Division of Epidemiology and Community Health, University of Minnesota, Minneapolis, Minnesota, USA.
Minnesota Population Center, University of Minnesota, Minneapolis, Minnesota, USA.
Dev Psychobiol. 2023 May;65(4):e22390. doi: 10.1002/dev.22390.
Economic hardship during childhood has been linked to poor physical and mental health. This study examines cross-sectional and longitudinal associations of a summed economic hardship score of poverty, food insecurity, and financial hardship with hair cortisol in young children. Data from 24-month (Time 1, mean age 5 years) and 36-month (Time 2, mean age 6 years) follow-up from the NET-Works obesity prevention trial (NET-Works, NCT0166891) were used. Hair cortisol measures obtained at each time point were log-transformed and regressed on economic hardship at Time 1 and a cumulative economic hardship from Time 1 to Time 2, using generalized linear regressions. All models were adjusted for child age, sex, race/ethnicity, and intervention (prevention vs. control) arm. The final analytic sample sizes ranged from 248 to 287. Longitudinal analyses indicated that for every 1-unit higher economic hardship score at Time 1, hair cortisol at Time 2 follow-up was on average 0.07 log-picograms per milligram (pg/mg) higher (95% confidence interval [CI]: 0.01, 0.13). For every 1-unit increase in the cumulative economic hardship score between Time 1 and 2, there was a 0.04 log-pg/mg (95% CI: 0.00, 0.07) average higher level of hair cortisol at Time 2 follow-up. Results show suggestive but limited evidence for an association between economic hardship and cortisol in young children.
儿童期经济困难与身心健康不良有关。本研究考察了贫困、食物无保障和经济困难的综合经济困难评分与幼儿头发皮质醇之间的横断面和纵向关联。使用来自 NET-Works 肥胖预防试验(NET-Works,NCT0166891)的 24 个月(时间 1,平均年龄 5 岁)和 36 个月(时间 2,平均年龄 6 岁)随访的数据。在每个时间点获得的头发皮质醇测量值进行对数转换,并使用广义线性回归对时间 1 的经济困难和从时间 1 到时间 2 的累积经济困难进行回归。所有模型均根据儿童年龄、性别、种族/民族和干预(预防与对照)臂进行调整。最终分析样本量范围为 248 至 287。纵向分析表明,时间 1 时经济困难评分每增加 1 个单位,时间 2 随访时头发皮质醇平均增加 0.07 log-皮克/毫克(pg/mg)(95%置信区间[CI]:0.01,0.13)。时间 1 至 2 之间累积经济困难评分每增加 1 个单位,时间 2 随访时头发皮质醇平均增加 0.04 log-pg/mg(95%CI:0.00,0.07)。结果表明,儿童期经济困难与皮质醇之间存在关联的证据有限,但有一定提示作用。
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