Cited by 18Cognitive Abilities and TestingEarly Childhood Education and DevelopmentInfant Development and Preterm Care

Socioeconomic position, family context, and child cognitive development

Open access
González, Llúcia, Popovic, Maja, Rebagliato, Marisa, Estarlich, Marisa, Moirano, Giovenale, Barreto-Zarza, Florencia, Richiardi, Lorenzo, Arranz, Enrique +4 more·2024·European Journal of Pediatrics

Published version of a preprint

Abstract

Socioeconomic position (SEP) may have different effects on cognitive development and family context could play a role in this association. This work aimed to analyse the role of socioeconomic positions, measured via various indicators collected longitudinally, in cognitive development at 7–11 years of age, evaluating the role of family context as a potential mediator. The study sample included 394 and 382 children from the INMA Gipuzkoa and Valencia cohorts, respectively. SEP indicators were assessed during pregnancy (family social class, parental education, employment, and disposable income) and at 7 (Gipuzkoa) and 11 (Valencia) years of age (At Risk of Poverty or Social Exclusion (AROPE)). Family context and cognitive development were measured with the Haezi-Etxadi Family Assessment Scale 7–11 (HEFAS 7–11) and Raven’s Coloured Progressive Matrices (Raven’s CPM), respectively. Linear regression models were developed to assess the relationships between (a) SEP-family context, (b) SEP-cognitive development, and (c) family context-cognitive development, adjusting for a priori-selected confounders. Simple and multiple mediation analyses were performed to explore the role of family context in the SEP-cognitive development relationship. Lower SEP was related with a lower cognitive score, this association being particularly robust for family social class. SEP indicators were related to subscales of family context, in particular those regarding cognitive stimulation, parental stress, and parenting. A relationship was also found between these three subscales and child cognitive development, mediating the effect of family social class on child cognition by 5.2, 5.5, and 10.8%, respectively, and 12.0% jointly. Conclusion : Both family SEP and context contribute to a child’s cognitive development. Equalising policies and positive parenting programmes could contribute to improving cognitive development in children. What is Known: • Parental social class, education, and employment status have been widely employed to measure socioeconomic position . What is New: • This work focuses on standard measurements of socioeconomic position but also other economic indicators such as the EHII and AROPE, and their effect on child cognitive development and family context . • Promotion of cognitive and linguistic development, parental stress and conflict, and parental profile fostering child development mediated the effect of family social class on cognitive development .

AI snapshot

Written from the paper’s full text.

TL;DR

In two Spanish INMA cohorts, lower socioeconomic position was associated with lower child cognitive scores at 7–11 years, most consistently for family social class. Family context—especially cognitive stimulation, parental stress/conflict, and parenting profile—was related to both SEP and cognition and mediated part of the social-class effect on cognitive development.

Key findings

  • Lower SEP was related to lower Raven’s CPM scores, with the most robust association for family social class. In minimally adjusted models, lowest vs highest family social class was −0.86 (95% CI −1.53, −0.18); no vs both highly educated parents was −0.96 (−1.79, −0.13); lowest vs highest EHII was −1.00 (−2.14, 0.14). Adjustment reduced magnitudes, and AROPE/risk of poverty estimates were close to 0.
  • SEP indicators were related to family-context subscales, particularly cognitive stimulation, parental stress/conflict, and parenting. For example, lowest vs highest family social class was associated with Subscale 1 (Cognitive) at −4.79 (−7.07, −2.51); lowest vs highest EHII with Subscale 4 (Stress) at −3.88 (−7.10, −0.66); and low work intensity with Subscale 4 at −6.24 (−10.39, −2.09). Subscales 2 (Emotional) and 3 (Organisation) showed no SEP associations.
  • Family-context Subscales 1 (Cognitive; 0.03 [0.00, 0.05]), 4 (Stress; 0.03 [−0.01, 0.06]), and 5 (Parenting; 0.05 [0.02, 0.09]) were associated with Raven’s CPM; Subscales 2 and 3 were not.
  • Mediation analyses used family social class. The results text reports single mediation of 9.2% for cognitive stimulation, 5.8% for parental stress/conflict, 19.8% for parenting, and 24.3% jointly; the abstract reports 5.2%, 5.5%, 10.8%, and 12.0% jointly.

