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The association between socioeconomic disadvantage and parent-rated health in children and adolescents with chronic kidney disease—the Kids with CKD (KCAD) study

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A Publisher Correction to this article was published on 10 January 2022

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Abstract

Objective

To determine the association of socioeconomic disadvantage and parent-rated health in children with chronic kidney disease (CKD).

Methods

A total of 377 children (aged 6–18 years) with CKD stages I–V (n = 199), on dialysis (n = 43), or with a kidney transplant (n = 135) were recruited from 2012 to 2016 in Australia and New Zealand. Associations of five socioeconomic status (SES) components and the global SES index with parent-rated health of the child were examined using adjusted logistic regression.

Results

The median age of participants was 12.6 years (interquartile range (IQR) 8.9–15.5). In the entire cohort, the adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for poor parent-rated health were 1.85 (1.13–3.03) for lower household income, 1.78 (1.08–2.96) for families that did not own their own home, 2.50 (1.50–4.16) for caregivers who rated their financial status as poor, 0.84 (0.51–1.38) for lower educational attainment, and 1.68 (1.04–2.72) for children whose primary caregivers were unemployed. With reference to the highest global SES index quartile, adjusted ORs for poor parent-rated health in descending order were 1.49 (0.69–3.21), 2.11 (1.06–4.20), and 2.20 (1.09–4.46), respectively. The association between low SES and poor parent-rated health was modified by CKD stage, where lower global SES index was independently associated with poor parent-rated health in children with CKD stages I–V, but not children on dialysis or with kidney transplants (p = 0.04).

Conclusions

Low SES is associated with poor parent-rated health in children with CKD stages I–V, but not children on dialysis and with kidney transplants.

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Acknowledgements

We wish to acknowledge the hard work and contribution of Dr. Tonya Kara, who passed away recently. Tonya was a bright and dedicated clinician who was extremely supportive of her colleagues and adored by her patients. She has left a legacy of improving the well-being of children with kidney disease through her research, mentorship, and clinical practice. She will be dearly missed.

Funding

National Health and Medical Research BEAT-CKD program grant and the Ludwig Engel Research Fellowship. AvZ is funded by a NHMRC postgraduate scholarship (APP 1115259). GW is supported by a NHMRC career development fellowship (APP 1147657).

Author information

Authors and Affiliations

  1. Centre for Kidney Research, The Children’s Hospital at Westmead, Sydney, Australia

    Madeleine Didsbury, Anita van Zwieten, Laura J. James, Anna Francis, Siah Kim, Armando Teixeira-Pinto, Eric Au, Allison Tong, Jonathan C. Craig & Germaine Wong

  2. Sydney School of Public Health, The University of Sydney, Sydney, NSW, 2006, Australia

    Madeleine Didsbury, Anita van Zwieten, Kerry Chen, Laura J. James, Anna Francis, Siah Kim, Armando Teixeira-Pinto, Kirsten Howard, Eric Au, Allison Tong, Jonathan C. Craig & Germaine Wong

  3. Child & Adolescent Renal Service, Lady Cilento Children’s Hospital, Brisbane, Australia

    Anna Francis & Steven McTaggart

  4. Department of Renal Medicine, The Royal Children’s Hospital, Melbourne, Australia

    Amanda Walker

  5. Department of Nephrology, Sydney Children’s Hospital at Randwick, Sydney, Australia

    Fiona Mackie

  6. Department of Nephrology, Starship Children’s Hospital, Auckland, New Zealand

    Tonya Kara & Chanel Prestidge

  7. Children’s Hospital Education Research Institute, The Children’s Hospital at Westmead, Sydney, Australia

    Belinda Barton

  8. Institute for Neuroscience and Muscle Research, The Children’s Hospital at Westmead, Sydney, Australia

    Jennifer Lorenzo

  9. School of Psychology, The University of Sydney, Sydney, Australia

    Suncica Lah

  10. The ARC Centre of Excellence in Cognition and its Disorders, Macquarie University, Sydney, Australia

    Suncica Lah

  11. Menzies Centre for Health Policy, Sydney School of Public Health, The University of Sydney, Sydney, Australia

    Natasha Nassar

  12. Centre for Transplant and Renal Research, Westmead Hospital, Sydney, Australia

    Germaine Wong

Authors
  1. Madeleine Didsbury
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  2. Anita van Zwieten
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  3. Kerry Chen
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  4. Laura J. James
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  5. Anna Francis
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  6. Siah Kim
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  7. Steven McTaggart
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  8. Amanda Walker
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  9. Fiona Mackie
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  10. Tonya Kara
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  11. Chanel Prestidge
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  12. Armando Teixeira-Pinto
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  13. Belinda Barton
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  14. Jennifer Lorenzo
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  15. Suncica Lah
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  16. Kirsten Howard
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  17. Natasha Nassar
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  18. Eric Au
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  19. Allison Tong
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  20. Jonathan C. Craig
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  21. Germaine Wong
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Corresponding author

Correspondence to Germaine Wong.

Ethics declarations

This study was approved by the Human Research Ethics Committee (HREC) of all participating centers (The Children’s Hospital at Westmead and Sydney Children’s Hospital (HREC/12/SCHN/159), Lady Cilento Children’s Hospital (HREC/12/QCRH/113), The Royal Children’s Hospital (Royal Children’s Hospital Human Research Ethics Committee: 33229), and Starship Children’s Hospital (New Zealand Health and Disability Ethics Committees: 15/NTB/37). Participants and/or their caregivers provided written informed consent (or assent), as appropriate for participant age.

Conflict of interest

The authors declare that they have no conflict of interest.

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Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Tonya Kara passed away on January 22, 2018.

Madeleine Didsbury and Anita van Zwieten are co-first authors.

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Didsbury, M., van Zwieten, A., Chen, K. et al. The association between socioeconomic disadvantage and parent-rated health in children and adolescents with chronic kidney disease—the Kids with CKD (KCAD) study. Pediatr Nephrol 34, 1237–1245 (2019). https://doi.org/10.1007/s00467-019-04209-7

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  • DOI: https://doi.org/10.1007/s00467-019-04209-7

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