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Published on: September 19, 2019
Addressing Child Mental Health Inequities Through Parental Mental Health and Preschool Attendance
Sharon Goldfeld1,2, Margarita Moreno-Betancur3,2, Sarah Gray1,2
1Centre for Community Child Health.
Insights
Improving parental mental health and preschool attendance can reduce socioeconomic inequities in children's mental health. These interventions offer a pathway to better outcomes for disadvantaged children, though they don't eliminate all disparities.
Area of Science:
- Child and Adolescent Psychiatry
- Public Health
- Developmental Psychology
Background:
- Socioeconomic inequities in children's mental health are a significant concern, exacerbated by limited service access.
- Early childhood interventions are crucial for preventing long-term mental health disparities.
- This study focuses on improving parental mental health and preschool attendance to mitigate these inequities.
Purpose of the Study:
- To investigate the potential of enhancing parental mental health and preschool attendance to reduce socioeconomic disparities in children's mental health.
- To quantify the impact of these interventions on bridging the mental health gap between disadvantaged and non-disadvantaged children.
- To inform policy for targeted interventions in early childhood.
Main Methods:
- Utilized data from the Longitudinal Study of Australian Children (N=5107), a nationally representative birth cohort.
- Examined the association between socioeconomic disadvantage in infancy and children's mental health problems in later childhood.
- Employed an interventional effects approach to estimate the reduction in inequities achievable through improved parental mental health and preschool attendance.
Main Results:
- Disadvantaged children exhibited a higher prevalence of elevated mental health symptoms (32.8%) compared to non-disadvantaged peers (18.7%).
- Improving parental mental health could reduce socioeconomic differences by 6.5%; enhancing preschool attendance could reduce them by 0.3%.
- Combined interventions could reduce the prevalence gap, but a significant disparity (10.8%) would remain.
Conclusions:
- Targeted interventions focusing on parental mental health and preschool attendance are viable strategies to decrease socioeconomic inequities in child mental health.
- These interventions should be part of a comprehensive, sustained approach that also addresses the root causes of socioeconomic disadvantage.
- Policy efforts should prioritize these early childhood interventions to promote equitable mental health outcomes for all children.
Background:
Prevention is key to reducing socioeconomic inequities in children's mental health problems, especially given limited availability and accessibility of services. We investigated the potential to reduce inequities for disadvantaged children by improving parental mental health and preschool attendance in early childhood.
Methods:
Data from the nationally representative birth cohort, Longitudinal Study of Australian Children (N = 5107, commenced in 2004), were used to examine the impact of socioeconomic disadvantage (0-1 year) on children's mental health problems (10-11 years). Using an interventional effects approach, we estimated the extent to which inequities could be reduced by improving disadvantaged children's parental mental health (4-5 years) and their preschool attendance (4-5 years).
Results:
Disadvantaged children had a higher prevalence of elevated mental health symptoms (32.8%) compared with their nondisadvantaged peers (18.7%): confounder-adjusted difference in prevalence is 11.6% (95% confidence interval: 7.7% to 15.4%). Improving disadvantaged children's parental mental health and their preschool attendance to the level of their nondisadvantaged peers could reduce 6.5% and 0.3% of socioeconomic differences in children's mental health problems, respectively (equivalent to 0.8% and 0.04% absolute reductions). If these interventions were delivered in combination, a 10.8% (95% confidence interval: 6.9% to 14.7%) higher prevalence of elevated symptoms would remain for disadvantaged children.
Conclusions:
Targeted policy interventions that improve parental mental health and preschool attendance for disadvantaged children are potential opportunities to reduce socioeconomic inequities in children's mental health problems. Such interventions should be considered within a broader, sustained, and multipronged approach that includes addressing socioeconomic disadvantage itself.
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