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

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorZIEBOLD, Carolina
dc.contributor.authorEVANS-LACKO, Sara
dc.contributor.authorANDRADE, Mario Cesar Rezende
dc.contributor.authorHOFFMANN, Mauricio
dc.contributor.authorFONSECA, Lais
dc.contributor.authorBARBOSA, Matheus
dc.contributor.authorPAN, Pedro Mario
dc.contributor.authorMIGUEL, Euripedes
dc.contributor.authorBRESSAN, Rodrigo
dc.contributor.authorROHDE, Luis Augusto
dc.contributor.authorSALUM, Giovanni
dc.contributor.authorSCHAFER, Julia
dc.contributor.authorMARI, Jair de Jesus
dc.contributor.authorGADELHA, Ary
dc.date.accessioned2023-06-21T14:15:15Z
dc.date.available2023-06-21T14:15:15Z
dc.date.issued2023
dc.description.abstractBackground 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, 95 CI% 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.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.description.sponsorshipNational Institute of Developmental Psychiatry for Children and Adolescents, a science and technology institute - Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq
dc.description.sponsorshipNational Council for Scientific and Technological Development) [573974/2008-0, 465550/2014-2]
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2008/57896-8, 2014/50917-0]
dc.description.sponsorshipCoordination for the Improvement of Higher Education Personnel (CAPES, Brazil) [88887.575201/2020-00]
dc.identifier.citationEUROPEAN CHILD & ADOLESCENT PSYCHIATRY, v.32, n.5, p.903-914, 2023
dc.identifier.doi10.1007/s00787-021-01923-2
dc.identifier.eissn1435-165X
dc.identifier.issn1018-8827
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/54034
dc.language.isoeng
dc.publisherSPRINGEReng
dc.relation.ispartofEuropean Child & Adolescent Psychiatry
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGEReng
dc.subjectPovertyeng
dc.subjectMental healtheng
dc.subjectStresseng
dc.subjectAdolescenteng
dc.subjectBrazileng
dc.subject.otherstressful life eventseng
dc.subject.othersocioeconomic-statuseng
dc.subject.otherpsychiatric-disorderseng
dc.subject.otherchildreneng
dc.subject.otherpsychopathologyeng
dc.subject.otheradolescentseng
dc.subject.otherprevalenceeng
dc.subject.othercountrieseng
dc.subject.otherbehavioreng
dc.subject.otheroutcomeseng
dc.subject.wosPsychology, Developmentaleng
dc.subject.wosPediatricseng
dc.subject.wosPsychiatryeng
dc.titleChildhood poverty and mental health disorders in early adulthood: evidence from a Brazilian cohort studyeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryisogb
hcfmusp.author.externalZIEBOLD, Carolina:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil
hcfmusp.author.externalEVANS-LACKO, Sara:London Sch Econ & Polit Sci, Care Policy & Evaluat Ctr, London, England
hcfmusp.author.externalANDRADE, Mario Cesar Rezende:Univ Fed Sao Joao del Rei, Sao Joao Del Rei, MG, Brazil
hcfmusp.author.externalHOFFMANN, Mauricio:Univ Fed Santa Maria, Santa Maria, RS, Brazil
hcfmusp.author.externalFONSECA, Lais:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil
hcfmusp.author.externalBARBOSA, Matheus:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil
hcfmusp.author.externalPAN, Pedro Mario:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil; Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.author.externalBRESSAN, Rodrigo:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil; Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.author.externalROHDE, Luis Augusto:Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil; Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalSALUM, Giovanni:Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil; Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalSCHAFER, Julia:Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil; Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
hcfmusp.author.externalMARI, Jair de Jesus:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil; Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.author.externalGADELHA, Ary:Univ Fed Sao Paulo, Dept Psiquiatria, Rua Major Maragliano,241 Vila Mariana, BR-04017030 Sao Paulo, Brazil; Natl Inst Dev Psychiat Children & Adolescents, Sao Paulo, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcEURIPEDES CONSTANTINO MIGUEL FILHO
hcfmusp.description.beginpage903
hcfmusp.description.endpage914
hcfmusp.description.issue5
hcfmusp.description.volume32
hcfmusp.origemWOS
hcfmusp.origem.pubmed34853911
hcfmusp.origem.scopus2-s2.0-85120379625
hcfmusp.origem.wosWOS:000724664900001
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUNITED STATESeng
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