Parental socioeconomic status and asthma in children: Using a population-based cohort and family design

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Background: The observed association between the parental socioeconomic status (SES, measured as education/income) and asthma or wheezing in offspring may be explained by confounding of unmeasured factors (shared genes and family environment). We aimed to study the association between parental SES and asthma/wheeze using cousin comparison. Method: Data were collected on individuals born in Sweden 2001–2013. Parental SES (education and income) was gathered from Statistics Sweden. Asthma/wheeze was identified using national health registers. The association between parental SES at birth and incident asthma/wheeze was estimated using Cox regression also comparing differently exposed cousins. The association between parental SES at 5 years and current asthma was estimated using logistic regression. Results: Included were 955,371 individuals. Mothers with compulsory school only (lowest education group) compared with those with further education (highest education group) was associated with incident asthma/wheeze below 1 year of age HRadj = 1.45 (1.38–1.52) and over 1 year of age HRadj = 1.17 (1.13–1.20). The corresponding estimates for the lowest income group were HRadj = 1.61 (1.54–1.69) and HRadj = 0.94 (0.92–0.97), respectively. In maternal cousin comparisons, the associations for asthma/wheeze over 1 year of age was HRadj = 1.21 (1.05–1.40) for compulsory school only and HRadj = 0.94 (0.84–1.07) for the lowest income group. The ORadj for current asthma at 5 years was 1.05 (1.00–1.11) for mother's compulsory school only and 0.98 (0.94–1.02) for mother's lowest income group. Results for estimates were similar for father's SES. Conclusion: We confirm an association between low parental SES (measured as education) and asthma/wheeze. Cousin comparison suggests that this association is not wholly due to confounding of unknown familial factors, therefore supporting a causal relationship. The relationship between parental income and asthma/wheeze is less clear. This study is important for understanding risk factors for asthma/wheeze and for future prevention strategies. Further research is warranted to investigate the possible mechanisms for association between parental education and asthma/wheeze.

OriginalsprogEngelsk
TidsskriftClinical and Experimental Allergy
Vol/bind52
Udgave nummer1
Sider (fra-til)94-103
Antal sider10
ISSN0954-7894
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
Financial support was provided from the Swedish Research Council (Vetenskapsrådet, grant number 2018‐02640) and through the Swedish Initiative for Research on Microdata in the Social and Medical Sciences (SIMSAM) framework (grant number 340‐2013‐5867), the Swedish Research Council for Health, Working Life and Welfare FORTE (Forskningsrådet för hälsa, arbetsliv och välfärd, grant number 2015‐00289) and the Swedish Heart‐Lung Foundation (Hjärt‐Lungfonden, grant number 20180512). Financial support was also received from the Strategic Research Program in Epidemiology at Karolinska Institutet, the Swedish Asthma and Allergy Association and the Kerstin Hejdenberg foundation

Funding Information:
Financial support was provided from the Swedish Research Council (Vetenskapsrådet, grant number 2018-02640) and through the Swedish Initiative for Research on Microdata in the Social and Medical Sciences (SIMSAM) framework (grant number 340-2013-5867), the Swedish Research Council for Health, Working Life and Welfare FORTE (Forskningsrådet för hälsa, arbetsliv och välfärd, grant number 2015-00289) and the Swedish Heart-Lung Foundation (Hjärt-Lungfonden, grant number 20180512). Financial support was also received from the Strategic Research Program in Epidemiology at Karolinska Institutet, the Swedish Asthma and Allergy Association and the Kerstin Hejdenberg foundation Christina Norrby and the database mangers at MEB, KI. Annelies Robijn, Gustaf Rejnö, Samuel Rhedin and Vilhelmina Ullemar for their help with the figures.

Publisher Copyright:
© 2021 The Authors. Clinical & Experimental Allergy published by John Wiley & Sons Ltd.

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