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 Vol. 17 No. 3, March 2007
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AAP Grand Rounds 17:28-29 (2007)
© 2007 American Academy of Pediatrics

MEDICINE-PEDIATRICS

Low Childhood SES for Physicians Predicts Poor Medical Outcomes in Adulthood

Source: Kittleson MM, Meoni LA, Wang N-Y, et al. Association of childhood socioeconomic status with subsequent coronary heart disease in physicians. Arch Intern Med. 2006;166:2356–2361; doi:10.1001/archinte.166.21.2356[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

The authors, from Johns Hopkins, evaluated graduates of The Johns Hopkins University School of Medicine in an effort to study the relationship between socioeconomic status (SES) in childhood and cardiac outcomes in adulthood. It included 1337 members from the graduating classes of 1948–1964, excluding women (121), those of non European ancestry (36), and those who did not answer the questions about parental occupation (56) or were unavailable for follow-up (15), leaving 1131 white male medical students for analysis.

During medical school, all subjects had a medical history and physical examination. Questionnaires were mailed annually to collect follow-up data. Childhood SES was defined by the subjects’ father’s occupation and categorized into low, middle, and high SES groups. Information on cardiac risk factors was gathered on each subject, including serum cholesterol, physical activity, family history of premature coronary heart disease (CHD), body mass index (BMI), hypertension, cigarette smoking, coffee consumption, diabetes mellitus, and clinical depression.

Annual survey return rates generally exceeded 70% . . . [Full Text of this Article]

Brett Robbins, MD, FAAP
Department of Pediatrics, Strong Memorial Hospital, University of Rochester, Rochester, NY