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Parental education, health literacy and children’s adult body height

Published online by Cambridge University Press:  14 November 2019

Ewa Jarosz*
Affiliation:
Institute of Philosophy and Sociology, Polish Academy of Sciences, Warsaw, Poland Department of Sociology, Centre for Time Use Research, University of Oxford, Oxford, UK
Alexi Gugushvili
Affiliation:
Department of Public Administration and Sociology, Erasmus University Rotterdam, the Netherlands Department of Social Policy and Intervention, University of Oxford, Oxford, UK
*
*Corresponding author. Email: [email protected]

Abstract

Human anthropometric traits, while significantly determined by genetic factors, are also affected by an individual’s early life environment. An adult’s body height is a valid indicator of their living conditions in childhood. Parental education has been shown to be one of the key covariates of individuals’ health and height, both in childhood and adulthood. Parental functional literacy has been demonstrated to be another important determinant of child health, but this has largely been overlooked in studies on height. The objective of this study was to analyse the associations between parents’ education, their functional literacy and their children’s adult body height. The study used data for 39,240 individuals from the 2016 wave of the nationally representative Life in Transition Survey (LITS) conducted in 34 countries in Southern and Eastern Europe, the Middle East and Central Asia. Using linear and Poisson models, regression adjustment treatment estimators and multilevel mixed-effects linear regressions, the study analysed the links between mother’s and father’s educational attainment, parental functional literacy, measured by the number of books in the childhood home, and children’s adult height. The models also included other individual and contextual covariates of height. The results demonstrated that mother’s educational attainment and parental functional literacy have independent associations with children’s adult body height. Sufficient literacy skills of the parent may have a positive effect on children’s growth even if parental education is low. These associations remained significant across time. The study also provides evidence of a widening of the height gap for men born in the period just before and after systemic transition in post-socialist societies, which may suggest an increase in social differences in early living standards.

