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Socioeconomic inequalities in infant temperament: the generation R study
Pauline W Jansen1, Hein Raat, Johan P Mackenbach
1The Generation R Study Group, Erasmus MC-University Medical Centre Rotterdam, Rotterdam, The Netherlands.
Insights
Socioeconomic status (SES) inequalities in infant temperament are evident by six months of age. Family stress and maternal well-being partially explain these differences, suggesting early origins for adult mental health disparities.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Socioeconomic Determinants of Health
Background:
- Low socioeconomic status (SES) is linked to childhood behavioral issues, but infant temperament studies show inconsistent results.
- Previous research often overlooked the mechanisms connecting SES and infant temperament.
- This study addresses the association between SES and temperament in infancy.
Purpose of the Study:
- To investigate the relationship between socioeconomic status (SES) and infant temperament.
- To explore potential mediating factors, such as family stress and maternal psychological well-being, in the SES-temperament association.
- To determine if SES-related temperament differences are present in early infancy.
Main Methods:
- Utilized data from the Generation R study, a Dutch population-based cohort.
- Assessed SES using maternal/paternal education, family income, and maternal occupational status.
- Administered the Infant Behaviour Questionnaire-Revised to 4,055 mothers at infant age 6 months.
Main Results:
- Lower SES correlated with more difficult infant temperament across five dimensions, including higher Activity and Fear.
- The association between SES and infant temperament was partially explained by family stress and maternal psychological well-being for Distress to Limitations, Recovery from Distress, and Duration of Orienting.
- Family stress and maternal well-being did not explain the higher Activity and Fear, or lower Sadness, scores in infants from low SES groups.
Conclusions:
- Socioeconomic status inequalities in infant temperament are observable as early as six months of age.
- Family stress and maternal psychological well-being partially mediate the link between SES and specific infant temperament traits.
- These findings suggest that socioeconomic disparities in adult mental health may originate in infancy.
Background:
A low socioeconomic status (SES) has consistently been associated with behavioural problems during childhood. The studies of SES and behaviour in infants used temperament as a behavioural measure. However, these studies in younger children yielded inconsistent findings. Furthermore, they generally did not examine explanatory mechanisms underlying the association between SES and temperament. We investigated the association between SES and temperament in infancy.
Methods:
The study was embedded in the Generation R study, a population-based cohort in The Netherlands. Maternal and paternal education, family income, and maternal occupational status were used as indicators of SES. At the age of 6 months, 4,055 mothers filled out six scales of the Infant Behaviour Questionnaire-Revised.
Results:
Lower SES was associated with more difficult infant temperament as measured by five of the six temperament dimensions (e.g. Fear: unadjusted z-score difference between lowest and highest education: 0.57 (95%CI: 0.43, 0.71)). Only the direction of the association between SES and Sadness was reversed. The effect of SES on Distress to Limitations, Recovery from Distress, and Duration of Orienting scores was largely explained by family stress and maternal psychological well-being. These covariates could not explain the higher levels of Activity and Fear nor the lower Sadness scores of infants from low SES groups.
Conclusions:
SES inequalities in temperament were already present in six months old infants and could partially be explained by family stress and maternal psychological well-being. The results imply that socioeconomic inequalities in mental health in adults may have their origin early in life.
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