Socioeconomic circumstances, health-related behaviours and paediatric infections : a mediation analysis
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVE: To examine how the effect of disadvantaged socioeconomic circumstances on the risk of paediatric infections is mediated by pregnancy smoking, excess weight during pregnancy and breast feeding in children under 5 years of age.
DESIGN: A population-level, retrospective cohort study. The Swedish Medical Birth Register was combined with the National Patient Register, the longitudinal integration database for health insurance and labour market studies, the Cause of Death Register and a local register held by the Child Health Care Unit in Uppsala Region.
SETTING: Uppsala Region, Sweden.
PATIENTS: 63 216 term and post-term singletons born to women who resided in Uppsala Region, Sweden between 1997 and 2015.
MAIN OUTCOME MEASURES: Number of hospital admissions for infectious diseases. Secondary outcomes were the number of hospitalisations for respiratory and enteric infections, respectively.
RESULTS: The effect of disadvantaged socioeconomic circumstances, that is, low maternal education on the overall risk of paediatric infections was mediated to a considerable (33%-64%) proportion by pregnancy smoking, excess weight during pregnancy and breast feeding.
CONCLUSIONS: Pregnancy smoking, excess weight during pregnancy and breast feeding mediate a considerable proportion of the association between deprived socioeconomic circumstances and paediatric infectious diseases. Therefore, inequalities in paediatric infectious diseases may be reduced by public health policies addressing these health-related behaviours.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:109 |
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| Enthalten in: |
Archives of disease in childhood - 109(2024), 3 vom: 19. Feb., Seite 195-200 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Videholm, Samuel [VerfasserIn] |
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| Links: |
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| Themen: |
Child health |
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| Anmerkungen: |
Date Completed 21.02.2024 Date Revised 28.02.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1136/archdischild-2023-325850 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364714972 |
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| 245 | 1 | 0 | |a Socioeconomic circumstances, health-related behaviours and paediatric infections |b a mediation analysis |
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| 500 | |a Date Completed 21.02.2024 | ||
| 500 | |a Date Revised 28.02.2024 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a OBJECTIVE: To examine how the effect of disadvantaged socioeconomic circumstances on the risk of paediatric infections is mediated by pregnancy smoking, excess weight during pregnancy and breast feeding in children under 5 years of age | ||
| 520 | |a DESIGN: A population-level, retrospective cohort study. The Swedish Medical Birth Register was combined with the National Patient Register, the longitudinal integration database for health insurance and labour market studies, the Cause of Death Register and a local register held by the Child Health Care Unit in Uppsala Region | ||
| 520 | |a SETTING: Uppsala Region, Sweden | ||
| 520 | |a PATIENTS: 63 216 term and post-term singletons born to women who resided in Uppsala Region, Sweden between 1997 and 2015 | ||
| 520 | |a MAIN OUTCOME MEASURES: Number of hospital admissions for infectious diseases. Secondary outcomes were the number of hospitalisations for respiratory and enteric infections, respectively | ||
| 520 | |a RESULTS: The effect of disadvantaged socioeconomic circumstances, that is, low maternal education on the overall risk of paediatric infections was mediated to a considerable (33%-64%) proportion by pregnancy smoking, excess weight during pregnancy and breast feeding | ||
| 520 | |a CONCLUSIONS: Pregnancy smoking, excess weight during pregnancy and breast feeding mediate a considerable proportion of the association between deprived socioeconomic circumstances and paediatric infectious diseases. Therefore, inequalities in paediatric infectious diseases may be reduced by public health policies addressing these health-related behaviours | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a child health | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a healthcare disparities | |
| 650 | 4 | |a infectious diseases | |
| 700 | 1 | |a Silfverdal, Sven Arne |e verfasserin |4 aut | |
| 700 | 1 | |a Gustafsson, Per E |e verfasserin |4 aut | |
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