Type
Research Article
Copyright
© Cambridge University Press 2019

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References

Azarova, A, Irdam, D, Gugushvili, A, Fazekas, M, Scheiring, G, Horvat, P, Stefler, Det al. (2017) The effect of rapid privatisation on mortality in mono-industrial towns in post-Soviet Russia: a retrospective cohort study. The Lancet Public Health 2(5), e231e238.CrossRefGoogle ScholarPubMed
Barker, DJP (2012) Developmental origins of chronic disease. Public Health 126(3), 185189.CrossRefGoogle ScholarPubMed
Barros, AJ and Hirakata, VN (2003) Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Medical Research Methodology 3(1), 21.CrossRefGoogle ScholarPubMed
Batty, GD, Shipley, MJ, Gunnell, D, Huxley, R, Kivimaki, M, Woodward, Met al. (2009) Height, wealth, and health: an overview with new data from three longitudinal studies. Economics & Human Biology 7(2), 137152.CrossRefGoogle ScholarPubMed
Bielicki, T (1986) Physical growth as a measure of the economic well-being of populations: the twentieth century. In Falkner, F and Tanner, JM (eds) Human Growth: A Comprehensive Treatise. Volume 3: Methodology and Ecological, Genetic, and Nutritional Effects on Growth. Plenum Press, New York, pp. 283305.CrossRefGoogle Scholar
Black, S, Devereux, P and Salvanes, K (2007) From the cradle to the labour market? The effect of birth weight on adult outcomes. Quarterly Journal of Economics 122(1), 409439.CrossRefGoogle Scholar
Braveman, P and Barclay, C (2009) health disparities beginning in childhood: a life-course perspective. Pediatrics 124 (Supplement 3), S163S175.CrossRefGoogle ScholarPubMed
Brunello, G, Weber, G and Weiss, C (2016) Books are Forever: Early Life Conditions, Education and Lifetime Earnings in Europe. Economic Journal 127(600), 271296.CrossRefGoogle Scholar
Case, A and Paxson, C (2008) Stature and status: height, ability, and labor market outcomes. Journal of Political Economy 116(3), 499532.CrossRefGoogle ScholarPubMed
Chari, R, Warsh, J, Ketterer, T, Hossain, J and Sharif, I (2014) Association between health literacy and child and adolescent obesity. Patient Education and Counseling 94(1), 6166.CrossRefGoogle ScholarPubMed
Chen, Y and Li, H (2009) Mother’s education and child health: is there a nurturing effect? Journal of Health Economics 28(2), 413426.CrossRefGoogle Scholar
Cockerham, W (2002) Health and Social Change in Russia and Eastern Europe. Routledge, New York.CrossRefGoogle Scholar
Currie, J and Moretti, E (2003) Mother’s education and the intergenerational transmission of human capital: evidence from college openings. Quarterly Journal of Economics 118(4), 14951532.CrossRefGoogle Scholar
Deaton, A (2008) Height, health, and inequality: the distribution of adult heights in India. American Economic Review 98(2), 468474.CrossRefGoogle ScholarPubMed
Desai, S and Alva, S (1998) Maternal education and child health: is there a strong causal relationship? Demography 35(1), 7181.CrossRefGoogle Scholar
DeWalt, DA and Hink, A (2009) Health literacy and child health outcomes: a systematic review of the literature. Pediatrics 124 (Supplement 3), S265S274.CrossRefGoogle ScholarPubMed
Doniec, K, Stefler, D, Murphy, M, Gugushvili, A, McKee, M, Marmot, Met al. (2018) Education and mortality in three Eastern European populations: findings from the PrivMort retrospective cohort study. European Journal of Public Health 29(3), 549554.CrossRefGoogle Scholar
Driessnack, M, Chung, S, Perkhounkova, E and Hein, M (2014) Using the “newest vital sign” to assess health literacy in children. Journal of Pediatric Health Care 28(2), 165171.CrossRefGoogle ScholarPubMed
EBRD (2016) Life in Transition Survey III. European Bank for Reconstruction and Development, London.Google Scholar
Engstrom, J, Paterson, S, Doherty, A, Trabulsi, M and Speer, K (2003) Accuracy of self-reported height and weight in women: an integrative review of the literature. Journal of Midwifery & Women’s Health 48(5), 338345.CrossRefGoogle ScholarPubMed
Gapminder (2018) GDP Per Capita, PPP Constant 2011 International $. Gapminder, Stockholm.Google Scholar
Gorber, SC, Tremblay, M, Moher, D and Gorber, B (2007) A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review. Obesity Reviews 8(4), 307326.CrossRefGoogle Scholar
Gugushvili, A (2019) A multilevel analysis of perceived intergenerational mobility and welfare state preferences. International Journal of Social Welfare 28(1), 1630.CrossRefGoogle Scholar
Gugushvili, A and Jarosz, E (2019) Inequality, validity of self-reported height, and its implications for BMI estimates: An analysis of randomly selected primary sampling units’ data. Preventive Medicine Reports, 16(100974), 18.CrossRefGoogle ScholarPubMed
