© 2004 BMJ Publishing Group Ltd & British Thoracic Society
EDITORIAL
Socioeconomic position and pulmonary function
Examining the influence of early life socioeconomic position on pulmonary function across the life span: where do we go from here?
1 Channing Laboratory, Brigham and Womens Hospital, Harvard Medical School, Boston, MA, USA
2 Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA
3 Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA, USA
Correspondence to:
Correspondence to:
Dr B Jackson
Channing Laboratory, 181 Longwood Avenue, Boston, MA 02115, USA; benita.jackson@channing.harvard.edu
Factors to consider in future research on the relationship between early life socioeconomic position and adult lung function
Keywords: socioeconomic conditions; lung function; poverty; childhood
| The first 150 words of the full text of this article appear below. |
Consistent with the Barker hypothesis of the early life origins of adult chronic disease,1 a growing body of research suggests a relationship between social disadvantage in early life and adverse health outcomes.2 In this issue of Thorax a paper by Lawlor et al3 presents evidence for inverse associations between markers of childhood socioeconomic position (SEP) and later life pulmonary function. The authors found that, as the number of indicators of childhood poverty increased, the levels of forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and forced mid expiratory flow rate (FEF2575) decreased. Limitations of the study included a moderate response rate (60%), possible survivor bias (women from poor backgrounds may be more likely to die prematurely), and recall bias (indicators of childhood SEP were determined retrospectively by self-recall later in life). Yet, because each of these factors would lead to
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