TY  - JOUR
PY  - 2019//
TI  - Measuring socioeconomic adversity in early life
JO  - Acta paediatrica
A1  - Anand, Kanwaljeet J. S.
A1  - Rigdon, Joseph
A1  - Rovnaghi, Cynthia R.
A1  - Qin, FeiFei
A1  - Tembulkar, Sahil
A1  - Bush, Nicole
A1  - LeWinn, Kaja
A1  - Tylavsky, Frances A.
A1  - Davis, Robert
A1  - Barr, Donald A.
A1  - Gotlib, Ian H.
SP  - 1267
EP  - 1277
VL  - 108
IS  - 7
N2  - AIM: Early life adversity in leads to enduring effects on physical and mental health, school performance, and other outcomes. We sought to identify potentially modifiable factors leading to socioeconomic adversity in early life. <br><br>METHODS: We enrolled 1,503 pregnant women aged 16-40 years, without pregnancy complications or pre-existing conditions from Shelby County, Tennessee. Social, familial, and economic variables were analyzed using principal components (PCs) analyses to generate the Socioeconomic Adversity Index (SAI). This was replicated using the National Survey of Children's Health (NSCH). Health and social outcomes were compared across the quintile groups defined by SAI values at the county, state, and national levels. <br><br>RESULTS: Significant differences occurred across the SAI Quintile-1 to Quintile-5 groups in marital status, household structure, annual income, education, and health insurance. Significantly worse health and social outcomes occurred in the lower vs. higher SAI quintiles, including maternal depression, parental incarceration, child's birthweight, and potential for child abuse. Maternal age and race also differed significantly across the SAI quintiles. <br><br>CONCLUSION: Modifiable factors contributing to socioeconomic adversity in early life included marital status, household structure, annual income, education, and health insurance. Those exposed to greater socioeconomic adversity as defined by SAI values had significantly worse maternal and child outcomes. This article is protected by copyright. All rights reserved.<br><br>This article is protected by copyright. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0803-5253
UR  - http://dx.doi.org/10.1111/apa.14715
ID  - ref1
ER  -