Olivia R Soutullo, Tina M Smith-Bonahue, Stephanie C Sanders-Smith, Laura E Navia
Discouraging partnerships? Teachers' perspectives on immigration-related barriers to family-school collaboration
School psychology quarterly : the official journal of the Division of School Psychology, American Psychological Association
hypothesize children characterized deprived factors poorer health outcomes aim identify clustering determinants estimate risk early childhood diseases 19932019 longitudinal cohort study combines three canadian pediatric cohorts families mothers children clustered using latent class analysis lca 16 indicators three domains maternal newborn socioeconomic status ses neighbourhood environmental exposures hazard ratios hr childhood asthma allergic rhinitis ar eczema quantified cox proportional hazard ph regression rate ratios rr childrens health services use hsu estimated poisson regression report inclusion 15724 motherchild pairs lca identifies four motherclusters classes 1 2 mothers older 3040 nonimmigrants university education living high ses neighbourhoods class 2 mothers poorer air quality less greenspace classes 3 4 mothers younger 2030 likely immigrantrefugee high schooltocollege education living lower ses neighborhoods poorer air quality less greenspace childrens outcomes differ class comparison class 1 classes 3 4 children higher risks asthma hr 124 95 ci 111137 hr 139 95 ci 122159 respectively similar higher risks ar eczema children ar class 3 20 higher allcause physician visits rr 120 95 ci 110130 eczema 18 higher allcause emergency department visits rr 118 95 ci 109128 14 higher allcause physician visits rr 114 95 ci 109119 multifactoriallca motherclusters may characterize associations childrens health outcomes care adjusting interrelationships