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Effects of mental health status during adolescence on primary care costs in adulthood across three British cohorts

King, Derek ORCID: 0000-0002-2408-4558, Gronholm, Petra C., Knapp, Martin ORCID: 0000-0003-1427-0215, Hoffman, Mauricio S., Bonin, Eva-Maria ORCID: 0000-0001-9123-9217, Brimblecombe, Nicola ORCID: 0000-0002-6147-5726, Kadel, Rajendra, Maughan, Barbara, O'Shea, Nick, Richards, Marcus, Hoomans, Ties and Evans-Lacko, Sara ORCID: 0000-0003-4691-2630 (2023) Effects of mental health status during adolescence on primary care costs in adulthood across three British cohorts. Social Psychiatry and Psychiatric Epidemiology. ISSN 0933-7954

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Identification Number: 10.1007/s00127-023-02507-y


Purpose: This study examines the association between mental health problems in adolescence and general practice (GP) costs during adulthood up to age 50 in the UK. Methods: We conducted secondary analyses of three British birth cohorts (individuals born in single weeks in 1946, 1958 and 1970). Data for the three cohorts were analysed separately. All respondents who participated in the cohort studies were included. Adolescent mental health status was assessed in each cohort using the Rutter scale (or, for one cohort, a forerunner of that scale) completed in interviews with parents and teachers when cohort members were aged around 16. Presence and severity of conduct and emotional problems were modelled as independent variables in two-part regression models in which the dependent variable was costs of GP services from data collection sweeps up to mid-adulthood. All analyses were adjusted for covariates (cognitive ability, mother's education, housing tenure, father's social class and childhood physical disability). Results: Adolescent conduct and emotional problems, particularly when coexisting, were associated with relatively high GP costs in adulthood up to age 50. Associations were generally stronger in females than males. Conclusion: Associations between adolescent mental health problems and annual GP cost were evident decades later, to age 50, suggesting that there could be significant future savings to healthcare budgets if rates of adolescent conduct and emotional problems could be reduced. Trial registration: Not applicable.

Item Type: Article
Additional Information: © 2023 The Author(s)
Divisions: Personal Social Services Research Unit
Health Policy
Subjects: H Social Sciences
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 02 Jun 2023 10:39
Last Modified: 16 May 2024 04:07

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