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Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy

BACKGROUND: Parental health literacy may explain the relationship between parental socioeconomic status (SES) and paediatric metabolic syndrome (MetS). For this reason, we assessed to what extent parental health literacy mediates the relationships between parental SES and paediatric MetS. METHODS: W...

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Autores principales: Lepe, Alexander, de Kroon, Marlou L A, Reijneveld, Sijmen A, de Winter, Andrea F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066473/
https://www.ncbi.nlm.nih.gov/pubmed/36847730
http://dx.doi.org/10.1093/eurpub/ckad028
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author Lepe, Alexander
de Kroon, Marlou L A
Reijneveld, Sijmen A
de Winter, Andrea F
author_facet Lepe, Alexander
de Kroon, Marlou L A
Reijneveld, Sijmen A
de Winter, Andrea F
author_sort Lepe, Alexander
collection PubMed
description BACKGROUND: Parental health literacy may explain the relationship between parental socioeconomic status (SES) and paediatric metabolic syndrome (MetS). For this reason, we assessed to what extent parental health literacy mediates the relationships between parental SES and paediatric MetS. METHODS: We used data from the prospective multigenerational Dutch Lifelines Cohort Study. Our sample consisted of 6683 children with an average follow-up of 36.2 months (SD 9.3) and a mean baseline age of 12.8 years (SD 2.6). We used natural effects models to assess the natural direct, natural indirect and total effects of parental SES on MetS. RESULTS: On average, an additional 4 years of parental education, e.g. university instead of secondary school, would lead to continuous MetS (cMetS) scores that were 0.499 (95% confidence interval (CI): 0.364–0.635) units lower, which is a small effect (d: 0.18). If parental income and occupational level were 1 SD higher, on average cMetS scores were 0.136 (95% CI: 0.052–0.219) and 0.196 (95% CI: 0.108–0.284) units lower, respectively; these are both small effects (d: 0.05 and 0.07, respectively). Parental health literacy partially mediated these pathways; it accounted for 6.7% (education), 11.8% (income) and 8.3% (occupation) of the total effect of parental SES on paediatric MetS. CONCLUSIONS: Socioeconomic differences in paediatric MetS are relatively small, the largest being by parental education. Improving parental health literacy may reduce these inequalities. Further research is needed into the mediating role of parental health literacy on other socioeconomic health inequalities in children.
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spelling pubmed-100664732023-04-02 Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy Lepe, Alexander de Kroon, Marlou L A Reijneveld, Sijmen A de Winter, Andrea F Eur J Public Health Social Determinants BACKGROUND: Parental health literacy may explain the relationship between parental socioeconomic status (SES) and paediatric metabolic syndrome (MetS). For this reason, we assessed to what extent parental health literacy mediates the relationships between parental SES and paediatric MetS. METHODS: We used data from the prospective multigenerational Dutch Lifelines Cohort Study. Our sample consisted of 6683 children with an average follow-up of 36.2 months (SD 9.3) and a mean baseline age of 12.8 years (SD 2.6). We used natural effects models to assess the natural direct, natural indirect and total effects of parental SES on MetS. RESULTS: On average, an additional 4 years of parental education, e.g. university instead of secondary school, would lead to continuous MetS (cMetS) scores that were 0.499 (95% confidence interval (CI): 0.364–0.635) units lower, which is a small effect (d: 0.18). If parental income and occupational level were 1 SD higher, on average cMetS scores were 0.136 (95% CI: 0.052–0.219) and 0.196 (95% CI: 0.108–0.284) units lower, respectively; these are both small effects (d: 0.05 and 0.07, respectively). Parental health literacy partially mediated these pathways; it accounted for 6.7% (education), 11.8% (income) and 8.3% (occupation) of the total effect of parental SES on paediatric MetS. CONCLUSIONS: Socioeconomic differences in paediatric MetS are relatively small, the largest being by parental education. Improving parental health literacy may reduce these inequalities. Further research is needed into the mediating role of parental health literacy on other socioeconomic health inequalities in children. Oxford University Press 2023-02-27 /pmc/articles/PMC10066473/ /pubmed/36847730 http://dx.doi.org/10.1093/eurpub/ckad028 Text en © The Author(s) 2023. Published by Oxford University Press on behalf of the European Public Health Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Social Determinants
Lepe, Alexander
de Kroon, Marlou L A
Reijneveld, Sijmen A
de Winter, Andrea F
Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title_full Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title_fullStr Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title_full_unstemmed Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title_short Socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
title_sort socioeconomic inequalities in paediatric metabolic syndrome: mediation by parental health literacy
topic Social Determinants
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066473/
https://www.ncbi.nlm.nih.gov/pubmed/36847730
http://dx.doi.org/10.1093/eurpub/ckad028
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