Associations of Birth Factors and Socio-Economic Status with Indicators of Early Emotional Development and Mental Health in Childhood: A Population-Based Linkage Study

Guhn, Martin; Emerson, Scott D.; Mahdaviani, Dorri; Gadermann, Anne M.

doi:10.1007/s10578-019-00912-6

Cited by 47 publications

(54 citation statements)

References 62 publications

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“…Each patient in the kidney pathology database was assigned to a dissemination area on the basis of the postal code of their location of residence in the year of their biopsy and thereby assigned the corresponding dissemination area-level income quintile on the basis of data from the closest census year. Arealevel income has been used in other studies and has been found to be a reasonable proxy for household income in the Canadian population (15,16). Location of residence was identified from the Ministry of Health Medical Services Plan database, a health insurance plan that provides coverage for all residents of British Columbia (17).…”

Section: Data Sourcesmentioning

confidence: 99%

Socioeconomic Position and Incidence of Glomerular Diseases

Canney

Induruwage

Sahota

et al. 2020

CJASN

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Background and objectives Social deprivation is a recognized risk factor for undifferentiated CKD; however, its association with glomerular disease is less well understood. We sought to investigate the relationship between socioeconomic position and the population-level incidence of biopsy-proven glomerular diseases. Design, setting, participants, & measurements In this retrospective cohort study, a provincial kidney pathology database (2000-2012) was used to capture all incident cases of membranous nephropathy (n5392), IgA nephropathy (n5818), FSGS (n5375), ANCA-related GN (ANCA-GN, n5387), and lupus nephritis (n5389) in British Columbia, Canada. Quintiles of area-level household income were used as a proxy for socioeconomic position, accounting for regional differences in living costs. Incidence rates were direct standardized to the provincial population using census data for age and sex and were used to generate standardized rate ratios. For lupus nephritis, age standardization was performed separately in men and women. Results A graded increase in standardized incidence with lower income was observed for lupus nephritis (P,0.001 for trend in both sexes) and ANCA-GN (P50.04 for trend). For example, compared with the highest quintile, the lowest income quintile had a standardized rate ratio of 1.7 (95% confidence interval, 1.19 to 2.42) in women with lupus nephritis and a standardized rate ratio of 1.5 (95% confidence interval, 1.09 to 2.06) in ANCA-GN. The association between income and FSGS was less consistent, in that only the lowest income quintile was associated with a higher incidence of disease (standardized rate ratio, 1.55; 95% confidence interval, 1.13 to 2.13). No significant associations were demonstrated for IgA nephropathy or membranous nephropathy. Conclusions Using population-level data and a centralized pathology database, we observed an inverse association between socioeconomic position and the standardized incidence of lupus nephritis and ANCA-GN.

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Section: Data Sourcesmentioning

confidence: 99%

Socioeconomic Position and Incidence of Glomerular Diseases

Canney

Induruwage

Sahota

et al. 2020

CJASN

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“…[1][2][3] Life's challenges weigh more heavily on people with fewer financial resources and less education, and the impact of SES on emotional well-being is substantial. For example, Guhn et al 4 found an adjusted odds ratio for mental health conditions 25-39% higher for children of low-income families compared with others. A Canadian government survey 5 found that disabling mental health problems are twice as common among those without a high school diploma compared with college graduates.…”

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confidence: 98%

The affective neuroscience of socioeconomic status: implications for mental health

Hao

Farah

2020

BJPsych Bull

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Summary We review basic science research on neural mechanisms underlying emotional processing in individuals of differing socioeconomic status (SES). We summarise SES differences in response to positive and negative stimuli in limbic and cortical regions associated with emotion and emotion regulation. We discuss the possible relevance of neuroscience to understanding the link between mental health and SES. We hope to provide insights into future neuroscience research on the etiology and pathophysiology of mental disorders relating to SES.

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“…Excluding this item from our analyses, however, did not result in significantly higher internal consistency as the item response category used by 92% of our sample was “never or not true”. One potential explanation for the latter finding is that the vast majority of children in our sample came from families with a higher SES, a setting which might provide greater emotional stability [ 55 ]. Given that theories of developmental psychology consider this item reflective of emotional conditions in children such as anxiety or depression [ 52 , 56 ], we recommend shifting the item to the domain EMO.…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties and contextual appropriateness of the German version of the Early Development Instrument

et al. 2020

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Background Assessing the early development of children at a population level in educational settings, may be useful for public health and policy decision making. In this study, we evaluated the psychometric properties and the contextual appropriateness of a German language version of the Early Development Instrument (EDI), a survey-based instrument originally developed in Canada, which assesses developmental vulnerability for children in preschool settings. Methods Sixty preschool teachers from six preschool organizations (22% of organizations contacted) in three cities in southwest Germany participated. They administered a German version of the EDI (GEDI) to 225 children (51% of eligible children). We assessed internal consistency, test-retest and interrater reliability. Preschool teachers assisted in determining face-validity by reviewing item coverage and comprehensibility. Exploratory factor analysis (EFA) was used to evaluate convergent validity. Concurrent validity was measured using correlations and agreements (Bland-Altman plots) between GEDI and other validated instrument scores. Additionally, we compared associations between GEDI domain scores and sociodemographic characteristics with similar associations in EDI studies worldwide. Results GEDI domains showed good to excellent internal consistency (0.73 < α > 0.99) and moderate to good test-retest and interrater reliability (0.50 to 0.81 and 0.48 to 0.71, respectively [ p -value < 0.05]). Face validity was considered acceptable. EFA showed a factor structure similar to the original EDI. Correlations (range: 0.32 to 0.67) and agreements between GEDI scores and other German language instruments suggested good external reliability. Scoring within the lowest 10th percentile was strongly associated with age. Conclusions Our psychometric assessment suggests good reliability and consistency of the GEDI. Differences in the age distribution of children, pedagogical objectives and educational system features of German preschools require future work to determine score thresholds indicative of vulnerability. Aside from dropping selected items from the original EDI that were inconsistent with features of the German educational system, the distribution of values in the language and cognitive development domain also suggested that context-specific cut-offs must be established for the German version. Such efforts are needed to account for relevant contextual differences between the educational systems.

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Associations of Birth Factors and Socio-Economic Status with Indicators of Early Emotional Development and Mental Health in Childhood: A Population-Based Linkage Study

Cited by 47 publications

References 62 publications

Socioeconomic Position and Incidence of Glomerular Diseases

Socioeconomic Position and Incidence of Glomerular Diseases

The affective neuroscience of socioeconomic status: implications for mental health

Psychometric properties and contextual appropriateness of the German version of the Early Development Instrument

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