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The role of inflammation in the association between poverty and working memory in childhood
Theodora Kokosi1, Eirini Flouri1, Emily Midouhas1
1Department of Psychology and Human Development, UCL Institute of Education, University College London, UK.
Insights
Financial difficulties in early childhood are linked to poorer working memory later on. This connection is partly explained by inflammation, a physiological response to financial strain affecting cognitive development.
Area of Science:
- Child Development
- Neuroscience
- Public Health
Background:
- Family financial difficulties are linked to reduced executive functioning in children.
- Emerging research suggests indirect pathways, including physiological ones like inflammation, mediate this relationship.
- Inflammation is associated with both financial strain and executive function deficits.
Purpose of the Study:
- To investigate if inflammation explains the association between early family financial difficulties and working memory in middle childhood.
- To examine the role of inflammation as a mediator in the link between financial hardship and cognitive development.
- To explore the impact of early life financial strain on children's executive functions via inflammatory pathways.
Main Methods:
- Utilized data from 4,525 children in the Avon Longitudinal Study of Parents and Children (ALSPAC) birth cohort.
- Assessed parental financial difficulties (affording necessities) at ages 0-3 years.
- Measured children's inflammation (IL-6, CRP) at age 9 and working memory at age 10, controlling for confounders.
Main Results:
- Financial difficulties at ages 0-3 years were associated with worse working memory at age 10 (β=-0.076).
- This association was partially mediated by inflammation, specifically IL-6 (β=-0.002).
- Results were adjusted for socioeconomic status, economic hardship, BMI, and gender.
Conclusions:
- Early childhood financial difficulties are associated with higher inflammation levels in children.
- Inflammation partially mediates the negative impact of financial strain on children's working memory.
- Financial strain uniquely affects cognitive development through inflammation in the general population.
Background:
Family financial difficulties have been directly linked to poorer executive functioning in childhood. However, recent studies suggest that difficulties in affording basic items and other necessities may also indirectly affect children's executive functions through several psychological but also physiological paths. One of the latter may be inflammation, which has been related to both financial difficulties and executive functioning. In this study, we explored for the first time if the relationship between early family financial difficulties and working memory in middle childhood can be explained by inflammation.
Methods:
Using data from 4,525 children of the Avon Longitudinal Study of Parents and Children, a general population birth cohort, we tested associations between parents' perceptions at ages 0-3 years of having difficulties in affording basic items for their children including food and clothing, children's inflammation [measured by interleukin 6 (IL-6) and C-reactive protein (CRP)] at age 9 years and working memory performance at age 10 years. Confounders included socioeconomic status at ages 0-3 years, economic hardship between ages 3-9 years, BMI and gender.
Results:
Using Structural Equation Modelling, we found that financial difficulties were associated with worse working memory (β=-0.076, 95 % CI=-0.105, -0.043) even after adjusting for confounders. This association was partially explained by inflammation (β=-0.002, 95 % CI=-0.005, -0.001) as measured by IL-6.
Conclusions:
Children in families struggling to afford necessities early in life have higher levels of inflammation, in turn related to poorer executive functioning in middle childhood. These findings suggest that living under financial strain has a unique effect on children's cognitive development through inflammation in the general population.
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