The association between socioeconomic disadvantage and parent-rated health in children and adolescents with chronic kidney disease—the Kids with CKD (KCAD) ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-20

AUTHORS

Madeleine Didsbury, Anita van Zwieten, Kerry Chen, Laura J. James, Anna Francis, Siah Kim, Steven McTaggart, Amanda Walker, Fiona Mackie, Tonya Kara, Chanel Prestidge, Armando Teixeira-Pinto, Belinda Barton, Jennifer Lorenzo, Suncica Lah, Kirsten Howard, Natasha Nassar, Eric Au, Allison Tong, Jonathan C. Craig, Germaine Wong

ABSTRACT

OBJECTIVE: To determine the association of socioeconomic disadvantage and parent-rated health in children with chronic kidney disease (CKD). METHODS: A total of 377 children (aged 6-18 years) with CKD stages I-V (n = 199), on dialysis (n = 43), or with a kidney transplant (n = 135) were recruited from 2012 to 2016 in Australia and New Zealand. Associations of five socioeconomic status (SES) components and the global SES index with parent-rated health of the child were examined using adjusted logistic regression. RESULTS: The median age of participants was 12.6 years (interquartile range (IQR) 8.9-15.5). In the entire cohort, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for poor parent-rated health were 1.85 (1.13-3.03) for lower household income, 1.78 (1.08-2.96) for families that did not own their own home, 2.50 (1.50-4.16) for caregivers who rated their financial status as poor, 0.84 (0.51-1.38) for lower educational attainment, and 1.68 (1.04-2.72) for children whose primary caregivers were unemployed. With reference to the highest global SES index quartile, adjusted ORs for poor parent-rated health in descending order were 1.49 (0.69-3.21), 2.11 (1.06-4.20), and 2.20 (1.09-4.46), respectively. The association between low SES and poor parent-rated health was modified by CKD stage, where lower global SES index was independently associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis or with kidney transplants (p = 0.04). CONCLUSIONS: Low SES is associated with poor parent-rated health in children with CKD stages I-V, but not children on dialysis and with kidney transplants. More... »

PAGES

1-9

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00467-019-04209-7

DOI

http://dx.doi.org/10.1007/s00467-019-04209-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1112260079

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30788589


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300 https://www.grid.ac/institutes/grid.414054.0 schema:alternateName Starship Children's Health
301 schema:name Department of Nephrology, Starship Children’s Hospital, Auckland, New Zealand
302 rdf:type schema:Organization
303 https://www.grid.ac/institutes/grid.416107.5 schema:alternateName Royal Children's Hospital
304 schema:name Department of Renal Medicine, The Royal Children’s Hospital, Melbourne, Australia
305 rdf:type schema:Organization
 




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