Evidence map›Paper›PMID 40804701›Full record

ArticleBMC global and public health2025

Childhood predictors of health limitations in life across 22 countries: a cross-national and cross-sectional analysis.

Jason Paltzer, Elizabeth Kwon, Chukwuemeka N Okafor, R Noah Padgett, Erik W Carter, Jessica Benfer, Tyler J VanderWeele, Byron R Johnson

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Article in BMC global and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Jason PaltzerThe Meros Center, Wisconsin Lutheran College, Milwaukee, WI, USA. jason@meroscenter.org.
Elizabeth KwonDepartment of Public Health, Baylor University, Waco, TX, USA.
Chukwuemeka N OkaforDepartment of Medicine, Division of Infectious Diseases, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, TX, USA.
R Noah PadgettDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Cambridge, MA, USA.
Erik W CarterBaylor Center for Developmental Disabilities, Baylor University, Waco, TX, USA.
Jessica BenferThe Meros Center, Wisconsin Lutheran College, Milwaukee, WI, USA.
Tyler J VanderWeeleDepartments of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Cambridge, MA, USA.
Byron R JohnsonInstitute for Studies of Religion, Baylor University, Waco, TX, USA.

Funding

Fetzer Institute 4354John Templeton Foundation 61665Templeton Religion Trust 1308TWCF 0605
6 · The paper itself

Abstract

backgroundPreventing health problems that limit access to age-appropriate opportunities and relationships (health limitations) is critical to promoting human flourishing. Understanding childhood correlates of health limitations provides a vantage point for prevention efforts. Thus, the purpose of this study was to examine the childhood predictors of health limitations across diverse countries. An individual's self-reported health limitations in adulthood are likely to vary by country, reflecting the influence of diverse sociocultural, economic, religious, and health contexts that characterize each nation.

methodsWe used data from the Global Flourishing Study, an ongoing 5-year longitudinal study of human flourishing among 202,898 individuals across 22 countries within nationally representative sampling. A Poisson regression model was fit within each country by regressing health problems in adulthood on a set of childhood predictors. We conducted random effects meta-analyses of the regression coefficients to estimate proportions of effects across countries. Our exploratory analysis highlights key early-life experiences, personal attributes, and familial or social circumstances that are associated with self-reported health limitations in adulthood.

resultsEarly predictors of self-reported health limitations in adulthood vary by country, reflecting the influence of diverse sociocultural, economic, religious, and health contexts that characterize each nation. Across all countries, childhood abuse, growing up feeling like an outsider in one's family, and self-rated health growing up were associated with a greater risk of having a health limitation as an adult.

conclusionsWe found common factors among countries and some variations in childhood predictors across the 22 countries. This cross-national study illuminates the role of broader societal factors in shaping the relationship between childhood experiences and health limitations as adults.

Indexed as

EpidemiologyGlobal Flourishing StudyGlobal healthHealth limitationsPhysical healthPsychological well-being

Identifiers

PMID40804701
PMCPMC12351978

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