adolescence represents a period of relative equalisation of health inequalities.

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References

2002Socioeconomic Status and Child Development 1997The Effects of Poverty on Children 2000The Development and Well-Being Assessment: Description and Initial Validation of an Integrated Assessment of Child and Adolescent Psychopathology 2003Mental health of children and adolescents in Great Britain 2000The Mental Health of Children and Adolescents in Great Britain 1998Independent inquiry into inequalities in health report 2004Childhood Socioeconomic Circumstances and Cause-specific Mortality in Adulthood: Systematic Review and Interpretation 2002Poverty and health sector inequalities.

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