Methods

  • Population-based mother–child INMA cohorts in Gipuzkoa and Valencia; analysis included 394 and 382 children, respectively. SEP was measured in pregnancy (family social class, parental education, employment, EHII) and at 7 years (Gipuzkoa) or 11 years (Valencia) with AROPE.
  • Family context was measured with HEFAS 7–11, and cognitive development with Raven’s Coloured Progressive Matrices.
  • Linear regression models assessed SEP–family context, SEP–cognition, and family context–cognition associations, adjusted for a priori confounders. Counterfactual mediation analysis with imputation estimated single and multiple mediation; inverse probability of participation weighting addressed attrition.

Limitations

  • Stated: cohort attrition was substantial—the analysis sample was 58% of the initial sample and differed from baseline, with more Spanish parents and higher education/social class. Inverse probability weighting was used to adjust for potential attrition.
  • Stated: some exposure–outcome associations were estimated from cross-sectional data, and the temporal relationship between family interactions/context and cognitive functioning cannot be established with certainty.
  • Evident from the text: the abstract and results report different mediation percentages for the same subscales, which limits confidence in the precision of the mediation estimates.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1007/s00431-024-05482-x

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

12 of 35 cited sources checked · 10 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    A lack of sensitive scaffolding may result in a less stimulating context for cognitive development.

    “a lack of sensitive scaffolding may result in a less stimulating context for cognitive development [16–19].”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [16] Dräger J, Pforr K (2022) The multiple mediators of early differences in academic abilities by parental financial resources in Germany. Adv Life Course Res 52:100476. https://doi.org/10.1016/j.alcr.2022.100476 source
    • cites [17] Li Y, Yang H, Luo L (2021) Poverty exposure and cognitive abilities of children in rural China: causation and the roles of family investments. Child Youth Serv Rev 121:105747. https://doi.org/10.1016/j.childyouth.2020.105747 source
    • cites [18] de Neubourg E, Borghans L, Coppens K, Jansen M (2018) Explaining children’s life outcomes: parental socioeconomic status, intelligence and neurocognitive factors in a dynamic life cycle model. Child Indic Res 11:1495–1513. https://doi.org/10.1007/s12187-017-9481-8 source

      The Dynamic Life Cycle Model section says parental behaviour and investments influence children’s cognitive development, and that poorer parents may have a less effective parenting style. It does not discuss sensitive scaffolding specifically or establish that its absence produces a less stimulating context. Page numbers are unavailable in our copy. (LLM, conf=0.78)

      Experimental — accuracy not yet measured
    • cites [19] Simons LG, Wickrama K, a. S, Lee TK, et al (2016) Testing family stress and family investment explanations for conduct problems among African American adolescents. J Marriage Fam 78:498–515. https://doi.org/10.1111/jomf.12278 source
  • Premisecitation

    The Equivalised Household Income Indicator overcame some of the difficulties deriving from total disposable income.

    “The Equivalised Household Income Indicator (EHII) [9] overcame some of the difficulties deriving from total disposable income with data from the European Statistics on Income and Living Conditions (EU-SILC) [10] and the characteristics of the study participants.”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [9] Pizzi C, Richiardi M, Charles M-A et al (2020) Measuring child socio-economic position in birth cohort research: the development of a novel standardized household income indicator. Int J Environ Res Public Health 17:E1700. https://doi.org/10.3390/ijerph17051700 source
    • Rests on an assumption: Family income is not easy to measure.
  • Premisecitation

    The family stress model shows that more stressed parents have greater difficulties in providing good-quality cognitive and socioemotional scaffolding and subsequently promoting cognition.

