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. 1987 Sep 15;137(6):485–490.

The health of children of low-income families.

C P Shah 1, M Kahan 1, J Krauser 1
PMCID: PMC1492696  PMID: 3308037

Abstract

Childhood poverty is common in Canada: 1,114,000 children under 16 years of age live below the poverty line. The incidence is highest among children of single mothers, unemployed parents, Canadian native peoples and recent immigrants, particularly refugees. Compared with the national average, the infant mortality rate is twice as high, deaths from infectious diseases are 2.5 times more common and accidental deaths are twice as common among children of low-income families. Other problems associated with poverty are iron deficiency anemia, dental caries, chronic ear infections, mental retardation, learning disabilities, poor school performance and increased suicide rates. Health care professionals can help address the poor physical and mental health associated with poverty in children by promoting a broad range of public policies.

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Selected References

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  1. Baxter J. D. Chronic otitis media and hearing loss in the Eskimo population of Canada. Laryngoscope. 1977 Sep;87(9 Pt 1):1528–1542. doi: 10.1288/00005537-197709000-00013. [DOI] [PubMed] [Google Scholar]
  2. Chalmers I. Short, Black, Baird, Himsworth, and social class differences in fetal and neonatal mortality rates. Br Med J (Clin Res Ed) 1985 Jul 27;291(6490):231–233. doi: 10.1136/bmj.291.6490.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chamberlain G. Background to perinatal health. Lancet. 1979 Nov 17;2(8151):1061–1063. doi: 10.1016/s0140-6736(79)92454-1. [DOI] [PubMed] [Google Scholar]
  4. Clark L. L., Beal V. A. Prevalence and duration of breast-feeding in Manitoba. Can Med Assoc J. 1982 May 15;126(10):1173–1175. [PMC free article] [PubMed] [Google Scholar]
  5. Cohen S. E., Sigman M., Parmelee A. H., Beckwith L. Perinatal risk and developmental outcome in preterm infants. Semin Perinatol. 1982 Oct;6(4):334–339. [PubMed] [Google Scholar]
  6. Court S. D. Inequalities in health. Report of a research working group. Arch Dis Child. 1981 Mar;56(3):161–162. doi: 10.1136/adc.56.3.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Egbuonu L., Starfield Child health and social status. Pediatrics. 1982 May;69(5):550–557. [PubMed] [Google Scholar]
  8. Ellestad-Sayed J. J., Haworth J. C., Coodin F. J., Dilling L. A. Growth and nutrition of preschool Indian children in Manitoba: II. Nutrient intakes. Can J Public Health. 1981 Mar-Apr;72(2):127–133. [PubMed] [Google Scholar]
  9. Evers S. E., Rand C. G. Morbidity in Canadian Indian and non-Indian children in the second year. Can J Public Health. 1983 May-Jun;74(3):191–194. [PubMed] [Google Scholar]
  10. Haworth J. C., Dilling L. A. Vitamin-D-deficient rickets in Manitoba, 1972-84. CMAJ. 1986 Feb 1;134(3):237–241. [PMC free article] [PubMed] [Google Scholar]
  11. Hemminki E., Starfield B. Prevention of low birth weight and pre-term birth: literature review and suggestions for research policy. Milbank Mem Fund Q Health Soc. 1978 Summer;56(3):339–361. [PubMed] [Google Scholar]
  12. Henderson B. E., Dworsky R., Pike M. C., Baptista J., Menck H., Preston-Martin S., Mack T. Risk factors for nodular sclerosis and other types of Hodgkin's disease. Cancer Res. 1979 Nov;39(11):4507–4511. [PubMed] [Google Scholar]
  13. Karp R., Greene G. W. The effect of rising food costs on the occurrence of malnutrition among the poor in the United States: the Engels phenomenon in 1983. Bull N Y Acad Med. 1983 Oct;59(8):721–727. [PMC free article] [PubMed] [Google Scholar]
  14. Kennedy E. T., Kotelchuck M. The effect of WIC supplemental feeding on birth weight: a case-control analysis. Am J Clin Nutr. 1984 Sep;40(3):579–585. doi: 10.1093/ajcn/40.3.579. [DOI] [PubMed] [Google Scholar]
  15. Kovar M. G. Health status of U.S. children and use of medical care. Public Health Rep. 1982 Jan-Feb;97(1):3–15. [PMC free article] [PubMed] [Google Scholar]
  16. Lavon B., Tulchinsky T. H., Preger M., Said R., Kaufman S. Iron deficiency anemia among Jewish and Arab infants at 6 and 12 months of age in Hadera, Israel. Isr J Med Sci. 1985 Feb;21(2):107–112. [PubMed] [Google Scholar]
  17. Learmonth A. Factors in child burn and scald accidents in Bradford 1969-73. J Epidemiol Community Health. 1979 Dec;33(4):270–273. doi: 10.1136/jech.33.4.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Longstaffe S., Postl B., Kao H., Nicolle L., Ferguson C. A. Rheumatic fever in native children in Manitoba. Can Med Assoc J. 1982 Sep 15;127(6):497–498. [PMC free article] [PubMed] [Google Scholar]
