Evidence map›Paper›PMID 23975103›Full record

ArticleBMJ open2013

Impact of the economic crisis on children's health in Catalonia: a before-after approach.

Luis Rajmil, Antonia Medina-Bustos, María-José Fernández de Sanmamed, Anna Mompart-Penina

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
11.5field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Impacts of the 2008 Great Recession on dietary intake: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Impact of the 2008 economic and financial crisis on child health: a systematic review.International journal of environmental research and public health · 2014
    Pooled it
  6. Review
  7. Article
  8. Article
  9. Article
  10. Health-related quality of life in adult population before and after the onset of financial crisis: the case of Athens, Greece.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Article
  11. Article
  12. Article
  13. Influence maternal background has on children's mental health.International journal for equity in health · 2017
    Article
  14. Article
  15. Economic crisis and health inequalities: evidence from the European Union.International journal for equity in health · 2016
    Article
  16. Article
  17. Article
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

4 authors at 4 institutions in 1 country.

Luis RajmilAgència de Qualitat i Avaluació Sanitàries (AQuAS), Barcelona, Spain.
Antonia Medina-Bustos
María-José Fernández de Sanmamed
Anna Mompart-Penina
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESDepartament de Salut · ESGovernment of Catalonia · ESInstitut Català de la Salut · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse changes in the family living conditions of children in Catalonia between 2006 and the 2010-2012 period, and to study associations between these changes and health outcomes.

designA before-after analysis of two cross-sectional surveys.

settingPopulation younger than 15 years of age from Catalonia, Spain.

participantsRepresentative samples of children in the 2006 Catalan Health Survey (ESCA), baseline, before the crisis; n=2200) and the first four waves of ESCA 2010-2012 (after start of the crisis, n=1967).

main outcome measuresOverweight/obesity, health behaviour, mental health and health-related quality of life (HRQOL). Logistic regression and multiple linear regression models were used to analyse the influence of changes in family conditions on outcome measures, including interaction terms to describe the potential influence of the study period on the results.

resultsThe percentage of unemployed families rose from 9.1% (2006) to 20.6% (2010-2012), with inequalities by level of education. Overweight/obesity increased from 18.4% (95% CI 16.5% to 20.4%) to 26.9% (24.6% to 29.2%) in 2010-2012, and inequalities related to maternal education and employment status persisted. Eating habits have improved in 2010-2012 in disadvantaged families (ie, junk food consumption improved in families with a maternal primary education level; beta (B)=2.85; 0.83 to 4.88, for the survey interaction by primary education level). An improvement in HRQOL was found in the second survey (B=6.07; 4.15 to 7.99), although children whose mothers had a primary education showed poorer HRQOL scores in this survey than in 2006 (B=-4.14; -7.17 to -1.12).

conclusionsAlthough some health-related behaviour improved during the study period, childhood obesity increased and inequalities in HRQOL appeared. Policy measures that fight against these inequalities should be urgently implemented to avoid their negative impact on the health of future generations of Catalans.

Indexed as

PUBLIC HEALTH

Identifiers

PMID23975103
PMCPMC3753513
OpenAlexW2081716593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.