    “Both factors seem to be involved in the family stress model, which shows that more stressed parents have greater difficulties in providing good-quality cognitive and socioemotional scaffolding [29] and, subsequently, promoting cognition [28].”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [29] Barreto-Zarza F, Arranz-Freijo EB (2022) Family context, parenting and child development: an epigenetic approach. Soc Sci 11:113. https://doi.org/10.3390/socsci11030113 source
    • cites [28] Masarik AS, Conger RD (2017) Stress and child development: a review of the Family Stress Model. Curr Opin Psychol 13:85–90. https://doi.org/10.1016/j.copsyc.2016.05.008 source
  • Premisecitation

    Events occurring within the family context could influence cognitive development.

    “In addition to the potential effects of SEP, events occurring within the family context could influence cognitive development [11].”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites [11] Pearce A, Dundas R, Whitehead M, Taylor-Robinson D (2019) Pathways to inequalities in child health. Arch Dis Child 104:998–1003. https://doi.org/10.1136/archdischild-2018-314808 source
  • Premisecitation

    Economic resources and cognitive and socioemotional scaffolding are transmitted through parenting.

    “Economic resources and cognitive and socioemotional scaffolding are transmitted through parenting (the attitudes and practices that parents deploy to care for their children) [20, 24, 25].”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [20] Zhang Y (2021) The role of socioeconomic status and parental investment in adolescent outcomes. Child Youth Serv Rev 129:106186. https://doi.org/10.1016/j.childyouth.2021.106186 source
    • cites [24] Roubinov DS, Boyce WT (2017) Parenting and SES: relative values or enduring principles? Curr Opin Psychol 15:162–167. https://doi.org/10.1016/j.copsyc.2017.03.001 source
    • cites [25] Bi X, Yang Y, Li H et al (2018) Parenting styles and parent–adolescent relationships: the mediating roles of behavioral autonomy and parental authority. Front Psychol 9:2187. https://doi.org/10.3389/fpsyg.2018.02187 source

      The Introduction defines parenting style in terms of parents’ attitudes and behaviors, and the Discussion describes warmth, support, and supervision in parent–adolescent relationships (page unavailable). These passages support the parenting and socioemotional-support aspects, but the paper does not say that economic resources or cognitive scaffolding are transmitted through parenting. (LLM, conf=0.83)

      Experimental — accuracy not yet measured
  • May combine two claims. 22
  • Classified as probably not a substantial claim. 20
  • May combine two claims.

    Premisecitation

    Parenting is influenced by perceptions and beliefs about parenting itself and by the level of parental stress.

    “Parenting is influenced by perceptions and beliefs about parenting itself [24, 26] and the level of parental stress [27, 28].”
    Quote in the paperSubstantial claim2 of 4 sources checked
    • cites [24] Roubinov DS, Boyce WT (2017) Parenting and SES: relative values or enduring principles? Curr Opin Psychol 15:162–167. https://doi.org/10.1016/j.copsyc.2017.03.001 source
    • cites [26] National Academies of Sciences E, Education D of B and SS and, Board on Children Y et al (2016) Parenting knowledge, attitudes, and practices. In: Parenting matters: supporting parents of children ages 0–8. National Academies Press (US)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [27] Blair C, Raver CC (2016) Poverty, stress, and brain development: new directions for prevention and intervention. Acad Pediatr 16:S30–S36. https://doi.org/10.1016/j.acap.2016.01.010 source
    • cites [28] Masarik AS, Conger RD (2017) Stress and child development: a review of the Family Stress Model. Curr Opin Psychol 13:85–90. https://doi.org/10.1016/j.copsyc.2016.05.008 source
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    According to the Bronfenbrenner/Pearce framework, SEP may affect family context, and family context may in turn affect child development.

    “According to this framework, SEP may have an effect on family context, and this environment may, in turn, have an effect on child development.”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [12] Bronfenbrenner U (1994) Ecological models of human development. In: International Encyclopedia of Education, 2nd ed. Oxford: Elsevier, Freeman, NY

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [11] Pearce A, Dundas R, Whitehead M, Taylor-Robinson D (2019) Pathways to inequalities in child health. Arch Dis Child 104:998–1003. https://doi.org/10.1136/archdischild-2018-314808 source
  • May combine two claims.

    Premisecitation

    Raven's Coloured Progressive Matrices has strong construct validity and high discriminant validity.

