Poverty over the early life course and young adult cardio-metabolic risk

Jake M. Najman (), William Wang, Maria Plotnikova, Abdullah A. Mamun, David McIntyre, Gail M. Williams, James G. Scott, William Bor and Alexandra M. Clavarino
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Jake M. Najman: The University of Queensland
William Wang: The University of Queensland
Maria Plotnikova: The University of Queensland
Abdullah A. Mamun: The University of Queensland
David McIntyre: The University of Queensland
Gail M. Williams: The University of Queensland
James G. Scott: The University of Queensland
William Bor: University of Queensland
Alexandra M. Clavarino: The University of Queensland

International Journal of Public Health, No 0, 10 pages

Abstract: Abstract Objectives There is little known about whether exposure to family poverty at specific periods of the early life course independently contributes to coronary heart disease risk beyond the contribution of concurrent poverty. Methods Children were recruited in early pregnancy and additional survey data obtained during the pregnancy and at the 5-, 14- and 30-year follow-ups. Fasting blood samples were also obtained at the 30-year follow-up. Analyses are multinominal logistic regressions stratified by gender and with adjustments for confounding. Results For male offspring, family poverty at different stages of the early life course was not associated with measures of cardio-metabolic risk. For females early life course, poverty predicted obesity, homeostatic model assessment of insulin resistance (HOMA-IR) and total cholesterol/high-density lipoprotein cholesterol (TC/HDL-C), as well as concurrent family poverty associated with obesity, HOMA-IR, TC/HDL-C, HDL-C and increased systolic and diastolic blood pressure. Conclusions Family poverty in the early life course independently predicts increased levels of cardio-metabolic risk of females. The primary finding, however, is that concurrent poverty is independently and strongly associated with increased cardio-metabolic risk levels in young adulthood.

Keywords: Pregnancy; Early childhood; Adolescent period; Adulthood poverty; Cardio-metabolic risk; Gender differences (search for similar items in EconPapers)
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DOI: 10.1007/s00038-020-01423-1

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