Evidence map›Paper›PMID 23558253›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2013

The association of low socioeconomic status and the risk of having a child with Down syndrome: a report from the National Down Syndrome Project.

Jessica Ezzell Hunter, Emily Graves Allen, Mikyong Shin, Lora J H Bean, Adolfo Correa, Charlotte Druschel, Charlotte A Hobbs, Leslie A O'Leary, Paul A Romitti, Marjorie H Royle and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 77 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Autoimmune Thyroid Disease in Patients with Down Syndrome-Review.International journal of molecular sciences · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Down syndrome.Nature reviews. Disease primers · 2020
    Review
  13. Article
  14. Review
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Jessica Ezzell HunterDepartment of Human Genetics, Emory University School of Medicine, Atlanta, Georgia, USA. jhunte4@emory.edu
Emily Graves Allen
Mikyong Shin
Lora J H Bean
Adolfo Correa
Charlotte Druschel
Charlotte A Hobbs
Leslie A O'Leary
Paul A Romitti
Marjorie H Royle
Claudine P Torfs
Sallie B Freeman
Stephanie L Sherman
Emory University · USCenters for Disease Control and Prevention · USNew Jersey Department of Health · USNew York State Department of Health · USPublic Health Institute · USUniversity of Arkansas for Medical Sciences · USUniversity of Iowa · USUniversity of Mississippi Medical Center · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Brandi Janssen · 1990 to 2026
$40.5M
TRISOMY 21: RISK FACTORS FOR CHROMOSOME NONDISJUNCTIONR01HD038979 · NICHD · EMORY UNIVERSITY · PI FEINGOLD, ELEANOR, SHERMAN, STEPHANIE L. · 2000 to 2013
$11.2M
NICHD NIH HHS R01 HD038979NICHD NIH HHS R01 HD38979NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

purposeAdvanced maternal age and altered recombination are known risk factors for Down syndrome cases due to maternal nondisjunction of chromosome 21, whereas the impact of other environmental and genetic factors is unclear. The aim of this study was to investigate an association between low maternal socioeconomic status and chromosome 21 nondisjunction.

methodsData from 714 case and 977 control families were used to assess chromosome 21 meiosis I and meiosis II nondisjunction errors in the presence of three low socioeconomic status factors: (i) both parents had not completed high school, (ii) both maternal grandparents had not completed high school, and (iii) an annual household income of <$25,000. We applied logistic regression models and adjusted for covariates, including maternal age and race/ethnicity.

resultsAs compared with mothers of controls (n = 977), mothers with meiosis II chromosome 21 nondisjunction (n = 182) were more likely to have a history of one low socioeconomic status factor (odds ratio = 1.81; 95% confidence interval = 1.07-3.05) and ≥2 low socioeconomic status factors (odds ratio = 2.17; 95% confidence interval = 1.02-4.63). This association was driven primarily by having a low household income (odds ratio = 1.79; 95% confidence interval = 1.14-2.73). The same statistically significant association was not detected among maternal meiosis I errors (odds ratio = 1.31; 95% confidence interval = 0.81-2.10), in spite of having a larger sample size (n = 532).

conclusionWe detected a significant association between low maternal socioeconomic status and meiosis II chromosome 21 nondisjunction. Further studies are warranted to explore which aspects of low maternal socioeconomic status, such as environmental exposures or poor nutrition, may account for these results.

Indexed as

Chromosomes, Human, Pair 21Maternal AgeSocioeconomic FactorsAdultBlack PeopleCase-Control StudiesChildDown SyndromeEducational StatusFemaleHispanic or LatinoHumansInfantLinear ModelsMaleMiddle Aged

Identifiers

PMID23558253
PMCPMC4122862
OpenAlexW2016455246

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.