Childhood poverty and mental health disorders in early adulthood: evidence from a Brazilian cohort study

Ziebold, Carolina, Evans-Lacko, Sara ORCID: 0000-0003-4691-2630, Andrade, Mário César Rezende, Hoffmann, Mauricio, Fonseca, Lais, McDaid, David ORCID: 0000-0003-0744-2664, Barbosa, Matheus, Pan, Pedro Mario, Miguel, Eurípedes, Bressan, Rodrigo, Augusto Rohde, Luis, Giovanni, Salum, Schafer, Julia, Mari, Jair de Jesus and Gadelha, Ary (2023) Childhood poverty and mental health disorders in early adulthood: evidence from a Brazilian cohort study. European Child & Adolescent Psychiatry, 32 (5). 903 - 914. ISSN 1018-8827

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Abstract

Background: We examined the association between childhood poverty and mental health disorders (MHD) in childhood and early adulthood. We also investigated whether the association between poverty in childhood and MHD is mediated by exposure to stressful life events (SLE). Methods: We used data from a prospective community cohort of young people assessed at baseline (M=9.7 years, SD=1.9), first (M=13.5 years, SD=1.9), and second (M=18.2 years, SD=2.0) follow-ups (N=1,590) in Brazil. Poverty was assessed using a standardized classification. Exposure to 20 different SLE was measured using the Life History instrument. Psychiatric diagnoses were evaluated using the Development and Well-Being Assessment. Latent growth models investigated the association between poverty at baseline and the growth of any MHD, externalizing, and internalizing disorders. Mediation models evaluated whether the association between childhood poverty and MHD in early adulthood was mediated by exposure to SLE. Results: Poverty affected 11.4% of the sample at baseline and was associated with an increased propensity for presenting externalizing disorders in adolescence or early adulthood (standardized estimate=0.27, p=0.016). This association was not significant for any disorder or internalizing disorders. Childhood poverty increased the likelihood of externalizing disorders in early adulthood through higher exposure to SLE (OR=1.07, 95CI% 1.01–1.14). Results were only replicated among females in stratified analyses. Conclusions: Childhood poverty had detrimental consequences on externalizing MHD in adolescence, especially among females. Poverty and SLE are preventable risk factors that need to be tackled to reduce the burden of externalizing disorders in young people.

Item Type:	Article
Official URL:	https://www.springer.com/journal/787
Additional Information:	© 2021 The Authors, under exclusive licence to Springer-Verlag GmbH Germany
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HN Social history and conditions. Social problems. Social reform
Date Deposited:	24 Nov 2021 11:00
Last Modified:	18 Nov 2024 07:42
URI:	http://eprints.lse.ac.uk/id/eprint/112724

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