Intersectional inequalities in child social-emotional health: a case for proportionate universalismVisa övriga samt affilieringar
2024 (Engelska)Ingår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 34, nr Suppl 3, artikel-id ckae144.961Artikel i tidskrift, Meeting abstract (Övrigt vetenskapligt) Published
Abstract [en]
Background: Social-emotional difficulties in early childhood are associated with a range of outcomes across the life course and are related to socioeconomic factors. The aim of this study was to examine intersectional inequalities in social-emotional problems in preschool children relating to their parents’ income, education and country of birth in addition to investigating the public health implications.
Methods: This population-based study with a repeated cross-sectional design in the Västerbotten County of Sweden used the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE) for children aged 3 in child health care services over the years of 2014-2018 and socio-economic information from national population registers. The effective sample of 8,823 individuals was analyzed using additive binomial regression in combination with an analysis of individual heterogeneity and discriminatory accuracy (AIHDA) approach to estimate risk differences for social-emotional problems across 27 intersectional groups and discriminatory accuracy.
Results: Average risk differences generally increased in the groups where multiple dimensions of social inequality intersected, with risk differences as high as 18% (95% CI 8 to 28%) and 25% (95% CI 14 to 37%) compared to the most advantaged category. The discriminatory accuracy of all three included regression models was estimated as moderate, but improved in a slight but statistically significant way with the addition of social inequalities.
Conclusions: This study increases our understanding of intersectional and social inequalities in social-emotional problems in preschool children. It supports the need for universal public health policies in addition to policies targeting more vulnerable groups when addressing this issue, consistent with the concept of proportionate universalism. An intersectional research perspective including discriminatory accuracy could increase our knowledge of health inequities and improve public health effectiveness.
Ort, förlag, år, upplaga, sidor
Oxford University Press , 2024. Vol. 34, nr Suppl 3, artikel-id ckae144.961
Nyckelord [en]
emotions, heterogeneity, child, preschool child, income, parent, socioeconomic factors, public health medicine, child health, risk, attributable, health disparity, ages and stages questionnaire, vulnerable populations
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:umu:diva-232056DOI: 10.1093/eurpub/ckae144.961OAI: oai:DiVA.org:umu-232056DiVA, id: diva2:1915397
Konferens
17th European Public Health Conference 2024 Sailing the Waves of European Public Health: Exploring a Sea of Innovation. Lisbon, Portugal, November 12-15, 2024
2024-11-222024-11-222024-11-22Bibliografiskt granskad