Please use this identifier to cite or link to this item: https://hdl.handle.net/10620/18261
Longitudinal Study: LSAC
Title: Understanding child disadvantage from a social determinants perspective
Authors: O'Connor, Meredith 
Mensah, F 
Redmond, G 
Kochanoff, Anita 
Kvalsvig, Amanda 
Goldfeld, Sharon 
Woolfenden, Sue 
Mensah, Fiona 
Williams, Katrina 
Badland, Hannah 
Redmond, Gerry 
Gray, Sarah 
Cloney, Dan 
Publication Date: Mar-2018
Pages: 223-229
Keywords: measurement
social determinants
health inequities
Disadvantage
childhood
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
URL: https://jech.bmj.com/content/72/3/223
Keywords: Child Development
Research collection: Journal Articles
Appears in Collections:Journal Articles

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