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Associations of Birth Factors and Socio-Economic Status with Indicators of Early Emotional Development and Mental Health in Childhood: A Population-Based Linkage Study

Abstract

Using a linked population-based database established on healthcare, socio-economic, and survey datasets in British Columbia, Canada, we examined how biological, socio-demographic, and socio-economic status (SES) factors at birth related to children’s emotional development and mental health. One analysis examined teacher-rated anxiety, hyperactivity, and aggression for kindergarten children (Mage = 5.7; n = 134,094). Another analysis examined administrative healthcare records comprising of physician-assigned diagnostic codes for mental health conditions (conduct disorder, attention deficit hyperactivity disorder, anxiety disorder and depression) from ages 5 through 15 (n = 89,404). Various factors at birth, including gestational age, birthweight, and maternal demographics, were related to emotional development and mental health in childhood. Across outcomes, low SES indicated detrimental associations with various aspects of children’s emotional development and mental health (e.g., adjusted odds of mental health conditions were 25–39% higher for children of low income families versus others). Findings reinforce evidence that poverty (reduction) is a primary public health issue.

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References

  1. 1.

    Hertzman C, Boyce T (2010) How experience gets under the skin to create gradients in developmental health. Annu Rev Public Health 31:329–347

  2. 2.

    World Health Organization (2005) Mental health: facing the challenges, building solutions. Report from the WHO European Ministerial Conference WHO Regional Office for Europe. Copenhagen, Denmark

  3. 3.

    Kessler RC, Angermeyer M, Anthony JC, De Graaf R, Demyttenaere K, Gasquet I et al (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World Psychiatry 6(3):168–176

  4. 4.

    Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE (2005) Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 62(6):593–602. https://doi.org/10.1001/archpsyc.62.6.593

  5. 5.

    Baranne ML, Falissard B (2018) Global burden of mental disorders among children aged 5–14 years. Child Adolesc Ment. Health 12:19

  6. 6.

    McLeod JD, Kaiser K (2004) Childhood emotional and behavioral problems and educational attainment. Am Sociol Rev 69(5):636–658

  7. 7.

    Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L et al (2010) Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49(10):980–989

  8. 8.

    Mental Health Commission of Canada (2017) Strengthening the Case for Investing in Canada’s Mental Health System: Economic Considerations

  9. 9.

    Jones DE, Greenberg M, Crowley M (2015) Early social-emotional functioning and public health: the relationship between kindergarten social competence and future wellness. Am J Public Health 105(11):2283–2290. https://doi.org/10.2105/AJPH.2015.302630

  10. 10.

    Janus M, Offord DR (2007) Development and psychometric properties of the early development instrument (EDI): a measure of children’s school readiness. Can J Behav Sci 39(1):1

  11. 11.

    Janus M, Harrison LJ, Goldfeld S, Guhn M, Brinkman S (2016) International research utilizing the early development instrument (EDI) as a measure of early child development: introduction to the special issue. Elsevier, Amsterdam

  12. 12.

    Guhn M, Gadermann AM, Almas A, Schonert-Reichl KA, Hertzman C (2016) Associations of teacher-rated social, emotional, and cognitive development in kindergarten to self-reported wellbeing, peer relations, and academic test scores in middle childhood. Early Child Res Q 35:76–84

  13. 13.

    Thomson KC, Richardson CG, Gadermann AM, Emerson SD, Shoveller J, Guhn M (2019) Association of childhood social-emotional functioning profiles at school entry with early-onset mental health conditions. JAMA Netw Open 2(1):e186694. https://doi.org/10.1001/jamanetworkopen.2018.6694

  14. 14.

    McGorry P, Keshavan M, Goldstone S, Amminger P, Allott K, Berk M et al (2014) Biomarkers and clinical staging in psychiatry. World Psychiatry 13(3):211–223. https://doi.org/10.1002/wps.20144

  15. 15.

    Sciutto MJ, Nolfi CJ, Bluhm C (2004) Effects of child gender and symptom type on referrals for ADHD by elementary school teachers. J Emot Behav Disord 12(4):247–253

  16. 16.

    Bruchmuller K, Margraf J, Schneider S (2012) Is ADHD diagnosed in accord with diagnostic criteria? overdiagnosis and influence of client gender on diagnosis. J Consult Clin Psychol 80(1):128–138. https://doi.org/10.1037/a0026582

  17. 17.

    Jakobsson HE, Abrahamsson TR, Jenmalm MC, Harris K, Quince C, Jernberg C et al (2014) Decreased gut microbiota diversity, delayed Bacteroidetes colonisation and reduced Th1 responses in infants delivered by caesarean section. Gut 63(4):559–566. https://doi.org/10.1136/gutjnl-2012-303249

  18. 18.