  19. Love R., Kalnins I. Individualist and structuralist perspectives on nutrition education for Canadian children. Soc Sci Med. 1984;18(3):199–204. doi: 10.1016/0277-9536(84)90080-7. [DOI] [PubMed] [Google Scholar]
  20. Mare R. D. Socioeconomic effects on child mortality in the United States. Am J Public Health. 1982 Jun;72(6):539–547. doi: 10.2105/ajph.72.6.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. McIntosh I. D. Smoking and pregnancy: attributable risks and public health implications. Can J Public Health. 1984 Mar-Apr;75(2):141–148. [PubMed] [Google Scholar]
  22. McWhirter W. R., Smith H., McWhirter K. M. Social class as a prognostic variable in acute lymphoblastic leukaemia. Med J Aust. 1983 Oct 1;2(7):319–321. doi: 10.5694/j.1326-5377.1983.tb122488.x. [DOI] [PubMed] [Google Scholar]
  23. McWhirter W. R. The relationship of incidence of childhood lymphoblastic leukaemia to social class. Br J Cancer. 1982 Oct;46(4):640–645. doi: 10.1038/bjc.1982.249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Meredith H. V. Body size of infants and children around the world in relation to socioeconomic status. Adv Child Dev Behav. 1984;18:81–145. doi: 10.1016/s0065-2407(08)60370-5. [DOI] [PubMed] [Google Scholar]
  25. Myres A. W., Kroetsch D. The influence of family income on food consumption patterns and nutrient intake in Canada. Can J Public Health. 1978 May-Jun;69(3):208–221. [PubMed] [Google Scholar]
  26. Offord D. R., Last J. M., Barrette P. A. A comparison of the school performance, emotional adjustment and skill development of poor and middle-class children. Can J Public Health. 1985 May-Jun;76(3):174–178. [PubMed] [Google Scholar]
  27. Paneth N., Wallenstein S., Kiely J. L., Susser M. Social class indicators and mortality in low birth weight infants. Am J Epidemiol. 1982 Aug;116(2):364–375. doi: 10.1093/oxfordjournals.aje.a113420. [DOI] [PubMed] [Google Scholar]
  28. Rahn M. J., Sabry J. H. Nutrition knowledge of a sample of urban women. Can J Public Health. 1984 Mar-Apr;75(2):123–127. [PubMed] [Google Scholar]
  29. Rousseau E. H., Lescop J. N., Fontaine S., Lambert J., Roy C. C. Influence of cultural and environmental factors on breast-feeding. Can Med Assoc J. 1982 Oct 15;127(8):701–704. [PMC free article] [PubMed] [Google Scholar]
  30. Rush D. Nutritional services during pregnancy and birthweight: a retrospective matched pair analysis. Can Med Assoc J. 1981 Sep 15;125(6):567–576. [PMC free article] [PubMed] [Google Scholar]
  31. Shah C. P., Farkas C. S. The health of Indians in Canadian cities: a challenge to the health care system. CMAJ. 1985 Nov 1;133(9):859–863. [PMC free article] [PubMed] [Google Scholar]
  32. Silins J., Semenciw R. M., Morrison H. I., Lindsay J., Sherman G. J., Mao Y., Wigle D. T. Risk factors for perinatal mortality in Canada. CMAJ. 1985 Dec 15;133(12):1214–1219. [PMC free article] [PubMed] [Google Scholar]
  33. Stamm J. W., Lizaire A., Fedori D., Finnigan P., Taylor G., Willey J. Dental health status of Alberta schoolchildren. J Can Dent Assoc. 1980 Feb;46(2):98–107. [PubMed] [Google Scholar]
  34. Stewart P. J., Dunkley G. C. Smoking and health care patterns among pregnant women. CMAJ. 1985 Nov 15;133(10):989–994. [PMC free article] [PubMed] [Google Scholar]
  35. Sunderland R. Dying young in traffic. Arch Dis Child. 1984 Aug;59(8):754–757. doi: 10.1136/adc.59.8.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. Velcek F. T., Weiss A., DiMaio D., Koltz D. H., Jr, Kottmeier P. K. Traumatic death in urban children. J Pediatr Surg. 1977 Jun;12(3):375–384. doi: 10.1016/0022-3468(77)90013-6. [DOI] [PubMed] [Google Scholar]
  37. Williams H. E., Carmichael A. Nutrition in the first year of life in a multi-ethnic poor socio-economic municipality in Melbourne. Aust Paediatr J. 1983 Jun;19(2):73–77. doi: 10.1111/j.1440-1754.1983.tb02061.x. [DOI] [PubMed] [Google Scholar]
  38. Wise P. H., Kotelchuck M., Wilson M. L., Mills M. Racial and socioeconomic disparities in childhood mortality in Boston. N Engl J Med. 1985 Aug 8;313(6):360–366. doi: 10.1056/NEJM198508083130605. [DOI] [PubMed] [Google Scholar]
  39. Young T. K. BCG vaccination among Canadian Indians and Inuit: the epidemiological bases for policy decision. Can J Public Health. 1985 Mar-Apr;76(2):124–129. [PubMed] [Google Scholar]
  40. Zlatnik F. J. Dietary protein and human pregnancy performance. J Reprod Med. 1979 Apr;22(4):193–201. [PubMed] [Google Scholar]

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