Slachtova, Hana; Gehring, Ulrike; Hoek, Gerard; Tomaskova, Hana; Luttmann-Gibson, Heike; Moshammer, Hanns; Paldy, Anna; Pattenden, Sam; Slotova, Katarina; Speizer, Frank; +2 more... Zlotkowska, Renata; Heinrich, Joachim; (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 |
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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 > Public Health, Environments and Society |
Research Centre | Centre for Maternal, Reproductive and Child Health (MARCH) |
PubMed ID | 20882323 |
ISI | 286104700006 |
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