The Simultaneous Effects of Socioeconomic Disadvantage and Child Health on Children’s Cognitive Development

Dohoon Lee, Margot Jackson

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)


Family socioeconomic status (SES) and child health are so strongly related that scholars have speculated child health to be an important pathway through which a cycle of poverty is reproduced across generations. Despite increasing recognition that SES and health work reciprocally and dynamically over the life course to produce inequality, research has yet to address how these two pathways simultaneously shape children’s development. Using longitudinal data from the Fragile Families and Child Wellbeing Study and marginal structural models, we ask three questions: (1) how does the reciprocal relationship between socioeconomic disadvantage and child health affect estimates of each circumstance on children’s cognitive development?; (2) how do their respective effects vary with age?; and (3) do family SES and child health have differential effects on cognitive development across population subgroups? The results show that the negative effects of socioeconomic disadvantage and poor health are insensitive to their reciprocal relationships over time. We find divergent effects of socioeconomic disadvantage and poor health on children’s cognitive trajectories, with a widening pattern for family SES effects and a leveling-off pattern for child health effects. Finally, the effects of socioeconomic disadvantage are similar across all racial/ethnic groups, while the effects of child health are largely driven by white children. We discuss theoretical and policy implications of these findings for future research.

Original languageEnglish
Pages (from-to)1845-1871
Number of pages27
Issue number5
Publication statusPublished - 2017 Oct 1

Bibliographical note

Funding Information:
Acknowledgments Both authors contributed equally to the article. An earlier version of this article was presented at the 2015 meeting of the RC28 of ISA in Philadelphia. We gratefully acknowledge the Demography Editors and reviewers, Larry Wu, Florencia Torche, Mike Hout, and Paula England for their valuable feedback on earlier drafts of this article. This research was supported by the National Research Foundation of Korea Grant funded by the Korean Government (NRF-2014S1A3A2044496).

All Science Journal Classification (ASJC) codes

  • Demography

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