Parental education and lung function of children in the PATY study


Slachtova, H; Gehring, U; Hoek, G; Tomaskova, H; Luttmann-Gibson, H; Moshammer, H; Paldy, A; Pattenden, S; Slotova, K; Speizer, F; Zlotkowska, R; Heinrich, J; (2011) Parental education and lung function of children in the PATY study. European journal of epidemiology, 26 (1). pp. 45-54. ISSN 0393-2990 DOI: https://doi.org/10.1007/s10654-010-9513-x

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Abstract

Studies of the relationships between low socio-economic status and impaired lung function were conducted mainly in Western European countries and North America. East-West differences remain unexplored. Associations between parental education and lung function were explored using data on 24,010 school-children from eight cross-sectional studies conducted in North America, Western and Eastern Europe. Parental education was defined as low and high using country-specific classifications. Country-specific estimates of effects of low parental education on volume and flow parameters were obtained using linear and logistic regression, controlling for early life and other individual risk factors. Meta-regressions were used for assessment of heterogeneity between country-specific estimates. The association between low parental education and lung function was not consistent across the countries, but showed a more pronounced inverse gradient in the Western countries. The most consistent decrease associated with low parental education was found for peak expiratory flow (PEF), ranging from -2.80 to -1.14%, with statistically significant associations in five out of eight countries. The mean odds ratio for low PEF (< 75% of predicted) was 1.34 (95% CI 1.06-1.70) after all adjustments. Although social gradients were attenuated after adjusting for known risk factors, these risk factors could not completely explain the social gradient in lung function.

Item Type: Article
Keywords: Lung function, Parental education, Combined analysis, East-West, differences, PATY study, Children, PRIMARY-SCHOOL CHILDREN, AMBIENT AIR-POLLUTION, SOCIOECONOMIC-STATUS, PULMONARY-FUNCTION, RESPIRATORY SYMPTOMS, PASSIVE SMOKING, AGED, CHILDREN, RISK-FACTORS, DISEASE, ASSOCIATION
Faculty and Department: Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
PubMed ID: 20882323
Web of Science ID: 286104700006
URI: http://researchonline.lshtm.ac.uk/id/eprint/1386

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