Spanish Consortium for Research On Epidemiology and Public Health (CIBERESP), Madrid, Spain.
JRU in Epidemiology, Environment and Health FISABIO-UJI-UV, Valencia, Spain.
Eur J Pediatr. 2024 Jun;183(6):2571-2585. doi: 10.1007/s00431-024-05482-x. Epub 2024 Mar 14.
Socioeconomic position (SEP) may have different effects on cognitive development and family context could play a role in this association. This work aimed to analyse the role of socioeconomic positions, measured via various indicators collected longitudinally, in cognitive development at 7-11 years of age, evaluating the role of family context as a potential mediator. The study sample included 394 and 382 children from the INMA Gipuzkoa and Valencia cohorts, respectively. SEP indicators were assessed during pregnancy (family social class, parental education, employment, and disposable income) and at 7 (Gipuzkoa) and 11 (Valencia) years of age (At Risk of Poverty or Social Exclusion (AROPE)). Family context and cognitive development were measured with the Haezi-Etxadi Family Assessment Scale 7-11 (HEFAS 7-11) and Raven's Coloured Progressive Matrices (Raven's CPM), respectively. Linear regression models were developed to assess the relationships between (a) SEP-family context, (b) SEP-cognitive development, and (c) family context-cognitive development, adjusting for a priori-selected confounders. Simple and multiple mediation analyses were performed to explore the role of family context in the SEP-cognitive development relationship. Lower SEP was related with a lower cognitive score, this association being particularly robust for family social class. SEP indicators were related to subscales of family context, in particular those regarding cognitive stimulation, parental stress, and parenting. A relationship was also found between these three subscales and child cognitive development, mediating the effect of family social class on child cognition by 5.2, 5.5, and 10.8%, respectively, and 12.0% jointly. Conclusion: Both family SEP and context contribute to a child's cognitive development. Equalising policies and positive parenting programmes could contribute to improving cognitive development in children. What is Known: • Parental social class, education, and employment status have been widely employed to measure socioeconomic position. What is New: • This work focuses on standard measurements of socioeconomic position but also other economic indicators such as the EHII and AROPE, and their effect on child cognitive development and family context. • Promotion of cognitive and linguistic development, parental stress and conflict, and parental profile fostering child development mediated the effect of family social class on cognitive development.
社会经济地位(SEP)可能对认知发展有不同的影响,家庭环境可能在这种关联中发挥作用。本工作旨在分析通过纵向收集的各种指标测量的社会经济地位在 7-11 岁认知发展中的作用,评估家庭环境作为潜在中介的作用。研究样本包括 INMA 吉普斯夸和巴伦西亚队列的 394 名和 382 名儿童。在怀孕期间(家庭社会阶层、父母教育、就业和可支配收入)和 7 岁(吉普斯夸)和 11 岁(巴伦西亚)时评估了 SEP 指标(处于贫困或社会排斥风险中(AROPE))。家庭环境和认知发展分别用 Haezi-Etxadi 家庭评估量表 7-11(HEFAS 7-11)和瑞文的彩色渐进矩阵(Raven's CPM)进行测量。建立线性回归模型来评估(a)SEP-家庭环境,(b)SEP-认知发展和(c)家庭环境-认知发展之间的关系,调整了预先选择的混杂因素。进行简单和多重中介分析以探索家庭环境在 SEP-认知发展关系中的作用。较低的 SEP 与认知得分较低有关,这种关联对于家庭社会阶层尤为明显。SEP 指标与家庭环境的子量表有关,特别是那些与认知刺激、父母压力和育儿有关的子量表。还发现这三个子量表与儿童认知发展之间存在关系,通过分别为 5.2%、5.5%和 10.8%,以及 12.0%共同调节家庭社会阶层对儿童认知的影响。结论:家庭社会经济地位和环境都有助于儿童的认知发展。平等政策和积极的育儿计划可以有助于提高儿童的认知发展。已知内容:• 父母的社会阶层、教育和就业状况已广泛用于衡量社会经济地位。新内容:• 这项工作侧重于社会经济地位的标准测量,但也包括其他经济指标,如 EHII 和 AROPE,以及它们对儿童认知发展和家庭环境的影响。• 促进认知和语言发展、父母压力和冲突以及父母形象培养儿童发展,调节了家庭社会阶层对认知发展的影响。