Gugushvili, A, Jarosz, E and McKee, M (2019) Compared with whom? Reference groups in socio-economic comparisons and self-reported health in 34 countries. International Journal of Epidemiology, doi: 10.1093/ije/dyz122CrossRefGoogle Scholar
Gunnell, D (2002) Can adult anthropometry be used as a “biomarker” for prenatal and childhood exposures? International Journal of Epidemiology 31(2), 390394.CrossRefGoogle ScholarPubMed
Hack, M, Schluchter, M, Cartar, L, Rahman, M, Cuttler, L and Borawski, E (2003) Growth of very low birth weight infants to age 20 years. Pediatrics 112(1), e30e38.CrossRefGoogle ScholarPubMed
Hasle, H and Boldsen, JL (1991) Childhood conditions and adult height. Journal of Biosocial Science 23(01), 107112.CrossRefGoogle ScholarPubMed
Howe, LD, Tilling, K, Galobardes, B, Smith, GD, Gunnell, D and Lawlor, DA (2012) Socioeconomic differences in childhood growth trajectories: at what age do height inequalities emerge? Journal of Epidemiology and Community Health 66(2), 143148.CrossRefGoogle ScholarPubMed
Jelenkovic, A, Sund, R, Hur, Y-M, Yokoyama, Y, Hjelmborg, J, Möller, Set al. (2016) Genetic and environmental influences on height from infancy to early adulthood: an individual-based pooled analysis of 45 twin cohorts. Scientific Reports 6(1), 28496.CrossRefGoogle ScholarPubMed
Jousilahti, P, Tuomilehto, J, Vartiainen, E, Eriksson, J and Puska, P (2000). Relation of adult height to cause-specific and total mortality: a prospective follow-up study of 31, 199 middle-aged men and women in Finland. American Journal of Epidemiology 151(11), 11121120.CrossRefGoogle ScholarPubMed
Kalichman, SC, Benotsch, E, Suarez, T, Catz, S, Miller, J and Rompa, D (2000) Health literacy and health-related knowledge among persons living with HIV/AIDS. American Journal of Preventive Medicine 18(4), 325331.CrossRefGoogle ScholarPubMed
Karlsen, S and Nazroo, JY (2002) Relation between racial discrimination, social class, and health among ethnic minority groups. American Journal of Public Health 92(4), 624631.CrossRefGoogle ScholarPubMed
Kickbusch, IS (2001) Health literacy: addressing the health and education divide. Health Promotion International 16(3), 289297.CrossRefGoogle ScholarPubMed
King, L, Hamm, P and Stuckler, D (2009) Rapid large-scale privatization and death rates in ex-communist countries: an analysis of stress-related and health system mechanisms. International Journal of Health Services 39(3), 461489.CrossRefGoogle ScholarPubMed
Kirsch, I (1993) Adult Literacy in America: A First Look at the Results of the National Adult Literacy Survey. US Government Printing Office, Superintendent of Documents, Washington, DC, 20402 (Stock No. 065-000-00588-3).Google Scholar
Ksenofontova, N (1994) Trends in infant mortality in the USSR. In Lutz, W, Scherbov, S and Volkov, A (eds) Demographic Trends and Patterns in the Soviet Union Before 1991. Routledge, London/New York, pp. 359378.Google Scholar
Lindeboom, M, Llena-Nozal, A and van der Klaauw, B (2009) Parental education and child health: evidence from a schooling reform. Journal of Health Economics 28(1), 109131.CrossRefGoogle ScholarPubMed
Lu, Y (2008) Test of the “healthy migrant hypothesis”: a longitudinal analysis of health selectivity of internal migration in Indonesia. Social Science & Medicine 67(8), 13311339.CrossRefGoogle ScholarPubMed
Meyer, HE and Selmer, R (1999) Income, educational level and body height. Annals of Human Biology 26(3), 219227.CrossRefGoogle ScholarPubMed
Moestue, H and Huttly, S (2008) Adult education and child nutrition: the role of family and community. Journal of Epidemiology & Community Health 62(2), 153159.CrossRefGoogle ScholarPubMed
Moltchanova, E and Eriksson, JG (2015) Longitudinal changes in maternal and neonatal anthropometrics: a case study of the Helsinki Birth Cohort, 1934–1944. Journal of Developmental Origins of Health and Disease 6(4), 285290.CrossRefGoogle ScholarPubMed
Nazroo, JY (1998) Genetic, cultural or socio‐economic vulnerability? Explaining ethnic inequalities in health. Sociology of Health & Illness 20(5), 710730.CrossRefGoogle Scholar
Nutbeam, D (2000) Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International 15(3), 259267.CrossRefGoogle Scholar
Paasche-Orlow, M and Wolf, M (2007) The causal pathways linking health literacy to health outcomes. American Journal of Health Behavior 31 (Supplement 1), S19S26.CrossRefGoogle ScholarPubMed
Paciorek, CJ, Stevens, GA, Finucane, MM and Ezzati, M (2013) Children’s height and weight in rural and urban populations in low-income and middle-income countries: a systematic analysis of population-representative data. The Lancet Global Health 1(5), e300e309.CrossRefGoogle Scholar
Parker, RM, Baker, DW, Williams, MV and Nurss, JR (1995) The test of functional health literacy in adults. Journal of General Internal Medicine 10(10), 537541.CrossRefGoogle ScholarPubMed
