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Area deprivation and child psychosocial problems--a national cross-sectional study among school-aged children

Sijmen A Reijneveld1, Emily Brugman, Frank C Verhulst

  • 1TNO (Netherlands Organisation of Applied Scientific Research) Prevention and Health, Leiden, The Netherlands. s.a.reijneveld@med.rug.nl

Social Psychiatry and Psychiatric Epidemiology
|December 30, 2004
PubMed

Insights

Childhood psychosocial problems are more common in deprived areas. Healthcare services need better resources to address this increased child and adolescent morbidity in disadvantaged communities.

Area of Science:

  • Child and Adolescent Health
  • Social Determinants of Health
  • Public Health

Background:

  • Area deprivation is associated with increased psychosocial problems in children.
  • Utilized a representative national sample of children aged 4-16.
  • Employed standardized measures for parent-reported issues and professional diagnoses.

Purpose of the Study:

  • To examine the association between area deprivation and psychosocial problems in children.
  • To compare parent-reported problems with those identified by child health professionals (CHPs).

Main Methods:

  • Included 4480 children aged 4-16 from 19 Dutch Child Healthcare Services.
  • Parents completed the Child Behaviour Checklist (CBCL).
  • Child health professionals (CHPs) conducted assessments, interviews with parents and children.

Main Results:

  • Prevalence of psychosocial problems was 8.6% (parent-reported) and 10.1% (CHP-identified).
  • Rates were significantly higher in the most deprived areas (ORs 1.93 and 1.76).
  • Area differences were only partially explained by individual/family factors.

Conclusions:

  • Child psychosocial problems are more prevalent in deprived areas.
  • Preventive and curative health services require enhanced capacity for this population.
  • Targeted interventions are needed in disadvantaged communities.
Abstract

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