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WFRF:(Gabriella C. M.)
 

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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004101naa a2200469 4500
001oai:DiVA.org:su-204042
003SwePub
008220420s2022 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-2040422 URI
0247 a https://doi.org/10.1016/j.lanepe.2021.1002792 DOI
040 a (SwePub)su
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Adjei, Nicholas Kofi4 aut
2451 0a Impact of poverty and family adversity on adolescent health :b a multi-trajectory analysis using the UK Millennium Cohort Study
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a 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
7001 a Schlüter, Daniela K.4 aut
7001 a S. Straatmann, Vivianeu Stockholms universitet,Institutionen för folkhälsovetenskap4 aut0 (Swepub:su)vschu
7001 a Melis, Gabriella4 aut
7001 a Fleming, Kate M.4 aut
7001 a McGovern, Ruth4 aut
7001 a Howard, Louise M.4 aut
7001 a Kaner, Eileen4 aut
7001 a Wolfe, Ingrid4 aut
7001 a Taylor-Robinson, David C.4 aut
7102 a Stockholms universitetb Institutionen för folkhälsovetenskap4 org
7730 t The Lancet Regional Healthd : Elsevier BVg 13q 13x 2666-7762
8564 u https://doi.org/10.1016/j.lanepe.2021.100279y Fulltext
8564 u https://doi.org/10.1016/j.lanepe.2021.100279
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-204042
8564 8u https://doi.org/10.1016/j.lanepe.2021.100279

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