ArticleSSM - population health2019
Troubled childhoods cast long shadows: Childhood adversity and premature all-cause mortality in a Swedish cohort.
Article in SSM - population health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- State care in childhood and adult mortality: a systematic review and meta-analysis of prospective cohort studies.The Lancet. Public health · 2022Pooled it
- Labour market exits in a former out-of-home care population: A birth cohort-based sequence analysis.SSM - population health · 2025Article
- Childhood living conditions as predictors of self-rated health status in middle-aged and older adults: Evidence from a machine learning analysis in 27 high-income countries.medRxiv : the preprint server for health sciences · 2025Article
- Trajectories of hospital-presenting alcohol-related disorders between early and late adulthood: Exploring the role of mortality in a prospective study of a 1953 cohort.Addiction (Abingdon, England) · 2025Article
- Mortality outcomes of children and young people who have spent time in care: evidence from Children's Health in Care in Scotland, a population-wide administrative data cohort study.Archives of disease in childhood · 2025Article
- Parental Death and Premature Mortality in Individuals with Out-of-Home Care Experience in Sweden: A Nationwide Cohort Study.International journal of environmental research and public health · 2025Article
- Adulthood trajectories of resilience and vulnerability: exploring gender differences in disadvantage after experience of out-of-home care.BMC public health · 2025Article
- Article
- Childhood contact with social services and risk of suicide or sudden death in young adulthood: identifying hidden risk in a population-wide cohort study.Journal of epidemiology and community health · 2023Article
- Article
- Child maltreatment among victims of violent death: an analysis of national violent death reporting system data, 2014-2018.Injury epidemiology · 2023Article
- Association between childhood adversities and premature and potentially avoidable mortality in adulthood: a population-based study.BMC public health · 2023Article
- Childhood adversity is associated with hospitalisations and survival following external causes and non-communicable diseases: a 46-year follow-up of a Stockholm birth cohort.Journal of epidemiology and community health · 2023Article
- Leveraging Administrative Data to Better Understand and Address Child Maltreatment: A Scoping Review of Data Linkage Studies.Child maltreatment · 2023Article
- Targeting the Arginine Vasopressin VNeuropsychiatric disease and treatment · 2023Review
- Schoolchildren from disadvantaged backgrounds present a loss of lean tissue mass and significant increase of body fat mass during the COVID-19 lockdown in Germany: results from the MEDdirect study.World journal of pediatrics : WJP · 2022Article
- Association of Child Maltreatment With Risk of Death During Childhood in South Australia.JAMA network open · 2021Article
- Does time heal all wounds? Life course associations between child welfare involvement and mortality in prospective cohorts from Sweden and Britain.SSM - population health · 2021Article
- Association of Child Placement in Out-of-Home Care With Trajectories of Hospitalization Because of Suicide Attempts From Early to Late Adulthood.JAMA network open · 2020Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Experiences of childhood adversity are common and have profound health impacts over the life course. Yet, studying health outcomes associated with childhood adversity is challenging due to a lack of conceptual clarity of childhood adversity, scarce prospective data, and selection bias. Using a 65-year follow-up of a Swedish cohort born in 1953 (n = 14,004), this study examined the relationship between childhood adversity (ages 0-18) and premature all-cause mortality (ages 19-65). Childhood adversity was operationalized as involvement with child welfare services, household dysfunction, and disadvantageous family socioeconomic conditions. Survival models were used to estimate how much of the association between child welfare service involvement and mortality could be explained by household dysfunction and socioeconomic conditions. Results show that individuals who were involved with child welfare services had higher hazards of dying prematurely than their majority population peers. These risks followed a gradient, ranging from a hazard ratio of 3.08 (95% CI: 2.68-3.53) among those placed in out-of-home care, followed by individuals subjected to in-home services who demonstrated a hazard ratio of 2.53 (95% CI: 1.93-3.32), to a hazard ratio of 1.81 among those investigated and not substantiated (95% CI: 1.55-2.12). Associations between involvement with child welfare services and premature all-cause mortality were robust to adjustment for household dysfunction and disadvantageous family socioeconomic conditions. Neither household dysfunction nor socioeconomic conditions were related with mortality independent of child welfare services involvement. This study suggests that involvement with child welfare services is a viable proxy for exposure to childhood adversity and avoids pitfalls of self-reported or retrospective measures.
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