Role of childhood health in the explanation of socioeconomic inequalities in early adult health.
OBJECTIVE
To examine the contribution of childhood health to the explanation of socioeconomic inequalities in health in early adult life.


METHODS
Retrospective data were used, which were obtained from a postal survey in the baseline of a prospective cohort study (the Longitudinal Study on Socio-Economic Health Differences in the Netherlands). Adult socioeconomic status was indicated by educational level, while health was indicated by perceived general health. Childhood health was measured by self reported periods of severe disease in childhood. Relations were analysed using logistic regression models. The reduction in odds ratios of "less than good" perceived general health for different educational groups after adjustment for childhood health was used to estimate the contribution of childhood health.


METHODS
The population of the city of Eindhoven and surroundings in the south east of the Netherlands in 1991.


METHODS
2511 respondents, aged 25-34 years, men and women, of Dutch nationality, were included in the analysis.


RESULTS
There was a clear association between childhood health and adult health, as well as an association between childhood health and adult socioeconomic status. Approximately 5% to 10% of the increased risk of the lower socioeconomic groups of having a "less than good" perceived general health can be explained by childhood health.


CONCLUSIONS
Childhood health contributes to the explanation of socioeconomic inequalities in early adult health. Although this contribution is not very large, it cannot be ignored and has to be interpreted largely in terms of selection on health.
van de Mheen
H
H
Department of Public Health, Erasmus University, Rotterdam, The Netherlands.
Stronks
K
K
Looman
C W
CW
Mackenbach
J P
JP
D000293:Adolescent; D000328:Adult; D000368:Aged; D002669:Child Welfare; D004522:Educational Status; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D008875:Middle Aged; D016017:Odds Ratio; D011446:Prospective Studies; D012307:Risk Factors; D012959:Socioeconomic Factors