ArticleEuropean child & adolescent psychiatry2023
Poverty, social exclusion, and mental health: the role of the family context in children aged 7-11 years INMA mother-and-child cohort study.
Article in European child & adolescent psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Experimental investigations of social exclusion among adolescents with psychiatric disorders: a systematic review.European child & adolescent psychiatry · 2025Pooled it
- Early interventions with parental participation and their implications on the neurodevelopment of premature children: a systematic review and meta-analysis.European child & adolescent psychiatry · 2025Pooled it
- The causal relationship between family economic, cultural, and social capital and child health in urban and rural China.BMC public health · 2026Article
- Determinants of overweight and obesity and other cardiometabolic risks in adolescents: a Spanish longitudinal birth study.Pediatric research · 2025Article
- A systematic bibliometric and meta analysis of key factors and emerging AI and ML insights in shaping child cognitive development.Discover mental health · 2025Review
- Associations of polygenic risk score, environmental factors, and their interactions with the risk of schizophrenia spectrum disorders.Psychological medicine · 2025Article
- [Exposure to noise at home, emotional behaviour, and attention deficit hyperactivity disorder in 9-year-old children].Anales del sistema sanitario de Navarra · 2024Article
- Socioeconomic position, family context, and child cognitive development.European journal of pediatrics · 2024Article
- Sleep problems at ages 8-9 and ADHD symptoms at ages 10-11: evidence in three cohorts from INMA study.European journal of pediatrics · 2023Article
- Addressing the complexity of child psychiatry practice in the current landscape.European child & adolescent psychiatry · 2023Article
- Rare Diseases: Needs and Impact for Patients and Families: A Cross-Sectional Study in the Valencian Region, Spain.International journal of environmental research and public health · 2022Article
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10 authors.
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Abstract
Mental health problems are common in childhood and tend to be more frequent in populations at risk of poverty or social exclusion (AROPE). The family environment can play a role in reducing the impact of economic hardship on these problems. The aim of this study was to assess the effect of multidimensional poverty on the mental health of children aged 7-11 years and the role of the family environment in two areas of Spain. Participants were 395 and 382 children aged 7 and 11 from Gipuzkoa and Valencia, respectively. Internalizing and externalizing problem scales of the child behaviour checklist (CBCL) were used. AROPE indicators were obtained by questionnaire, and three dimensions of the family context (Organization of the Physical Environment and Social Context, Parental Stress and Conflict, and Parental Profile Fostering Development) were measured through subscales 3, 4 and 5 of the Haezi-Etxadi family assessment scale (7-11) (HEFAS 7-11), respectively. Data were analysed using negative binomial regression and Structural Equation Modelling. AROPE prevalence was 7.1 and 34.5% in Gipuzkoa and Valencia, respectively. In both cohorts, there was a significant increase in internalizing and externalizing problems among participants with a higher AROPE score. However, AROPE did not affect internalizing problems in children from families living in a better physical environment and with social support (Subscale 3). The AROPE effect was jointly mediated by subscales 4 and 5 in 42 and 62% of internalizing and externalizing problems, respectively. Preventing economic inequities by economic compensation policies, improving the neighbourhood and immediate environment around the school, and promoting positive parenting programmes can improve mental health in childhood.
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