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Thorax. Mar 2004; 59(3): 199–203.
PMCID: PMC1746970

Association between self-reported childhood socioeconomic position and adult lung function: findings from the British Women's Heart and Health Study

Abstract

Methods: The associations of self-reported indicators of childhood socioeconomic position with adult lung function (forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and forced expiratory flow rate during mid expiration (FEF25–75), all measured using standard procedures) were assessed in a cross sectional study of 3641 British women aged 60–79 years.

Results: In confounder adjusted analyses, each individual indicator of childhood circumstances was inversely associated with each measure of lung function. In the fully adjusted models (including mutual adjustment for each of the other indicators of childhood socioeconomic circumstances), only childhood occupational social class and access to a car were associated with lung function in adulthood. However, there were strong linear trends of worsening lung function with greater numbers of indicators of childhood poverty (all p values <0.001).

Conclusions: Childhood poverty is associated with poorer lung function in women aged 60–79 years. Adverse childhood circumstances that affect both lung growth and development and cardiovascular disease in later life may explain some of the well known associations between poor lung function and cardiovascular disease, or lung function may be an important mediating factor in this association.

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Selected References

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  • Strachan DP. Ventilatory function, height, and mortality among lifelong non-smokers. J Epidemiol Community Health. 1992 Feb;46(1):66–70. [PMC free article] [PubMed]
  • Hole DJ, Watt GC, Davey-Smith G, Hart CL, Gillis CR, Hawthorne VM. Impaired lung function and mortality risk in men and women: findings from the Renfrew and Paisley prospective population study. BMJ. 1996 Sep 21;313(7059):711–716. [PMC free article] [PubMed]
  • Schünemann HJ, Dorn J, Grant BJ, Winkelstein W, Jr, Trevisan M. Pulmonary function is a long-term predictor of mortality in the general population: 29-year follow-up of the Buffalo Health Study. Chest. 2000 Sep;118(3):656–664. [PubMed]
  • Dezateux C, Stocks J. Lung development and early origins of childhood respiratory illness. Br Med Bull. 1997 Jan;53(1):40–57. [PubMed]
  • Sherrill DL, Lebowitz MD, Knudson RJ, Burrows B. Smoking and symptom effects on the curves of lung function growth and decline. Am Rev Respir Dis. 1991 Jul;144(1):17–22. [PubMed]
  • Barker DJ, Godfrey KM, Fall C, Osmond C, Winter PD, Shaheen SO. Relation of birth weight and childhood respiratory infection to adult lung function and death from chronic obstructive airways disease. BMJ. 1991 Sep 21;303(6804):671–675. [PMC free article] [PubMed]
  • Rona RJ, Gulliford MC, Chinn S. Effects of prematurity and intrauterine growth on respiratory health and lung function in childhood. BMJ. 1993 Mar 27;306(6881):817–820. [PMC free article] [PubMed]
  • Stein CE, Kumaran K, Fall CH, Shaheen SO, Osmond C, Barker DJ. Relation of fetal growth to adult lung function in south India. Thorax. 1997 Oct;52(10):895–899. [PMC free article] [PubMed]
  • Wjst M, Popescu M, Trepka MJ, Heinrich J, Wichmann HE. Pulmonary function in children with initial low birth weight. Pediatr Allergy Immunol. 1998 May;9(2):80–90. [PubMed]
  • Cook DG, Strachan DP, Carey IM. Health effects of passive smoking. 9. Parental smoking and spirometric indices in children. Thorax. 1998 Oct;53(10):884–893. [PMC free article] [PubMed]
  • Shaheen SO, Sterne JA, Montgomery SM, Azima H. Birth weight, body mass index and asthma in young adults. Thorax. 1999 May;54(5):396–402. [PMC free article] [PubMed]
  • Upton MN, Watt GC, Davey Smith G, McConnachie A, Hart CL. Permanent effects of maternal smoking on offsprings' lung function. Lancet. 1998 Aug 8;352(9126):453–453. [PubMed]
  • Blane D, Hart CL, Smith GD, Gillis CR, Hole DJ, Hawthorne VM. Association of cardiovascular disease risk factors with socioeconomic position during childhood and during adulthood. BMJ. 1996 Dec 7;313(7070):1434–1438. [PMC free article] [PubMed]
  • Heslop P, Smith GD, Macleod J, Hart C. The socioeconomic position of employed women, risk factors and mortality. Soc Sci Med. 2001 Aug;53(4):477–485. [PubMed]
  • Lawlor DA, Bedford C, Taylor M, Ebrahim S. Geographical variation in cardiovascular disease, risk factors, and their control in older women: British Women's Heart and Health Study. J Epidemiol Community Health. 2003 Feb;57(2):134–140. [PMC free article] [PubMed]
  • Higgins MW, Keller JB. Seven measures of ventilatory lung function. Population values and a comparison of their ability to discriminate between persons with and without chronic respiratory symptoms and disease, Tecumseh, Michigan. Am Rev Respir Dis. 1973 Aug;108(2):258–272. [PubMed]
  • Claussen B, Davey Smith G, Thelle D. Impact of childhood and adulthood socioeconomic position on cause specific mortality: the Oslo Mortality Study. J Epidemiol Community Health. 2003 Jan;57(1):40–45. [PMC free article] [PubMed]
  • Wamala SP, Lynch J, Kaplan GA. Women's exposure to early and later life socioeconomic disadvantage and coronary heart disease risk: the Stockholm Female Coronary Risk Study. Int J Epidemiol. 2001 Apr;30(2):275–284. [PubMed]
  • Demissie K, Ernst P, Hanley JA, Locher U, Menzies D, Becklake MR. Socioeconomic status and lung function among primary school children in Canada. Am J Respir Crit Care Med. 1996 Feb;153(2):719–723. [PubMed]

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