Comparing early years and childhood experiences and outcomes in Scotland, England and three city-regions: a plausible explanation for Scottish ‘excess’ mortality?

BMC Pediatrics

John O’Dowd³  David Walsh¹  Martin Taulbut² 

[1] Glasgow Centre for Population Health, House 6, 94 Elmbank Street, Glasgow, Scotland;NHS Health Scotland, Meridian Court, 5 Cadogan Street, Glasgow, Scotland;NHS Ayrshire and Arran Health Board, Afton House, Dalmellington Road, Ayr, Scotland

关键词: Social and life-course epidemiology;    Spatial analysis;    Child health;   

Others  :  1121206
DOI  :  10.1186/1471-2431-14-259

 received in 2014-06-02, accepted in 2014-10-03,  发布年份 2014

【 摘 要 】

Background

Negative early years and childhood experiences (EYCE), including socio-economic circumstances, parental health and parenting style, are associated with poor health outcomes both in childhood and adulthood. It has also been proposed that EYCE were historically worse in Scottish areas, especially Glasgow and the Clyde Valley, compared to elsewhere in the UK and that this variation can provide a partial explanation for the excess of ill health and mortality observed among those Scottish populations.

Methods

Multiple logistic regression analysis was applied to two large, representative, British birth cohorts (the NCDS58 and the BCS70), to test the independent association of area of residence at ages 7 and 5 with risk of behavioural problems, respiratory problems and reading/vocabulary problems at the same age. Cohort members resident in Scotland were compared with those who were resident in England, while those resident in Glasgow and the Clyde Valley were compared with those resident in Merseyside and Greater Manchester.

Results

After adjustment for a range of relevant variables, the risk of adverse childhood outcomes was found to be either no different, or lower, in the Scottish areas. At a national level, the study reinforces the combined association of socio-economic circumstances, parental health (especially maternal mental health) and parenting with child health outcomes.

Conclusion

Based on these samples, the study does not support the hypothesis that EYCE were worse in Scotland and Glasgow and the Clyde Valley. It seems, therefore (based on these data), less likely that the roots of the excess mortality observed in the Scottish areas can be explained by these factors.

【 授权许可】

   
2014 Taulbut et al.; licensee BioMed Central Ltd.

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