ArticleThe Lancet regional health. Europe2022
Impact of poverty and family adversity on adolescent health: a multi-trajectory analysis using the UK Millennium Cohort Study.
Article in The Lancet regional health. Europe, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.
What it found
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Who cites it
45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- The Effectiveness of Preventative Interventions to Reduce Mental Health Problems in at-risk Children and Young People: A Systematic Review of Reviews.Journal of prevention (2022) · 2024Pooled it
- Interventions to Reduce Parental Substance Use, Domestic Violence and Mental Health Problems, and Their Impacts Upon Children's Well-Being: A Systematic Review of Reviews and Evidence Mapping.Trauma, violence & abuse · 2024Pooled it
- A Systematic Review of Qualitative Studies Exploring Lived Experiences, Perceived Impact, and Coping Strategies of Children and Young People Whose Parents Use Substances.Trauma, violence & abuse · 2023Pooled it
- Pooled it
- Preventing children's care entry: an umbrella review of the risks, protective factors, and interventions.Children and youth services review · 2026Article
- Data Resource Profile: Children in Wales: The Cohort for Health and Wellbeing Inequality (CWTCH).International journal of epidemiology · 2026Article
- Social Vulnerability and Structural Determinants of Child and Adolescent Well-Being in Europe: A Longitudinal Cross-National Analysis Using Eurostat Data (2017-2023).Healthcare (Basel, Switzerland) · 2026Article
- Childhood adversity and trajectories of health and quality of life in Australian children and adolescents: a latent class analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Family Environmental Risk and Perceived Stress in Adolescent Depressive Symptoms: A Network Analysis.Child psychiatry and human development · 2026Article
- Multiple trajectories of family adversity and poverty and adolescent self-harm and suicide attempts: findings from the UK Millennium Cohort Study.Child and adolescent psychiatry and mental health · 2026Article
- OveRcoming Adverse ChiLdhood Experiences (ORACLE): A Mixed Methods Intervention Co-design Study to Improve Outcomes for Children and Young People Experiencing or at Risk of Adversity.Journal of prevention (2022) · 2026Article
- Poverty and family adversity trajectories and not in education, employment or training (NEET) status in late adolescence: evidence from the UK Millennium Cohort Study.BMJ public health · 2026Article
- Judges' views on making decisions in family law cases that feature a parent with a mental illness.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Perceived emotional support mediates the association between childhood family adversity and adolescent mental health in the UK millennium cohort.Scientific reports · 2025Article
- Bidirectional associations between anxiety and eating disorder symptoms in adolescence: the moderating role of childhood household dysfunction.Journal of eating disorders · 2025Article
- Self-regulation and behavioral risk factors for obesity in youth facing multiple adversities.SSM - population health · 2025Article
- Parenting through the eyes of mothers with substance use disorder: Implications for treatment and related services.Drug and alcohol dependence · 2025Article
- Population-level transitions in observed difficulties through childhood and adolescence.Developmental psychology · 2025Article
- Identifying long-term patterns and predictors of concurrent psychotropic medicine use in residential aged care using group-based multi-trajectory modelling: the 'MEDTRAC-Psychotropics' longitudinal cohort study.European geriatric medicine · 2025Article
- Do meaningful dimensions of childhood adversity exist? Data-driven evidence from two prospective cohort studies.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundChildren exposed to poverty and family adversities including domestic violence, parental mental ill health and parental alcohol misuse may experience poor outcomes across the life course. However, the complex interrelationships between these exposures in childhood are unclear. We therefore assessed the clustering of trajectories of household poverty and family adversities and their impacts on adolescent health outcomes.
methodsWe used longitudinal data from the UK Millennium Cohort study on 11564 children followed to age 14 years. Family adversities included parent reported domestic violence and abuse, poor mental health and frequent alcohol use. We used a group-based multi-trajectory cluster model to identify trajectories of poverty and family adversity for children. We assessed associations of these trajectories with child physical, mental and behavioural outcomes at age 14 years using multivariable logistic regression, adjusting for confounders.
findingsSix trajectories were identified: low poverty and family adversity (43·2%), persistent parental alcohol use (7·7%), persistent domestic violence and abuse (3·4%), persistent poor parental mental health (11·9%), persistent poverty (22·6%) and persistent poverty and poor parental mental health (11·1%). Compared with children exposed to low poverty and adversity, children in the persistent adversity trajectory groups experienced worse outcomes; those exposed to persistent poor parental mental health and poverty were particularly at increased risk of socioemotional behavioural problems (adjusted odds ratio 6·4; 95% CI 5·0 - 8·3), cognitive disability (aOR 2·1; CI 1·5 - 2·8), drug experimentation (aOR 2·8; CI 1·8 - 4·2) and obesity (aOR 1·8; CI 1·3 - 2·5).
interpretationIn a contemporary UK cohort, persistent poverty and/or persistent poor parental mental health affects over four in ten children. The combination of both affects one in ten children and is strongly associated with adverse child outcomes, particularly poor child mental health.
fundingThe National Institute for Health Research (NIHR) Policy Research Programme, NIHR Applied Research Collaboration South London (ARC South London) at King's College Hospital NHS Foundation Trust and the Medical Research Council (MRC).
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