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

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art_ZIEBOLD_Childhood_poverty_and_mental_health_disorders_in_early_2023.PDF (989.21 KB)
Citações na Scopus
3
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ZIEBOLD, Carolina
EVANS-LACKO, Sara
ANDRADE, Mario Cesar Rezende
HOFFMANN, Mauricio
FONSECA, Lais
BARBOSA, Matheus
PAN, Pedro Mario
BRESSAN, Rodrigo
ROHDE, Luis Augusto
Citação
EUROPEAN CHILD & ADOLESCENT PSYCHIATRY, v.32, n.5, p.903-914, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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, 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.
Palavras-chave
Poverty, Mental health, Stress, Adolescent, Brazil
URI
https://observatorio.fm.usp.br/handle/OPI/54034
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MPS
Artigos e Materiais de Revistas Científicas - LIM/23