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Published on: September 19, 2019
Longitudinal associations between socioeconomic status and psychosocial problems in preschool children
Jie Luo1, Amy van Grieken2, Ingrid Kruizinga1
1Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands.
Insights
Children with lower socioeconomic status (SES), particularly those with less maternal education or single-parent families, face higher risks of psychosocial problems in early childhood. Interventions should target these disadvantages to improve child mental health.
Area of Science:
- Child Psychology
- Developmental Pediatrics
- Public Health
Background:
- Socioeconomic status (SES) significantly influences child health outcomes.
- The timing of SES exposure may differentially impact development.
- Understanding longitudinal SES effects on early psychosocial development is crucial.
Purpose of the Study:
- To investigate the longitudinal associations between various indicators of socioeconomic status (SES) and psychosocial problems in preschool children.
- To identify specific SES factors and their timing associated with the emergence and persistence of psychosocial issues.
Main Methods:
- Longitudinal study of 2509 preschool children (mean age 24.2 months).
- Psychosocial problems assessed at ages 2 and 3 years using the Brief Infant-Toddler Social and Emotional Assessment.
- Multinomial logistic regression analyzed associations between SES indicators (maternal education, family structure, employment, financial strain, neighborhood SES) and problem patterns.
Main Results:
- Approximately 20% of children exhibited psychosocial problems at age 2, and 16% at age 3.
- Lower maternal education was linked to problems at age 2 and 3, and continuing problems.
- Single-parent families and unemployment were associated with continuing psychosocial problems.
- Financial problems were linked to problems at age 3.
- Neighborhood SES showed no significant associations with any psychosocial problem pattern.
Conclusions:
- Disadvantaged socioeconomic status (SES), particularly low maternal education, single-parent households, and financial difficulties, increases the likelihood of developing and maintaining psychosocial problems in early childhood.
- Findings underscore the need for timely interventions to mitigate the adverse effects of early childhood SES disadvantages on psychosocial health.
Abstract:
Socioeconomic status (SES) at different points in a child's lifetime may have different effects on health outcomes. This study aimed to examine longitudinal associations between SES and psychosocial problems in preschool children (n = 2509, Mage = 24.2 ± 1.3 months). The psychosocial problems of children were assessed using the Brief Infant-Toddler Social and Emotional Assessment at age 2 years and age 3 years and categorized as having yes/no psychosocial problems. Four groups of pattern of presence/absence of psychosocial problems between age 2 and 3 years were classified: (1) 'no problems', (2) 'problems at age two', (3) 'problems at age three', and (4) 'continuing problems'. Five indicators of SES (i.e., maternal education level, single-parent family, unemployment, financial problems, and neighborhood SES) were evaluated. Results showed around one-fifth (2Y = 20.0%, 3Y = 16.0%) of children had psychosocial problems. Multinomial logistic regression models revealed low and middle maternal education levels were associated with 'problems at age two'; low maternal education level and financial problems were associated with 'problems at age three'; low and middle maternal education level, single-parent family, and unemployment were associated with 'continuing problems'. No associations were observed between neighborhood SES and any pattern. Results suggest children in a lower SES, indicated by maternal education, single-parent family, and financial stress, had higher odds of developing and continuously having psychosocial problems in early childhood. These findings call for optimally timing interventions to reduce the impact of disadvantaged SES in early childhood on psychosocial health.
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