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a University Department of Medicine, Royal Free Hospital
School of Medicine, London, b Department
of Epidemiology and Public Health, University College London Medical
School, c Trafford Centre for Medical
Research, University of Sussex, Brighton
Correspondence to: Dr Montgomery.
Accepted 8 July 1997
AIMS
Having previously observed that slow growth
in childhood is associated with subsequent labour market disadvantage,
an attempt was made to determine whether family conflict is associated
with slow growth to age 7 years, independently of material disadvantage.
METHODSA total of 6574 children born between 3 and 9 March 1958 who were members of the British National Child
Development Study were used in these analyses. Slow growth at age 7 years was indicated by short stature defined as the lowest fifth of the
height distribution. In multivariate analysis, adjustment was made for
fully attained adult height as a measure of genetically predetermined height.
RESULTSA total of 31.1% of children who had
experienced family conflict were of short stature compared with 20.2%
of those who had not, representing relative odds of 1.79 (95%
confidence interval (CI) 1.39 to 2.30). After adjustment for social
class, crowding, sex, and predetermined height, the relative odds were
slightly reduced to 1.62 (95% CI 1.18 to 2.23). A total of 44.0% of
children from the most crowded households were of short stature
compared with 16.4% of those from the least crowded. The unadjusted
relative odds were 3.99 (95% CI 2.94 to 5.41) and after adjustment for the potential confounding variables they were 3.07 (95% CI 2.08 to
4.51). Low social class was also a risk for short stature at age 7 years, but this was not statistically significant after adjustment for
the other confounding factors.
CONCLUSIONSFamily conflict during childhood was
independently associated with slow growth to age 7 years.
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