Department of Social and Preventive Medicine, Université de Montréal, QC.
Can J Public Health. 2012 Apr 27;103(4):e270-6. doi: 10.1007/BF03404234.
Early childhood poverty is associated with adult chronic diseases. The objectives of this study were to examine patterns of exposure to poverty during the first 10 years of life in the Quebec Longitudinal Study of Child Development (QLSCD) cohort according to three measures of poverty and to explore family characteristics associated with different poverty exposures.
Data from 1,334 participants from the QLSCD were collected annually at home from ages 5 months through 10 years. Household income (previous 12 months) and sources of income were recorded at each data round. Poverty status was operationalized as 1) living below the low income cut-off of Statistics Canada, 2) receiving social welfare and 3) being in the lowest quintile of socio-economic status. We plotted trends in the prevalence of child poverty over time. We used latent class growth modelling to identify subgroups with similar poverty trajectories. Duration of poverty according to each measure was computed separately for early childhood, middle childhood, and the entire 10 years of life.
Four trajectories of poverty were identified: stable poor, decreasing likelihood, increasing likelihood, and never poor. The three measures of poverty do not cover the same population, yet the characteristics of those identified as poor are similar. Children of non-European, immigrant mothers were most likely to be poor, and there was a higher likelihood of children from single-parent families to live in chronic poverty during the first 10 years.
A large proportion of children are exposed to poverty before 10 years of age. More effective public policies could reduce child poverty.
儿童早期贫困与成年期慢性疾病有关。本研究的目的是根据三种贫困衡量标准,研究魁北克儿童发展纵向研究(QLSCD)队列中生命最初 10 年期间贫困暴露的模式,并探讨与不同贫困暴露相关的家庭特征。
QLSCD 共有 1334 名参与者,其数据每年在家中通过 5 个月至 10 岁的年度随访收集。在每个数据收集点,记录家庭收入(过去 12 个月)和收入来源。贫困状态的操作定义为:1)生活在加拿大统计局的低收入线以下;2)领取社会福利;3)社会经济地位处于最低五分位。我们绘制了儿童贫困率随时间的变化趋势。我们使用潜在类别增长模型来识别具有相似贫困轨迹的亚组。根据每种衡量标准,分别计算了幼儿期、儿童中期和整个 10 年的贫困持续时间。
确定了四种贫困轨迹:稳定贫困、贫困可能性降低、贫困可能性增加和从不贫困。三种贫困衡量标准并未涵盖相同的人群,但被认定为贫困的人群特征相似。非欧洲裔、移民母亲的孩子最有可能贫困,单亲家庭的孩子在生命最初 10 年期间更有可能长期贫困。
很大一部分儿童在 10 岁之前就面临贫困。更有效的公共政策可以减少儿童贫困。