Measuring Child Socio-Economic Position in Birth Cohort Research: The Development of a Novel Standardized Household Income Indicator
Open accessAbstract
The assessment of early life socioeconomic position (SEP) is essential to the tackling of social inequalities in health. Although different indicators capture different SEP dimensions, maternal education is often used as the only indicator in birth cohort research, especially in multi-cohort analyses. Household income, as a direct measure of material resources, is one of the most important indicators, but one that is underused because it is difficult to measure through questionnaires. We propose a method to construct a standardized, cross-cohort comparable income indicator, the “Equivalized Household Income Indicator (EHII)”, which measures the equivalized disposable household income, using external data from the pan-European Union Statistics on Income and Living Conditions (EUSILC) surveys, and data from the cohorts. We apply this method to four studies, Piccolipiù and NINFEA from Italy and ELFE and EDEN from France, comparing the distribution of EHII with other SEP-related variables available in the cohorts, and estimating the association between EHII and child body mass index (BMI). We found that basic parental and household characteristics may be used, with a fairly good performance, to predict the household income. We observed a strong correlation between EHII and both the self-reported income, whenever available, and other individual socioeconomic-related variables, and an inverse association with child BMI. EHII could contribute to improving research on social inequalities in health, in particular in the context of European birth cohort collaborative studies.
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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.”
From Socioeconomic position, family context, and child cognitive development (2024) · cites this paper as [9]
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Cited by
Sorted by citations
Socioeconomic position, family context, and child cognitive development
González, L., Popovic, M., Rebagliato, M., Estarlich, M., Moirano, G., Barreto-Zarza, F., Richiardi, L., Arranz, E., Santa-Marina, L., Zugna, D., et al. (2024) · European Journal of Pediatrics · doi:10.1007/s00431-024-05482-x · Cited by 18 · see citing works
“The EHII is an estimation of the standardised (for household size and composition) total disposable household income, obtained using EU-SILC data of 2011 and INMA data [9].”
MethodSelf-citation
- Authors
- Pizzi, C., Richiardi, M., Charles, M.-A., Heude, B., Lanoe, J.-L., Lioret, S., Brescianini, S., Toccaceli, V., Vrijheid, M., Merletti, F., Zugna, D., & Richiardi, L.
- Affiliations
- University of Turin (IT)
- University of Essex (GB)
- Inserm (FR)
- Research Team on Early Life Origin (EAROH), Université de Paris, CRESS, INSERM, INRA, F-75004 Paris, France
- Istituto Superiore di Sanità (IT)
- Universitat Pompeu Fabra (ES)
- Corresponding author
- Pizzi, Costanza
- ORCID
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2020-03-05
- Volume
- 17
- Issue
- 5
- Pages
- 1700
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC7084936
- OpenAlex
- W3009305812
- Cited by
- 41
- References
- 0
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 8 · 2023: 6 · 2022: 9 · 2021: 5 · 2020: 3
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- gold
- dx.doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Open Access at Essex (University of Essex) (acceptedVersion)
- HAL (submittedVersion, cc-by)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Repositori digital de la UPF (Universitat Pompeu Fabra) (submittedVersion, cc-by)
- Funders
- Horizon 2020 (733206, 774548)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Income, Poverty, and Inequality
- Social Sciences › Sociology and Political Science › Intergenerational and Educational Inequality Studies
- Keywords
- health disparities, childhood body mass index, maternal education
- MeSH terms
- Child, France, Humans, Income, Italy, Reference Standards, Social Class, Socioeconomic Factors, Cohort Studies, Body Mass Index
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