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Maternal education, lone parenthood, material hardship, maternal smoking, and longstanding respiratory problems in
1School of Health and Social Studies and Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK. n.j.spencer@warwick.ac.uk
Insights
Maternal smoking increases children
Area of Science:
- Pediatric Respiratory Health
- Sociology of Health
- Public Health
Background:
- Maternal smoking and low socioeconomic status (SES) are linked to childhood respiratory issues.
- The interplay between these factors and childhood respiratory problems requires further investigation.
- This study examines these interrelations in British children aged 0-11 years.
Purpose of the Study:
- To investigate the hierarchical relationship between maternal education, lone parenthood, material hardship, maternal smoking, and childhood respiratory problems.
- To understand the mediating roles of socioeconomic factors and maternal smoking in childhood respiratory conditions.
- To identify key factors for reducing the incidence of longstanding respiratory problems in children.
Main Methods:
- Utilized data from the Family and Children Study, a representative sample of British households.
- Employed a conceptual hierarchical framework to model the influences on childhood respiratory problems.
- Analyzed the effects of maternal education, lone parenthood, and material hardship on maternal smoking and subsequent respiratory outcomes.
Main Results:
- In younger children (0-2 years), maternal education and material hardship indirectly affected respiratory problems. Lone parenthood's effect was partly mediated by material hardship and maternal smoking.
- Maternal smoking showed a significant association with respiratory problems (OR=2.04) even after adjusting for SES variables in younger children.
- In older children (3-11 years), the direct effect of maternal smoking on respiratory problems was eliminated after adjusting for confounding factors.
Conclusions:
- Addressing socioeconomic status (SES) factors is crucial for reducing childhood respiratory problems.
- Interventions should consider both background SES and maternal smoking behaviors.
- Targeting socioeconomic disparities may be key to preventing long-term respiratory issues in children.
Background:
Maternal smoking and low socioeconomic status are known to be associated with each other and with longstanding respiratory problems in childhood but their interrelation has received little attention. In this paper, the interrelations is studied using a conceptual hierarchical framework among children aged 0-11 years in a representative sample of British households with children.
Method:
With data from the family and children study, this paper tested a conceptual hierarchical framework, in which maternal education acting through lone parenthood would influence material hardship and all three would have effects on maternal smoking increasing the risk of children's longstanding respiratory problems.
Results:
Among children 0-2, maternal education and material hardship had indirect effects on respiratory problems mediated through more proximal variables. After adjustment for maternal education, the effect of lone parenthood was partially mediated through material hardship and maternal smoking. Adjustment for socioeconomic status variables attentuated but did not eliminate the effect of maternal smoking (odds ratio=2.04, 95% confidence interval=1.30, 3.20). Among children 3-11, the effect of maternal education was partially mediated through proximal variables. Lone parenthood and material hardship had indirect effects only. Adjustment for confounding eliminated the effect of maternal smoking (odds ratio=1.06, 95% confidence interval=0.88, 1.26).
Conclusions:
Reducing childhood longstanding respiratory problems will require attention to background socioeconomic status factors in addition to maternal smoking.
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