How do early-life factors explain social inequalities in adolescent mental health? Findings from the UK Millennium Cohort Study

Autor: Theis Lange, Anne-Marie Nybo Andersen, David Taylor-Robinson, Viviane S Straatmann, Eric T C Lai, Sophie Wickham, M Campbell, Katrine Strandberg-Larsen
Rok vydání: 2019
Předmět:
Male
Evidence-Based Public Health Policy and Practice
medicine.medical_specialty
Social Determinants of Health
Epidemiology
Adolescent Health
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Pregnancy
Residence Characteristics
medicine
Humans
EPIDEMIOLOGY
030212 general & internal medicine
SOCIAL INEQUALITIES
10. No inequality
Socioeconomic status
Socioemotional selectivity theory
business.industry
Mental Disorders
Public health
Relative index of inequality
Lifecourse / Childhood Circumstances
Public Health
Environmental and Occupational Health
Lifecourse
Mental health
United Kingdom
Mental Health
Millennium Cohort Study (United States)
Social Class
Socioeconomic Factors
MENTAL HEALTH
Prenatal Exposure Delayed Effects
Community health
Childhood Circumstances
Female
business
030217 neurology & neurosurgery
Demography
Cohort study
Zdroj: Straatmann, V S, Lai, E, Lange, T, Campbell, M C, Wickham, S, Andersen, A-M N, Strandberg-Larsen, K & Taylor-Robinson, D 2019, ' How do early-life factors explain social inequalities in adolescent mental health? Findings from the UK Millennium Cohort Study ', Journal of Epidemiology and Community Health, vol. 73, no. 11, pp. 1049-1060 . https://doi.org/10.1136/jech-2019-212367
Journal of Epidemiology and Community Health
ISSN: 1470-2738
0143-005X
DOI: 10.1136/jech-2019-212367
Popis: BackgroundReducing inequalities in adolescent mental health is a public health priority, yet the pathways that link social conditions to mental health outcomes in the early years are unclear. We aimed to evaluate the extent to which early years risk factors explain social inequalities in adolescent mental health in the UK.MethodsWe analysed data from 6509 children captured in the UK Millennium Cohort Study. Mental health was assessed through the socioemotional behavioural problems at age 14 (Strengths and Difficulties Questionnaire). The main exposure was maternal education at birth, used as a measure of childhood socioeconomic conditions (SECs), and used to calculate the relative index of inequality. Using causal mediation analysis, we assessed how perinatal, individual child, family, peer relation and neighbourhood-level factors measured up to age 3-mediated the total effect (TE) of SECs on adolescent socioemotional behavioural problems, estimating the proportion mediated and natural indirect effect (NIE) via each block of mediators, and all mediators together.ResultsChildren of mothers with no qualification were almost four times as likely to have socioemotional behavioural problems compared with degree plus level (relative risk (RR) 3.82, 95% CI 2.48 to 5.88). Overall, 63.9% (95% CI 50.2% to 77.6%) (NIE RR 1.97, 95% CI 1.63 to 2.37) of the TE (RR 4.40, 95% CI 3.18 to 6.07) of social inequalities on risk of adolescent socioemotional behavioural problems was mediated by early-life factors.ConclusionsAbout two-thirds of the social inequality in adolescent mental health was explained by early risk factors measured by age 3, highlighting the importance of public health interventions in this period.
Databáze: OpenAIRE
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