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Cited by 22Child and Adolescent Psychosocial and Emotional DevelopmentFood Security and Health in Diverse PopulationsChild Abuse and Trauma

Poverty, social exclusion, and mental health: the role of the family context in children aged 7–11 years INMA mother-and-child cohort study

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González, Llúcia, Estarlich, Marisa, Murcia, Mario, Barreto-Zarza, Florencia, Santa-Marina, Loreto, Simó, Sandra, Larrañaga, María Isabel, Ruiz-Palomino, Estefanía +2 more·2023·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-021-01848-wPMC PMC9971086
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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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Cited by

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Authors
González, L., Estarlich, M., Murcia, M., Barreto-Zarza, F., Santa-Marina, L., Simó, S., Larrañaga, M. I., Ruiz-Palomino, E., Ibarluzea, J., & Rebagliato, M.
Affiliations
  • Universitat Jaume I (ES)
  • Universitat de València (ES)
  • Basque Government (ES)
Corresponding author
Estarlich, Marisa
ORCID
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2021-07-26
Volume
32
Issue
2
Pages
235-248
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-021-01848-w
PMC
PMC9971086
OpenAlex
W3184679529
Cited by
22
References
1
Citations by year
2026: 4 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 1
FWCI
1.53
Type
journal article
Language
en
Open access
Licence
Locations
  • European Child & Adolescent Psychiatry (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Communities in ADDI (University of the Basque Country) (submittedVersion, cc-by)
  • Hispana (submittedVersion, cc-by)
  • Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by)
  • Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, other-oa)
Funders
  • European Union (FP7-ENV-2011 code 282957, HEALTH.2010.2.4.5-1)
  • Instituto de Salud Carlos III (Red INMA G03/176, CB06/02/0041; FIS-FEDER: PI03/1615, PI04/1509, PI04/1112, PI04/1931, PI05/1079, PI05/1052, PI06/0867, PI06/1213, PI07/0314, PI09/00090, PI09/02647, PI11/01007, PI11/02591, PI11/02038, PI13/1944, PI13/2032, PI13/02187, PI14/00891, PI14/01687, PI16/1288, and PI17/00663)
  • Generalitat Valenciana: Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (UGP 15-230, UGP-15-244, UGP-15-249)
  • Department of Health of the Basque Government (2005111093, 2009111069, 2013111089 and 2015111065)
  • Provincial Government of Gipuzkoa (DFG06/002, DFG08/001 and DFG15/221)
  • Annual agreements with municipalities of the study area (Zumarraga, Urretxu , Legazpi, Azkoitia y Azpeitia y Beasain)
  • Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
multidimensional poverty, social exclusion, child mental health, family environment, internalizing problems, externalizing problems, parental stress, parental conflict, parenting, neighborhood environment, social support, economic hardship, mediation, INMA cohort, Gipuzkoa, Valencia
MeSH terms
Child, Child Behavior Disorders, Female, Humans, Mental Health, Mothers, Poverty, Social Isolation, Cohort Studies

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