过早出生,家庭收入和代际收入流动性
Asma M Ahmed1,2, Eleanor Pullenayegum1, Sarah D McDonald3
1Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, Ontario, Canada.
JAMA network open
|June 10, 2024
概括
过早出生与较低的成年人收入和减少的社会流动性有关,特别是对于来自低社会经济地位家庭的人来说. 这些发现凸显了为早产儿提供有针对性的支持的需要.
科学领域:
- 公共卫生 公共卫生
- 健康的社会经济决定因素
- 围产期流行病学 围产期流行病学
背景情况:
- 过早出生 (PTB) 是已知的成人收入减少的风险因素.
- PTB对代际收入流动性的影响以及家庭社会经济地位 (SES) 的改变作用仍然不清楚.
研究的目的:
- 调查PTB与成人收入之间的关联是否因出生时的家庭SES而有所不同.
- 检查PTB与代际收入流动性之间的关系.
主要方法:
- 加拿大活产婴儿 (1990-1996) 的匹配队列研究,随访至2018年.
- 一般化的估计方程模型评估了PTB与成人收入的关联,按家庭收入五分位数分层.
- 线性和多项物流回归分析了PTB与收入等级变化和流动性的关联.
主要成果:
- PTB与年成年收入降低3% (加拿大 - 687美元) 相关.
- 这种收入差距在最低家庭SES五分位数中的个人中扩大到5% (加拿大 - 807美元).
- PTB与较低的上升和较高的下降社会流动性有关,特别是在怀孕31周以下的出生时.
结论:
- PTB与成年人收入减少和社会流动性改变有关,在处境不利的家庭中效应放大.
- 旨在改善早产儿社会经济成果的干预措施应考虑家庭SES.
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