ArticleThe Lancet. Public health2018
Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study.
Article in The Lancet. Public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies.Addiction (Abingdon, England) · 2025Pooled it
- Alternatives to mental health admissions for children and adolescents experiencing mental health crises: A systematic review of the literature.Clinical child psychology and psychiatry · 2022Pooled it
- The relationship between unintentional injury in childhood and risk of mental health problems in adolescence: An analysis of the UK Millennium Cohort Study unintentional injury in childhood and mental health in adolescence.Social psychiatry and psychiatric epidemiology · 2026Article
- Identifying the parental figures of children who enter care: The pros and cons of different data linkage methods using Welsh datasets.International journal of population data science · 2026Article
- Heavy prenatal alcohol exposure and healthcare use during childhood and adolescence: a Danish nationwide cohort study 1997-2022.European journal of epidemiology · 2025Article
- Receipt of social services intervention in childhood, educational attainment and emergency hospital admissions: longitudinal analyses of national administrative health, social care, and education data in Wales, UK.BMC public health · 2024Article
- Health service use of infants involved in family justice care and supervision proceedings in Wales: a data linkage study.International journal of population data science · 2024Article
- Adversity profiles of children receiving care and support from social services: A latent-class analysis of school-aged children in Wales.Child: care, health and development · 2023Article
- Article
- Predictors of Mother and Infant Emergency Department Attendance and Admission: A Prospective Observational Study.Maternal and child health journal · 2023Observational
- Injury in Children with Developmental Disorders: A 1:1 Nested Case-Control Study Using Multiple Datasets in Taiwan.International journal of environmental research and public health · 2022Article
- Health and household environment factors linked with early alcohol use in adolescence: a record-linked, data-driven, longitudinal cohort study.International journal of population data science · 2022Article
- Article
- Article
- A Latent Class Analysis of Parental Alcohol and Drug Use: Findings from the Avon Longitudinal Study of Parents and Children.Addictive behaviors · 2020Article
- Association between maternal and paternal mental illness and risk of injuries in children and adolescents: nationwide register based cohort study in Sweden.BMJ (Clinical research ed.) · 2020Article
- A Profile of the SAIL Databank on the UK Secure Research Platform.International journal of population data science · 2019Article
- The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis.PloS one · 2019Article
- Associations between parental mental health and other family factors and healthcare utilisation among children and young people: a retrospective, cross-sectional study of linked healthcare data.BMJ paediatrics open · 2018Article
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundMental disorders and alcohol misuse are common in families but their effects on the physical health of children are not known. We investigated the risk of emergency hospital admissions during childhood associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission.
methodsWe did this cohort study in a total population electronic child cohort in Wales, UK, which includes all children who live in Wales or with a mother who is resident in Wales. We used Cox regression to model time to first emergency hospital admission during the first 14 years of life associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission. We adjusted our results for social deprivation and perinatal risk factors.
findingsWe included data for 253 717 children with 1 015 614 child-years of follow-up. Living with an adult with a mental disorder was associated with an increased risk of emergency admission for all causes (adjusted hazard ratio [aHR] 1·17, 95% CI 1·16-1·19), for injuries and external causes (1·14, 1·11-1·18), and childhood victimisation (1·55, 1·44-1·67). Children living with a household member who had an alcohol-related hospital admission had a significantly higher risk of emergency admissions for injuries and external causes (aHR 1·13, 95% CI 1·01-1 ·26) and victimisation (1·39, 1·00-1·94), but not for all-cause emergency admissions (1·01, 0·93-1·09).
interpretationThe increased risk of emergency admissions in children associated with mental disorders and alcohol misuse in the household supports the need for policy measures to provide support to families that are affected.
fundingEconomic and Social Research Council, Medical Research Council, Alcohol Research UK, Public Health Wales.
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