Sökning: onr:"swepub:oai:DiVA.org:su-204042" > Impact of poverty a...
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000 | 04101naa a2200469 4500 | |
001 | oai:DiVA.org:su-204042 | |
003 | SwePub | |
008 | 220420s2022 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-2040422 URI |
024 | 7 | a https://doi.org/10.1016/j.lanepe.2021.1002792 DOI |
040 | a (SwePub)su | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Adjei, Nicholas Kofi4 aut |
245 | 1 0 | a Impact of poverty and family adversity on adolescent health :b a multi-trajectory analysis using the UK Millennium Cohort Study |
264 | 1 | b Elsevier BV,c 2022 |
338 | a print2 rdacarrier | |
520 | a Background Children exposed to poverty and family adversities including domestic violence, parental mental ill health and parental alcohol misuse may experience poor outcomes across the life course. However, the complex interrelationships between these exposures in childhood are unclear. We therefore assessed the clustering of trajectories of household poverty and family adversities and their impacts on adolescent health outcomes.Methods We used longitudinal data from the UK Millennium Cohort study on 11564 children followed to age 14 years. Family adversities included parent reported domestic violence and abuse, poor mental health and frequent alcohol use. We used a group-based multi-trajectory cluster model to identify trajectories of poverty and family adversity for children. We assessed associations of these trajectories with child physical, mental and behavioural outcomes at age 14 years using multivariable logistic regression, adjusting for confounders.Findings Six trajectories were identified: low poverty and family adversity (43·2%), persistent parental alcohol use (7·7%), persistent domestic violence and abuse (3·4%), persistent poor parental mental health (11·9%), persistent poverty (22·6%) and persistent poverty and poor parental mental health (11·1%). Compared with children exposed to low poverty and adversity, children in the persistent adversity trajectory groups experienced worse outcomes; those exposed to persistent poor parental mental health and poverty were particularly at increased risk of socioemotional behavioural problems (adjusted odds ratio 6·4; 95% CI 5·0 – 8·3), cognitive disability (aOR 2·1; CI 1·5 – 2·8), drug experimentation (aOR 2·8; CI 1·8 – 4·2) and obesity (aOR 1·8; CI 1·3 – 2·5).Interpretation In a contemporary UK cohort, persistent poverty and/or persistent poor parental mental health affects over four in ten children. The combination of both affects one in ten children and is strongly associated with adverse child outcomes, particularly poor child mental health. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
653 | a child poverty | |
653 | a family adversity | |
653 | a child health | |
653 | a cohort | |
653 | a multi-trajectory analysis | |
700 | 1 | a Schlüter, Daniela K.4 aut |
700 | 1 | a S. Straatmann, Vivianeu Stockholms universitet,Institutionen för folkhälsovetenskap4 aut0 (Swepub:su)vschu |
700 | 1 | a Melis, Gabriella4 aut |
700 | 1 | a Fleming, Kate M.4 aut |
700 | 1 | a McGovern, Ruth4 aut |
700 | 1 | a Howard, Louise M.4 aut |
700 | 1 | a Kaner, Eileen4 aut |
700 | 1 | a Wolfe, Ingrid4 aut |
700 | 1 | a Taylor-Robinson, David C.4 aut |
710 | 2 | a Stockholms universitetb Institutionen för folkhälsovetenskap4 org |
773 | 0 | t The Lancet Regional Healthd : Elsevier BVg 13q 13x 2666-7762 |
856 | 4 | u https://doi.org/10.1016/j.lanepe.2021.100279y Fulltext |
856 | 4 | u https://doi.org/10.1016/j.lanepe.2021.100279 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-204042 |
856 | 4 8 | u https://doi.org/10.1016/j.lanepe.2021.100279 |
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