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Parental socioeconomic status and risk of cerebral palsy in the child: evidence from two Nordic population-based cohorts.
Int J Epidemiol. 2018 08 01; 47(4):1298-1306
Publication Type
Journal Article
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't
Ingeborg Forthun
Katrine Strandberg-Larsen
Allen J Wilcox
Dag Moster
Tanja Gram Petersen
Torstein Vik
Rolv Terje Lie
Peter Uldall
Mette Christophersen Tollånes
Author Affiliation
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Int J Epidemiol. 2018 08 01; 47(4):1298-1306
Publication Type
Journal Article
Research Support, N.I.H., Intramural
Research Support, Non-U.S. Gov't
Cerebral Palsy - epidemiology
Child, Preschool
Cohort Studies
Denmark - epidemiology
Educational Status
Income - statistics & numerical data
Norway - epidemiology
Regression Analysis
Risk factors
Social Class
Young Adult
We investigated whether the risk of cerebral palsy (CP) in the child varies by parents' socioeconomic status, in Denmark and Norway.
We included almost 1.3 million children born in Demark during 1981-2007 and 2.4 million children born in Norway during 1967-2007, registered in the Medical Birth registries. Data on births were linked to Statistics Denmark and Norway to retrieve information on parents' education and relationship status and, in Denmark, also income. CP diagnoses were obtained from linkage with national registries. We used multivariate log-binominal regression models to estimate relative risk (RR) of CP according to parental socioeconomic status.
There was a strong trend of decreasing risk of CP with additional education of both the mother and the father. These trends were nearly identical for the two parents, with a one-third reduction in risk for those with the highest education compared with parents with the lowest education. When both parents had high education, risk of CP was further reduced (RR 0.58, 0.53-0.63). Women with partners had a reduction in risk (RR 0.79, 0.74-0.85) compared with single mothers overall. Risk patterns were stable over time, across countries and within spastic bilateral and unilateral CP. Household income was not associated with risk of CP.
Risk of CP in two Scandinavian countries was lower among educated parents and mothers with a partner, but unrelated to income. Factors underlying this stable association with education are unknown, but could include differences in potentially modifiable lifestyle factors and health behaviours.
PubMed ID
29947785 View in PubMed
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