Pawlowski, B, Dunbar, M and Lipowicz, A (2000) Tall men have more reproductive success. Nature 403, 156157.CrossRefGoogle ScholarPubMed
Peck, MN and Lundberg, O (1995) Short stature as an effect of economic and social conditions in childhood. Social Science & Medicine 41(5), 733738.CrossRefGoogle ScholarPubMed
Perola, M (2011) Genome-wide association approaches for identifying loci for human height genes. Best Practice & Research Clinical Endocrinology & Metabolism 25(1), 1923.CrossRefGoogle ScholarPubMed
Petranović, MZ, Tomas, Ž, Narančić, SN, Škarić-Jurić, T, Veček, A and Miličić, J (2014) A six decades long follow-up on body size in adolescents from Zagreb, Croatia (1951–2010). Economics & Human Biology 13, 155164.CrossRefGoogle Scholar
Quintana-Domeque, C, Bozzoli, C and Bosch, M (2011) Infant mortality and adult stature in Spain. Social Science & Medicine 72(11), 18931903.CrossRefGoogle ScholarPubMed
Sanders, LM, Federico, S, Klass, P, Abrams, MA and Dreyer, B (2009) Literacy and child health. Archives of Pediatrics & Adolescent Medicine 163(2), 131140.CrossRefGoogle ScholarPubMed
Sanders, LM, Zacur, G, Haecker, T and Klass, P (2004) Number of children’s books in the home: an indicator of parent health literacy. Ambulatory Pediatrics 4(5), 424428.CrossRefGoogle ScholarPubMed
Schultz, P (2002) Wage gains associated with height as a form of health human capital. American Economic Review 92(2), 349353.CrossRefGoogle Scholar
Sikora, J, Evans, MDR and Kelley, J (2019) Scholarly culture: how books in adolescence enhance adult literacy, numeracy and technology skills in 31 societies. Social Science Research 77, 115.CrossRefGoogle ScholarPubMed
Silventoinen, K (2003) Determinants of variation in adult body height. Journal of Biosocial Science 35(2), 263285.CrossRefGoogle ScholarPubMed
Silventoinen, K, Lahelma, E and Rahkonen, O (1999) Social background, adult body-height and health. International Journal of Epidemiology 28(5), 911918.CrossRefGoogle ScholarPubMed
Silventoinen, K, Sammalisto, S, Perola, M, Boomsma, DI, Cornes, BK, Davis, Cet al. (2003) Heritability of adult body height: a comparative study of twin cohorts in eight countries. Twin Research 6(5), 399408.CrossRefGoogle ScholarPubMed
Slomczynski, KM and Tomescu-Dubrow, I (2006) Representation of Post-Communist European countries in cross-national public opinion surveys. Problems of Post-Communism 53(4), 4252.CrossRefGoogle Scholar
Smith, GD, Hart, C, Upton, M, Hole, D, Gillis, C, Watt, G and Hawthorne, V (2000) Height and risk of death among men and women: aetiological implications of associations with cardiorespiratory disease and cancer mortality. Journal of Epidemiology & Community Health 54(2), 97103.CrossRefGoogle Scholar
Smith, SK, Dixon, A, Trevena, L, Nutbeam, D and McCaffery, KJ (2009) Exploring patient involvement in healthcare decision making across different education and functional health literacy groups. Social Science & Medicine 69(12), 18051812.CrossRefGoogle ScholarPubMed
Tao, H-L, Yin, C-C (2016) Height, partneres and offspring: evidence from Taiwan. Journal of Biosocial Science 48(5), 593615.CrossRefGoogle ScholarPubMed
Thomas, D (1994) Like father, like son; like mother, like daughter: parental resources and child height. Journal of Human Resources 29, 950988.CrossRefGoogle Scholar
Tomopoulos, S, Dreyer, BP, Tamis-LeMonda, C, Flynn, V, Rovira, I, Tineo, W and Mendelsohn, AL (2006) Books, toys, parent–child interaction, and development in young Latino children. Ambulatory Pediatrics 6(2), 7278.CrossRefGoogle ScholarPubMed
Visscher, PM, McEvoy, B and Yang, J (2010) From Galton to GWAS: quantitative genetics of human height. Genetics Research 92(5–6), 371379.CrossRefGoogle ScholarPubMed
Visscher, PM, Medland, SE, Ferreira, MAR, Morley, KI, Zhu, G, Cornes, BKet al. (2006) Assumption-free estimation of heritability from genome-wide identity-by-descent sharing between full siblings. PLoS Genetics 2(3), e41.CrossRefGoogle ScholarPubMed
Woods-Townsend, K, Leat, H, Bay, J, Bagust, L, Davey, H, Lovelock, Det al. (2018) LifeLab Southampton: a programme to engage adolescents with DOHaD concepts as a tool for increasing health literacy in teenagers – a pilot cluster-randomized control trial. Journal of Developmental Origins of Health and Disease 9(5), 475480.CrossRefGoogle ScholarPubMed
Zielińska, D (1991) Is there a selective rural–urban migration in respect to height and weight? American Journal of Human Biology 3(4), 363368.CrossRefGoogle Scholar
Zurawiecka, M, Marchewka, J and Wronka, I (2019) Fluctuating body asymmetry in young Polish women in relation to childhood socioeconomic status. Journal of Biosocial Science 51(5), 775783.CrossRefGoogle ScholarPubMed