    “It has strong construct validity and high discriminant validity [38].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [38] Antoniou F, Alkhadim G, Mouzaki A, Simos P (2022) A psychometric analysis of Raven’s Colored Progressive Matrices: evaluating guessing and carelessness using the 4PL item response theory model. J Intell 10:6. https://doi.org/10.3390/jintelligence10010006 source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The AROPE indicator includes self-reported family income, which could lead to biased responses.

    “However, the AROPE indicator includes self-reported family income, which could lead to biased responses [7].”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [7] González L, Estarlich M, Murcia M et al (2021) Poverty, social exclusion, and mental health: the role of the family context in children aged 7–11 years INMA mother-and-child cohort study. Eur Child Adolesc Psychiatry. https://doi.org/10.1007/s00787-021-01848-w source
  • May combine two claims.

    Findingown data

    The HEFAS subscales regarding cognitive stimulation, parental stress, and parenting mediated the effect of family social class on child cognition by 5.2%, 5.5%, and 10.8%, respectively, and 12.0% jointly.

    “A relationship was also found between these three subscales and child cognitive development, mediating the effect of family social class on child cognition by 5.2, 5.5, and 10.8%, respectively, and 12.0% jointly.”
    • Also stated in: § Abstract · plain
      “Promotion of cognitive and linguistic development, parental stress and conflict, and parental profile fostering child development mediated the effect of family social class on cognitive development.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: The standard assumptions of the counterfactual mediation approach hold for the mediation model.
  • May combine two claims.

    Findingown data

    No modification effect of sex or cohort was found.

    “No modification effect of sex or cohort was found.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In single mediation analysis, Subscale 1 (Cognitive) had a direct effect of −0.62 (95% CI −0.96 to 0.71) and an indirect effect of −0.06 (95% CI −0.16 to 0.03).

    “In the single mediation analysis, Subscale 1. Cognitive, presented the following estimates: direct effect was (B [95%CI]) (− 0.62 [− 0.96, 0.71]), and indirect effect was (− 0.06 [− 0.16, 0.03]).”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Family interactions and context are likely to precede cognitive functioning.
  • May combine two claims.

    Findingown data

    AROPE, risk of poverty, and material deprivation showed a negative association with cognitive scores, although with 95% CIs crossing the null value.

    “AROPE, risk of poverty or material deprivation showed a similar negative association although with 95%CI crossing the null value.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Subscales 1 (Cognitive), 4 (Stress), and 5 (Parenting) were positively associated with Raven's CPM.

    “Subscales. 1. Cognitive (0.03 [0.00, 0.05]), 4. Stress (0.03 [− 0.01, 0.06]), and 5. Parenting (0.05 [0.02, 0.09]) were more strongly associated with Raven’s CPM”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Adjustment for confounders reduced the magnitude of the associations, but the direction did not change for most SEP exposures, while for AROPE and risk of poverty the associations were close to 0.

    “The adjustment for confounders reduced the magnitude of the associations; however, the direction did not change for most SEP exposures, while for AROPE and risk of poverty were close to 0.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In single mediation analysis, Subscale 4 (Stress) had an indirect effect of −0.08 (95% CI −0.19 to 0.08) and mediated 5.8% of the SEP-child cognition effect.

    “The single mediation for Subscale 4. Stress presented similar estimates (indirect effect (− 0.08 [− 0.19, 0.08])), mediating 5.8% of the SEP-child cognition effect.”
    Quote in the paperNot a substantial claim
    • The authors state this as an assumption: Family interactions and context are likely to precede cognitive functioning.
  • May combine two claims.

    Findingown data

    Subscales 2 (Emotional) and 3 (Organisation) did not show an association with child cognition.

    “Subscales 2. Emotional and 3. Organisation did not show an association with child cognition.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The study was approved by local institutional ethical review boards and participants gave their consent.

    “Cohorts were approved by local institutional ethical review boards, and participants gave their consent.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).

    Premisecitation

    Total disposable income should be considered only after tax deductions and social transfers standardised by household size and composition.

