Evidence map›Paper›PMID 33439879›Full record

ArticlePloS one2021

The relationship between income poverty and child hospitalisations in New Zealand: Evidence from longitudinal household panel data and Census data.

Nichola Shackleton, Eileen Li, Sheree Gibb, Amanda Kvalsvig, Michael Baker, Andrew Sporle, Rebecca Bentley, Barry J Milne

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 2 countries.

Nichola ShackletonCentre of Methods and Policy Application in the Social Sciences, University of Auckland, Auckland, New Zealand.
Eileen LiCentre of Methods and Policy Application in the Social Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0001-8251-4942
Sheree GibbDepartment of Public Health, University of Otago, Wellington, New Zealand.
Amanda KvalsvigDepartment of Public Health, University of Otago, Wellington, New Zealand.
Michael BakerDepartment of Public Health, University of Otago, Wellington, New Zealand.
Andrew SporleDepartment of Statistics, University of Auckland, Auckland, New Zealand.
Rebecca BentleyCentre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Barry J MilneCentre of Methods and Policy Application in the Social Sciences, University of Auckland, Auckland, New Zealand.ORCID 0000-0002-0318-1201
University of Auckland · NZUniversity of Otago · NZThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVery little high quality evidence exists on the causal relationship between income poverty and childhood health. We provide a comprehensive overview of the association between household income poverty and hospitalisations for children.

methodsWe used New Zealand's Integrated Data Infrastructure (IDI) to link income poverty data from the Survey of Family, Income and Employment (SoFIE; n = 21,759 households) and the 2013 New Zealand Census (n = 523,302 households) to publicly funded hospital records of children aged 0-17 (SoFIE: n = 39,459; Census, n = 986,901). Poverty was defined as equivalised household income below 60% of the median income, calculated both before and after housing costs, and using both self-reported and tax-recorded income.

resultsCorrelations for the association between income poverty and hospitalisation were small (ranging from 0.02 to 0.05) and risk ratios were less than 1.35 for all but the rarest outcome-oral health hospitalisation. Weak or absent associations were apparent across age groups, waves of data collection, cumulative effects, and for estimates generated from fixed effects models and random effect models adjusted for age and ethnicity. Alternative measures of deprivation (area-level deprivation and material deprivation) showed stronger associations with hospitalisations (risk ratios ranged from 1.27-2.55) than income-based poverty measures.

conclusionIncome poverty is at best weakly associated with hospitalisation in childhood. Measures of deprivation may have a stronger association. Income measures alone may not be sufficient to capture the diversity of household economic circumstances when assessing the poverty-health relationship.

Indexed as

AdolescentCensusesChildChild HealthChild, PreschoolFemaleHospitalizationHumansIncomeInfantInfant, NewbornLongitudinal StudiesMaleNew ZealandPovertyRisk Factors

Identifiers

PMID33439879
PMCPMC7806187
OpenAlexW3118315775

What OpenQuestion holds

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LicenceCC BY
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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.