Understanding child disadvantage from a social determinants perspective

Goldfeld, S, O'Connor, M, Cloney, D, Gray, S, Redmond, G, Badland, H, Williams, K, Mensah, F, Woolfenden, S, Kvalsvig, A and Kochanoff, A 2018, 'Understanding child disadvantage from a social determinants perspective', Journal of Epidemiology and Community Health, vol. 72, no. 3, pp. 223-229.


Document type: Journal Article
Collection: Journal Articles

Title Understanding child disadvantage from a social determinants perspective
Author(s) Goldfeld, S
O'Connor, M
Cloney, D
Gray, S
Redmond, G
Badland, H
Williams, K
Mensah, F
Woolfenden, S
Kvalsvig, A
Kochanoff, A
Year 2018
Journal name Journal of Epidemiology and Community Health
Volume number 72
Issue number 3
Start page 223
End page 229
Total pages 7
Publisher B M J Group
Abstract Background Child health and developmental inequities exist in all countries. Comprehensive and robust concepts of disadvantage are fundamental to growing an evidence base that can reveal the extent of inequities in childhood, and identify modifiable leverage points for change. We conceptualise and test a multidimensional framework of child disadvantage aligned to a social determinants and bioecological perspective. Methods The Longitudinal Study of Australian Children is a nationally representative sample of two cohorts of Australian children, including the birth cohort of 5107 infants, which commenced in May 2004. The analysis focused on disadvantage indicators collected at age 4-5 years. Confirmatory factor analysis was used to test a theoretically informed model of disadvantage. Concurrent validity was examined through associations with academic performance at 8-9 years. Results The model comprising four latent factors of sociodemographic (10 indicators), geographical environments (three indicators), health conditions (three indicators) and risk factors (14 indicators) was found to provide a better fit for the data than alternative models. Each factor was associated with academic performance, providing evidence of concurrent validity. Conclusion The study provides a theoretically informed and empirically tested framework for operationalising relative child disadvantage. Understanding and addressing inequities will be facilitated by capturing the complexity of children's experiences of disadvantage across the multiple environments in which their development unfolds.
Subject Urban Design
Keyword(s) child health
health inequalities
measurement
DOI - identifier 10.1136/jech-2017-209036
Copyright notice © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved.
ISSN 0143-005X
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