Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-26T13:27:08.141Z Has data issue: false hasContentIssue false
  • English
  • Français

Association of family characteristics with health status and needs among children with congenital heart disease

Published online by Cambridge University Press:  04 October 2021

Ashley Peterson ,
Elizabeth Cochran ,
Dmitry Tumin  and
Lauren A. Sarno Open the ORCID record for Lauren A. Sarno [Opens in a new window]
Ashley Peterson
Affiliation:
Department of Sociology, East Carolina University, Greenville, NC, USA
Elizabeth Cochran
Affiliation:
Brody School of Medicine, East Carolina University, Greenville, NC, USA
Dmitry Tumin
Affiliation:
Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC, USA
Lauren A. Sarno*
Affiliation:
Department of Pediatrics, Pediatric Cardiology, Brody School of Medicine, East Carolina University, Greenville, NC, USA
*
Author for correspondence: L. A. Sarno, MD, Division of Pediatric Cardiology, Department of Pediatrics, Brody School of Medicine, East Carolina University, 115 Heart Drive, Greenville, NC27834-4354, USA. Tel: 252-744-5601; Fax: 252-744-3814. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction:

Low socio-economic status is associated with poorer quality of life among children with congenital heart disease (CHD), but this finding is based on disparities among children remaining under cardiology follow-up. We used a population-based health survey data set to analyse the impact of socio-economic status on health and functional status among children with CHD.

Materials and methods:

We used 2007–2018 National Health Interview Survey data, selecting children 2–17 years of age who had been diagnosed with CHD. Outcomes included caregiver-rated general health, presence of functional limitations, number of missed school days, need for special education, and need for special equipment related to the child’s health conditions. Socio-economic status measures included maternal educational attainment, food stamp programme participation, poverty status, and insurance coverage.

Results:

Based on a sample of 233 children with CHD, 10% had fair or poor health, 38% reported having any health-related limitation on their usual activities, 11% needed special equipment, and 27% received special education services. On multivariable analysis, lower maternal educational attainment was correlated with worse caregiver-rated health, and children without insurance were especially likely to experience functional limitations. Black children with CHD had significantly worse caregiver-rated health compared to White children (ordered logit odds ratio: 0.19; 95% confidence interval: 0.08, 0.45; p < 0.001).

Conclusions:

In a population-based survey of children with CHD, race and several measures of socio-economic status disadvantage were associated with worse health outcomes. Further evaluation of social determinants of health during cardiology follow-up may help improve outcomes for children with CHD in socio-economically disadvantaged families.