    Cryan JF, Dinan TG (2012) Mind-altering microorganisms: the impact of the gut microbiota on brain and behaviour. Nat Rev Neurosci 13(10):701–712. https://doi.org/10.1038/nrn3346

  19. 19.

    Loret de Mola C, de Franca GV, Quevedo Lde A, Horta BL (2014) Low birthweight, preterm birth and small for gestational age association with adult depression: systematic review and meta-analysis. Br J Psychiatry 205(5):340–347. https://doi.org/10.1192/bjp.bp.113.139014

  20. 20.

    Papini C, White TP, Montagna A, Brittain PJ, Froudist-Walsh S, Kroll J et al (2016) Altered resting-state functional connectivity in emotion-processing brain regions in adults who were born very preterm. Psychol Med 46(14):3025–3039. https://doi.org/10.1017/s0033291716001604

  21. 21.

    Reininghaus U, Kempton MJ, Valmaggia L, Craig TK, Garety P, Onyejiaka A et al (2016) Stress sensitivity, aberrant salience, and threat anticipation in early psychosis: an experience sampling study. Schizophr Bull 42(3):712–722. https://doi.org/10.1093/schbul/sbv190

  22. 22.

    Indredavik MS, Vik T, Evensen KA, Skranes J, Taraldsen G, Brubakk AM (2010) Perinatal risk and psychiatric outcome in adolescents born preterm with very low birthweight or term small for gestational age. J Dev Behav Pediatr 31(4):286–294. https://doi.org/10.1097/DBP.0b013e3181d7b1d3

  23. 23.

    Falster K, Hanly M, Banks E, Lynch J, Chambers G, Brownell M et al (2018) Maternal age and offspring developmental vulnerability at age five: a population-based cohort study of Australian children. PLoS Med 15(4):e1002558. https://doi.org/10.1371/journal.pmed.1002558

  24. 24.

    Loane M, Morris JK, Addor M-C, Arriola L, Budd J, Doray B et al (2013) Twenty-year trends in the prevalence of Down syndrome and other trisomies in Europe: impact of maternal age and prenatal screening. Eur J Hum Genet 21(1):27–33. https://doi.org/10.1038/ejhg.2012.94

  25. 25.

    Vang ZM, Sigouin J, Flenon A, Gagnon A (2017) Are immigrants healthier than native-born Canadians? A systematic review of the healthy immigrant effect in Canada. Ethn Health 22(3):209–241. https://doi.org/10.1080/13557858.2016.1246518

  26. 26.

    First Call BC (2017) 2017 BC Child Poverty Report Card. https://firstcallbc.org/wordpress/wp-content/uploads/2017/11/2017-BC-Child-Poverty-Report-Card.pdf

  27. 27.

    Strohschein L (2012) Parental divorce and child mental health: accounting for predisruption differences. J Divorce Remarriage 53(6):489–502

  28. 28.

    Reiss F (2013) Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Soc Sci Med 90:24–31. https://doi.org/10.1016/j.socscimed.2013.04.026

  29. 29.

    Spady DW, Schopflocher DP, Svenson LW, Thompson AH (2001) Prevalence of mental disorders in children living in Alberta, Canada, as determined from physician billing data. Arch Pediatr Adolesc Med 155(10):1153–1159

  30. 30.

    Janus M, Duku E (2007) The school entry gap: socioeconomic, family, and health factors associated with children’s school readiness to learn. Early Educ Dev 18(3):375–403. https://doi.org/10.1080/10409280701610796a

  31. 31.

    Boyle MH, Lipman EL (2002) Do places matter? socioeconomic disadvantage and behavioral problems of children in Canada. J Consult Clin Psychol 70(2):378

  32. 32.

    Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53(1):371–399

  33. 33.

    Ncube CN, Enquobahrie DA, Albert SM, Herrick AL, Burke JG (2016) Association of neighborhood context with offspring risk of preterm birth and low birthweight: a systematic review and meta-analysis of population-based studies. Soc Sci Med 153:156–164. https://doi.org/10.1016/j.socscimed.2016.02.014

  34. 34.

    Swartz JR, Hariri AR, Williamson DE (2017) An epigenetic mechanism links socioeconomic status to changes in depression-related brain function in high-risk adolescents. Mol Psychiatry 22(2):209–214. https://doi.org/10.1038/mp.2016.82

  35. 35.

    Jutte DP, Roos LL, Brownell MD (2011) Administrative record linkage as a tool for public health research. Annu Rev Public Health 32:91–108. https://doi.org/10.1146/annurev-publhealth-031210-100700

  36. 36.

    Committee on Practice and Ambulatory Medicine, B. F. S. C. (2007) Recommendations for Preventive Pediatric Health Care. Pediatrics 120(6):1376

  37. 37.

