Pediatric rheumatology

Cumulative Social Disadvantage Associated with Childhood Arthritis: A Cross‐Sectional Analysis of the National Survey of Children's Health

Arthritis Care Res (Hoboken)Published Cross-sectional study

Main finding · Arthritis diagnosisResult — go to the resultAdjusted odds ratio 12.4 95% CI 2.9–53.3

Authors' conclusion

In this nationally representative sample, accumulated social disadvantage, measured via a cumulative social disadvantage score based on income level, guardian education, insurance status, and ACE exposure, was associated with an arthritis diagnosis and moderate-to-severe arthritis severity.

Study context

Population
Children in the National Survey of Children's Health (2016–2019)365 with current arthritis
Participants
131,774 children
Exposure
Cumulative social disadvantage score and odds of arthritis
Outcome
Arthritis diagnosis and moderate-to-severe parent-reported arthritis severity
Methodological detailsnationally representative survey, multivariable logistic regression adjusting for age, sex, and race and ethnicity
  • Nationally representative survey
  • Multivariable logistic regression adjusting for age, sex, and race and ethnicity

Main finding

Arthritis diagnosis

Adjusted odds ratio

12.4

95% CI 2.9–53.3

Score of 4
aOR 12.4 (95% CI 2.9–53.3)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Moderate-to-severe arthritis severity

aOR (95% CI)
Cumulative social disadvantage12.4 (1.8–82.6)

Original publication

Cumulative Social Disadvantage Associated with Childhood Arthritis: A Cross‐Sectional Analysis of the National Survey of Children's Health. Arthritis Care Res (Hoboken). Published 20 September 2022. doi:10.1002/acr.24991

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