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Association Between Lung Function of Children and Their Socioeconomic Conditions: A Systematic Review
1Department of Pediatrics, College of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, 13317, Saudi Arabia.
Objective:
This study aims to evaluate the association between socioeconomic conditions and the lung function of children below 18 years old.
Design:
Systematic review.
Methods:
PRISMA guidelines were followed to browse relevant studies from 2013 to 2023. Data from the included studies were extracted after the Newcastle-Ottawa risk of bias tool was applied.
Main Outcome:
Forced expiratory volume in the first second (FEV1) liters.
Results:
20 papers with 89,619 participants were included. Logistic regression model for FEV1 based on multiple SES indices, suggested a positive association between lower respiratory function and a lower SES, with an interquartile odds ratio (OR) of 1.67 (95% CI 1.03-1.34).
Conclusion:
Children from a lower socioeconomic status (SES) do exhibit lower lung function and addressing the causes of this can contribute to developing preventive public health strategies.
Limitations:
Lack of appropriate reference values and varied indicators of socioeconomic status in the studies contributed to significant statistical differences.
Prospero Registration Number:
CRD 42020197658.
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