Keywords

Socio-economic statusimpactCHDhealth outcomes
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 8 , August 2022 , pp. 1276 - 1284
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Gilboa, SM, Devine, OJ, Kucik, JE, et al. Congenital heart defects in the United States: estimating the magnitude of the affected population in 2010. Circulation 2016; 134: 101–109.CrossRefGoogle ScholarPubMed
Razzaghi, H, Oster, M, Reffhuis, J. Long-term outcomes in children with congenital heart disease: National Health Interview Survey. J Pediatr 2015; 166: 119–124.CrossRefGoogle ScholarPubMed
Ernst, MM, Marino, BS, Cassedy, A, et al. Biopsychosocial predictors of quality of life outcomes in pediatric congenital heart disease. Pediatr Cardiol 2018; 39: 79–88.CrossRefGoogle ScholarPubMed
Xiang, L, Su, Z, Liu, Y, et al. Impact of family socioeconomic status on health-related quality of life in children with critical congenital heart disease. J Am Heart Assoc 2019; 8: e010616.CrossRefGoogle ScholarPubMed
Farr, SL, Downing, KF, Riehle-Colarusso, T, Abarbanell, G. Functional limitations and educational needs among children and adolescents with heart disease. Congenit Heart Dis 2018; 13: 633–639.CrossRefGoogle ScholarPubMed
McClung, N, Glidewell, J, Farr, SL. Financial burdens and mental health needs in families of children with congenital heart disease. Congenit Heart Dis 2018; 13: 554–562.CrossRefGoogle ScholarPubMed
Pampel, FC, Krueger, PM, Denney, JT. Socioeconomic disparities in health behaviors. Annu Rev Sociol 2010; 36: 349–370.CrossRefGoogle ScholarPubMed
Arcaya, MC, Tucker-Seeley, RD, Kim, R, Schnake-Mahl, A, So, M, Subramanian, SV. Research on neighborhood effects on health in the United States: a systematic review of study characteristics. Soc Sci Med 2016; 168: 16–29.CrossRefGoogle ScholarPubMed
Bucholz, EM, Sleeper, LA, Newburger, JW. Neighborhood socioeconomic status and outcomes following the Norwood procedure: an analysis of the Pediatric Heart Network Single Ventricle Reconstruction Trial public data set. J Am Heart Assoc 2018; 7: e007065.CrossRefGoogle ScholarPubMed
Peyvandi, S, Baer, RJ, Moon-Grady, AJ, et al. Socioeconomic mediators of racial and ethnic disparities in congenital heart disease outcomes: a population-based study in California. J Am Heart Assoc 2018; 7: e010342.CrossRefGoogle ScholarPubMed
Lee, JS, Cinanni, N, Di Cristofaro, N, et al. Parents of very young children with congenital heart defects report good quality of life for their children and families regardless of defect severity. Pediatr Cardiol 2020; 41: 46–53.CrossRefGoogle ScholarPubMed
National Center for Health Statisitics. National Health Interview Survey (NHIS) public use data release: survey description, 2017. Retrieved November 30, 2019, from ftp: //ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2017/srvydesc.pdf Google Scholar
National Center for Health Statistics. National Health Interview Survey. Public-use data file and documentation, 2017. Retrieved November 30, 2019, from https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm Google Scholar
Cortright, L, Buckman, C, Tumin, D, Holder, D, Leonard, S. Social determinants of health and emergency department use among children with sickle cell disease. J Pediatr Hematol Onocol 2020; 42: e42–5.CrossRefGoogle ScholarPubMed
Eagleson, KJ, Justo, RN, Ware, RS, Johnson, SG, Boyle, FM. Health-related quality of life and congenital heart disease in Australia. J Paediatr Child Health 2013; 49: 856–864.CrossRefGoogle ScholarPubMed
Denniss, DL, Sholler, GF, Costa, DSJ, Winlaw, DS, Kasparian, NA. Need for routine screening of health-related quality of life in families of young children with complex congenital heart disease. J Pediatr 2019; 205: 21–28.CrossRefGoogle ScholarPubMed
Tumin, D, Miller, R, Raman, VT, Uffman, JC, Tobias, JD. Patterns of health insurance discontinuity and children’s access to health care. Matern Child Health J 2019; 23: 667–677.CrossRefGoogle ScholarPubMed
Casey, PH, Szeto, KL, Robbins, JM, et al. Child health-related quality of life and household food security. Arch Pediatr Adolesc Med 2005; 159: 51–56.CrossRefGoogle ScholarPubMed
Committee on Nutrition. Council on Community Pediatrics. Promoting food security for all children. Pediatrics 2015; 136: e1431–8.CrossRefGoogle Scholar
Barnidge, E, LaBarge, G, Krupsky, K, Arthur, J. Screening for food insecurity in pediatric clinical settings: opportunities and barriers. J Community Health 2017; 42: 51–57.CrossRefGoogle ScholarPubMed
De Marchis, EH, Torres, JM, Benesch, T, et al. Interventions addressing food insecurity in health care settings: a systematic review. Ann Fam Med 2019; 17: 436–447.CrossRefGoogle ScholarPubMed
Mulkey, SB, Swearingen, CJ, Melguizo, MS, et al. Academic proficiency in children after early congenital heart disease surgery. Pediatr Cardiol 2014; 35: 344–352.CrossRefGoogle ScholarPubMed
Bellinger, DC, Wypij, D, Rivkin, MJ, et al. Adolescents with d-transposition of the great arteries corrected with the arterial switch procedure: neuropsychological assessment and structural brain imaging. Circulation 2011; 124: 1361–1369.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention.Data and statistics on congenital heart defects. Retrieved December 2, 2020, from https://www.cdc.gov/ncbddd/heartdefects/data.html Google Scholar
Supplementary material: File

Peterson et al. supplementary material

Appendix Table 1

Download Peterson et al. supplementary material(File)
File 45.6 KB