ArticleBMJ open2026
Long-term disparities and mediators of psychological distress in mothers with and without out-of-home care experience: analysis of prospective cohort data.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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10 authors.
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Abstract
objectivesCare-experienced individuals are at elevated risk of mental health difficulties, yet less is known about their mental health needs in motherhood. This study aims to explore (a) disparities in trajectories of psychological distress in care-experienced versus non-care-experienced mothers as they raise their child from age 3 to 14, and (b) putative postpartum-associated pathways shaping disparities in maternal distress at child age 14. DESIGN AND
settingWe conducted longitudinal secondary data analysis using the prospective United Kingdom Millennium Cohort Study data.
participants11 252 mothers and their children were included in the analysis, including mothers who experienced out-of-home care in their childhood (N=156). OUTCOMES: The primary outcomes were psychological distress of mothers at child ages 3, 5, 7, 11 and 14.
resultsRelative to non-care-experienced mothers, care-experienced mothers were consistently more likely to experience distress across child ages 3-14 (coefficient (B)=1.36 (95% CI 0.85 to 1.87)
conclusionsOur evidence underscores the potential value of holistically considering postpartum mental health, psychosocial and financial resources in maternal and early childhood public health interventions to disrupt the cumulative inequity likely faced by care-experienced mothers and prevent their mental ill-health in the long term.
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