    “Family income is not easy to measure, and the total income of a family should be considered only after tax deductions and social transfers standardised by household size and composition (total disposable income) [8].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8] Eurostat (2021) Glossary:equivalised disposable income. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Glossary:Equivalised_disposable_income. Accessed 22 Jun 2022

      Not checked in the free run.

  • May combine two claims.

    Study design and conductown data

    The HEFAS 7-11 subscales have good internal consistency and are independent between them.

    “The subscales have good internal consistency, are independent between them, and assess a wide range of family context and parenting variables in 85 Likert-type items.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Mediation was adjusted for the confounders of the fully adjusted models.

    “Mediation was further adjusted for the confounders of the fully adjusted models.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    To handle sample attrition, inverse probability of participation weighting was used.

    “To handle sample attrition, we used the inverse probability of participation weighting method.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    Families with greater social vulnerability spend less time and resources on their children's education and engage in fewer activities.

    “Families with greater social vulnerability (those with less income, lower social class, or education) spend less time and resources on their children’s education, engage in fewer activities [13], and provide less and poorer cognitive and socioemotional scaffolding [14].”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Schaub M (2015) Is there a home advantage in school readiness for young children? Trends in parent engagement in cognitive activities with young children, 1991–2001. J Early Child Res 13:47–63. https://doi.org/10.1177/1476718X12468122 source
  • May combine two claims.

    Interpretationown data

    Both family SEP and family context contribute to a child's cognitive development.

    “Conclusion: Both family SEP and context contribute to a child’s cognitive development.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: The standard assumptions of the counterfactual mediation approach hold for the mediation model.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    This study conforms to the principles embodied in the Declaration of Helsinki.

    “This study conforms to the principles embodied in the Declaration of Helsinki.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductcitation

    The choice of SEP variables was based on typical recommendations for measuring socioeconomic position in birth cohort studies.

    “The choice of these variables was based on the typical recommendations for measuring socioeconomic position in birth cohort studies [5].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [5] Dahlgren G, Whitehead M (2010) Estrategias europeas para la lucha contra las desigualdades sociales en salud: Desarrollando el máximo potencial de salud para toda la población - Parte 2 (publicado originalmente como Concepts and principles for tackling social inequities in health: Levelling up Part 2). Ministerio de Sanidad y Política Social (originalmente publicado por la Oficina Regional de la OMS para Europa)

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    SEP has been traditionally measured via social class, education level, or/and employment status.

    “Socioeconomic position (SEP) amplifies differences in child cognitive development [4] and has been traditionally measured via social class, education level, or/and employment status [5].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [5] Dahlgren G, Whitehead M (2010) Estrategias europeas para la lucha contra las desigualdades sociales en salud: Desarrollando el máximo potencial de salud para toda la población - Parte 2 (publicado originalmente como Concepts and principles for tackling social inequities in health: Levelling up Part 2). Ministerio de Sanidad y Política Social (originalmente publicado por la Oficina Regional de la OMS para Europa)

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductown data

    An analysis of residuals was carried out, and the assumptions were met to apply a linear regression.

    “An analysis of the residuals was carried out, and it was observed that the assumptions were met to apply a linear regression.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Missing data at baseline were treated using a complete case approach.

    “Missing data at baseline were treated using a complete case approach.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Study design and conductown data

    The analysis sample was 58% of the initial sample and differed from the baseline sample (Spanish parents with a higher education level and social class were more frequent in the analysis sample).

    “our analysis sample was 58% of the initial sample and differed from the baseline sample (Spanish parents with a higher education level and social class were more frequent in the analysis sample).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Previous works observed that more highly educated parents provide contingent scaffolding.

    “Previous works observed that more highly educated parents provide contingent scaffolding [14].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [14] Mermelshtine R (2017) Parent–child learning interactions: a review of the literature on scaffolding. Br J Educ Psychol 87:241–254. https://doi.org/10.1111/bjep.12147 source
  • May combine two claims.

    Interpretationown data

    Parenting profile fostering child development, and the total joint mediation model, played an important role in the SEP-cognitive development association.

