Childhood Social Disadvantage and Pubertal Timing: A National Birth Cohort From Australia

人口学 医学 劣势 社会经济地位 生命历程法 优势比 队列 置信区间 可能性 纵向研究 社会阶层 队列研究 人口 儿科 老年学 发展心理学 环境卫生 心理学 逻辑回归 内科学 社会学 病理 法学 政治学
作者
Ying Sun,Fiona Mensah,Peter Azzopardi,George Patton,Melissa Wake
出处
期刊:Pediatrics [American Academy of Pediatrics]
卷期号:139 (6) 被引量:92
标识
DOI:10.1542/peds.2016-4099
摘要

Early pubertal timing is linked with a range of adverse health outcomes later. Given recent trends of earlier pubertal maturation, there is growing interest in the factors influencing pubertal timing. Socioeconomic disadvantage has been previously linked with reproductive strategies later in life. In this study, we aim to determine the association between cumulative social disadvantages in early life and early puberty in a population-based birth cohort.Data are from the B (baby) cohort of The Longitudinal Study of Australian Children. Children (n = 5107) were aged 0 to 1 years when recruited in 2004 and 10 to 11 years (n = 3764) at Wave 6 in 2015. Household socioeconomic position (SEP) and neighborhood socioeconomic disadvantage were collected at all 6 waves. Trajectories of disadvantage were identified through latent class models. Early puberty at Wave 6 was assessed from parental reports using an adaptation of the Pubertal Development Scale.Cumulative exposure to extremely unfavorable household SEP in boys independently predicted a fourfold increase (odds ratio = 4.22, 95% confidence interval 2.27-7.86) in the rate of early puberty. In girls, the increase was twofold (odds ratio = 1.96, 95% confidence interval 1.08-3.56). We found no effect from neighborhood disadvantage once family SEP was taken into account.Cumulative exposure to household socioeconomic disadvantage in early life predicts earlier pubertal timing in both boys and girls. This may represent 1 mechanism underpinning associations between early life disadvantage and poor health in later life.
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