    “We also found that parenting profile fostering child development, and the total joint mediation model, played an important role in the SEP-cognitive development association.”
    Quote in the paperSubstantial claim
    • The authors state this as an assumption: Family interactions and context are likely to precede cognitive functioning.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Parental stress has been previously linked to scarcity of resources.

    “Parental stress has also been previously linked to scarcity of resources [28]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [28] Masarik AS, Conger RD (2017) Stress and child development: a review of the Family Stress Model. Curr Opin Psychol 13:85–90. https://doi.org/10.1016/j.copsyc.2016.05.008 source
  • May combine two claims.

    Interpretationown data

    All SEP indicators considered were strongly associated with some family context subscales, with poorer SEP related to a less positive family context.

    “We observed that all SEP indicators considered were strongly associated with some family context subscales, finding that poorer SEP related to a less positive family context (less stimulating cognitive and linguistic context, higher stress and conflict, and less parental promotion of child development).”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    SEP is less associated with cognitive development if measured during childhood instead of pregnancy.

    “SEP is less associated with cognitive development [19, 20] if measured during childhood instead of pregnancy.”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [19] Simons LG, Wickrama K, a. S, Lee TK, et al (2016) Testing family stress and family investment explanations for conduct problems among African American adolescents. J Marriage Fam 78:498–515. https://doi.org/10.1111/jomf.12278 source
    • cites [20] Zhang Y (2021) The role of socioeconomic status and parental investment in adolescent outcomes. Child Youth Serv Rev 129:106186. https://doi.org/10.1016/j.childyouth.2021.106186 source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    A systematic review indicated that scaffolding mediated the effect between poverty and cognitive development.

    “A systematic review indicated that scaffolding mediated the effect between poverty and cognitive development [53]”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [53] Saitadze I, Lalayants M (2021) Mechanisms that mitigate the effects of child poverty and improve children’s cognitive and social–emotional development: a systematic review. Child Fam Soc Work 26:289–308. https://doi.org/10.1111/cfs.12809 source
  • May combine two claims.

    Interpretationown data

    Both family social class and family context were related separately to cognitive development.

    “In general terms, both family social class and family context were related separately to cognitive development.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Parents with a better SEP are considered to be more aware and involved in their children's development.

    “Parents with a better SEP are considered to be more aware and involved in their children’s development [26].”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [26] National Academies of Sciences E, Education D of B and SS and, Board on Children Y et al (2016) Parenting knowledge, attitudes, and practices. In: Parenting matters: supporting parents of children ages 0–8. National Academies Press (US)

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The study used an unbiased measurement of cognitive development based on a traditional and strong conception of cognition, which considers non-verbal visual stimuli to estimate a child's deduction ability.

    “In addition, we used an unbiased measurement of cognitive development based on a traditional and strong conception of cognition, which considers non-verbal visual stimuli to estimate a child’s deduction ability.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The study used HEFAS 7-11, which provides a full landscape of family context including contextual and interactive variables rarely available with such detail.

    “We used HEFAS 7–11, which provides a full landscape of family context including contextual and interactive variables that are rarely available with such detail.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    The study considered a full range of variables from diverse follow-ups, collected mostly in a prospective manner.

    “we considered a full range of variables from diverse follow-ups, collected mostly in a prospective manner.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    The study employed data from children aged 7-11 years, covering middle childhood, and from areas of diverse economic levels, providing additional robustness.

    “Finally, this work employed data from children aged between 7 and 11 years, covering middle childhood, and from areas of diverse economic levels, providing additional robustness to our work.”
    Quote in the paperNot a substantial claim
37 of 37
  • The paper relies on this without support.

    No prior study has compared classic SEP indicators, the EU AROPE, and the EHII exploring their individual effect on child cognition in a family context model.

    “However, up to date, no study has compared classic SEP indicators (social class, parental education, and employment), the EU AROPE, and the EHII exploring their individual effect on child cognition, in a family context model.”
  • The authors state this as an assumption.

    The standard assumptions of the counterfactual mediation approach hold for the mediation model.

    “Assumptions in our model are those standard of the counterfactual mediation approach [41, 42].”
  • The paper relies on this without support.

    Family income is not easy to measure.

    “Family income is not easy to measure”
  • The authors state this as an assumption.

    Family interactions and context are likely to precede cognitive functioning.

    “In the mediation analysis, we hypothesised that family interactions and context are likely to precede cognitive functioning; however, the temporal relationship between the two cannot be established with certainty.”
4 of 4

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

  • Maternal anxiety cohort counts do not sum to the total

    Minor

    Table 1 reports 8 Gipuzkoa and 58 Valencia mothers with a history of anxiety, summing to 66 rather than the reported total of 99.

    Reported 99 · recomputed 66

  • Stress mediation percentage does not match its reported effects

    Minor

    Table 2 gives a stress-subscale indirect effect of −0.08 and total effect of −0.73. Their ratio is about 11.0%, not the 5.8% stated in the results; the difference exceeds what rounding the coefficients could explain.

    Reported 5.8 · recomputed 10.958904

2 of 2

Cites

Flagged first, then by citations

2 of the 44 references couldn’t be matched to a known paper.

Research works printed but not linked: 3

  1. Berk LE (1998) Desarrollo del niño y del adolescente, 1a. Pearson Prentice Hall, Madrid
  2. Bronfenbrenner U (1994) Ecological models of human development. In: International Encyclopedia of Education, 2nd ed. Oxford: Elsevier, Freeman, NY
  3. Corral S (1999) WAIS-III. TEA, Madrid

Cited by

Sorted by citations

Authors
González, L., Popovic, M., Rebagliato, M., Estarlich, M., Moirano, G., Barreto-Zarza, F., Richiardi, L., Arranz, E., Santa-Marina, L., Zugna, D., Ibarluzea, J., & Pizzi, C.
Affiliations
  • Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (ES)
  • Piedmont Reference Center for Epidemiology and Cancer Prevention (IT)
  • Universitat Jaume I (ES)
  • Universitat de València (ES)
  • University of the Basque Country (ES)
Corresponding author
Estarlich, Marisa
Venue
European Journal of Pediatrics
Published
2024-03-14
Volume
183
Issue
6
Pages
2571-2585
ISSN
  • 0340-6199 (ISSN-L)
  • 1432-1076
OpenAlex
W4392804671
Cited by
18
References
44
Citations by year
2026: 6 · 2025: 9 · 2024: 3
FWCI
7.37
Type
journal article
Language
en
Open access
Locations
  • European Journal of Pediatrics (publishedVersion, cc-by)
  • Research Square (acceptedVersion, cc-by)
  • PubMed (publishedVersion)
  • Communities in ADDI (University of the Basque Country) (submittedVersion, cc-by)
  • PubMed Central (submittedVersion, cc-by)
  • Hispana (submittedVersion, cc-by)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
  • Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by)
Funders
  • UE (FP7-ENV-2011 cod 282957, HEALTH.2010.2.4.5-1 and ATHLETE cod 874583)
  • ISCIII (Red INMA G03/176, CB06/02/0041; FIS-FEDER: PI06/0867, PI09/00090, PI11/02038, PI13/02187, PI16/1288, and PI17/00663, PI18/01142 and PI19/1338)
  • CIBERESP
  • European Union-Next Generation EU and the Ministerio de Universidades (Margarita Salas Grant MS21-125)
  • Generalitat Valenciana (AICO/2020/285; CIAICO/2021/132)
  • Department of Health of the Basque Government (2005111093, 2009111069, 2013111089 and 2015111065)
  • Provincial Government of Gipuzkoa (DFG06/002, DFG08/001 and DFG15/221)
  • Agreements with Zumarraga, Urretxu, Legazpi, Azkoitia, Azpeitia, and Beasain
  • Universitat de Valencia
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
  • Social Sciences › Education › Early Childhood Education and Development
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Keywords
socioeconomic position, child cognitive development, family environment, family social class, parental education, parental employment, disposable income, poverty risk, parental stress, parenting, cognitive stimulation, mediation, INMA cohort, early childhood
MeSH terms
Child, Child Development, Cognition, Female, Humans, Longitudinal Studies, Male, Social Class, Socioeconomic Factors, Parenting

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-12.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-12.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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