    British Columbia Ministry of Health (2015) Medical Services Plan (MSP) Payment Information File. Population Data BC. Data Extract. MOH,. In Population Data BC (Ed.)

  38. 38.

    Canadian Institute for Health Information [creator] (2011) Discharge Abstract Database (Hospital Separations). V2. Population Data BC [publisher]. Data Extract. MOH (2011). http://www.popdata.bc.ca/data

  39. 39.

    British Columbia Vital Statistics Agency (2011) Vital Statistics Births. V2. Population Data BC [publisher]. Data Extract. BC Vital Statistics Agency (2011). In Population Data BC (Ed.)

  40. 40.

    Population Data BC (2014) The data linkage process. https://www.popdata.bc.ca/datalinkage/process

  41. 41.

    Government of British Columbia (2019) Full Day Kindergarten. https://www2.gov.bc.ca/gov/content/education-training/k-12/support/full-day-kindergarten

  42. 42.

    Morgan SG, Weymann D (2017) Patterns, predictors and persistence of chronic sedative use: a population-based observational study of older adults in British Columbia. Can Eur J Clin Pharmacol 73(8):1001–1008. https://doi.org/10.1007/s00228-017-2253-z

  43. 43.

    Puyat JH, Kazanjian A, Goldner EM, Wong H (2016) How often do individuals with major depression receive minimally adequate treatment? a population-based. Data Linkage Study. Can J Psychiatry 61(7):394–404. https://doi.org/10.1177/0706743716640288

  44. 44.

    British Columbia Ministry of Health (2011) Consolidation File (MSP Registration & Premium Billing). V2. Population Data BC [publisher]. Data Extract. MOH (2011),. In Population Data BC (Ed.)

  45. 45.

    Government of British Columbia (2017) Medicare Protection Act. Victoria, BC

  46. 46.

    Kramer MS, Platt RW, Wen SW, Joseph KS, Allen A, Abrahamowicz M et al (2001) A new and improved population-based Canadian reference for birthweight for gestational age. Pediatrics 108(2):E35

  47. 47.

    Battaglia FC, Lubchenco LO (1967) A practical classification of newborn infants by weight and gestational age. J Pediatr 71(2):159–163

  48. 48.

    Grizenko N, Eberle ML, Fortier ME, Cote-Corriveau G, Jolicoeur C, Joober R (2016) Apgar Scores are associated with attention-deficit/hyperactivity disorder symptom severity. Can J Psychiatry 61(5):283–290. https://doi.org/10.1177/0706743716635544

  49. 49.

    Fan AP, Eaton WW (2001) Longitudinal study assessing the joint effects of socio-economic status and birth risks on adult emotional and nervous conditions. Br J Psychiatry Suppl 40:s78–s83

  50. 50.

    Mustard CA, Derksen S, Berthelot JM, Wolfson M (1999) Assessing ecologic proxies for household income: a comparison of household and neighbourhood level income measures in the study of population health status. Health Place 5(2):157–171

  51. 51.

    Guhn M, Gadermann AM, Hertzman C, Zumbo BD (2010) Children’s development in kindergarten: a multilevel, population-based analysis of ESL and gender effects on socioeconomic gradients. Child Indic Res 3(2):183–203

  52. 52.

    Hymel S, LeMare L, McKee W (2011) The early development instrument: an examination of convergent and discriminant validity. Soc Indic Res 103(2):267

  53. 53.

    Brinkman SA, Silburn S, Lawrence D, Goldfeld S, Sayers M, Oberklaid F (2007) Investigating the validity of the Australian early development index. Early Educ Dev 18(3):427–451

  54. 54.

    Janus M, Brinkman SA, Duku EK (2011) Validity and psychometric properties of the early development instrument in Canada, Australia, United States, and Jamaica. Soc Indic Res 103(2):283

  55. 55.

    Raos R, Janus M (2011) Examining spatial variations in the prevalence of mental health problems among 5-year-old children in Canada. Soc Sci Med 72(3):383–388. https://doi.org/10.1016/j.socscimed.2010.09.025

  56. 56.

    Janus M (2010) Estimating prevalence of behaviour problems in kindergarten children based on population-level data. In: Proceedings of the XIV European Conference on Developmental Psychology, 2010. Medimond International Proceedings Bologna, Italy, pp 193–198

  57. 57.

    Whalen DJ, Sylvester CM, Luby JL (2017) Depression and anxiety in preschoolers: a review of the past 7 years. Child Adolesc Psychiatr Clin N Am 26(3):503–522. https://doi.org/10.1016/j.chc.2017.02.006

  58. 58.

    StataCorp (2017). Stata 15 College Station

  59. 59.

    Guhn M, Gadermann A, Zumbo BD (2007) Does the EDI measure school readiness in the same way across different groups of children? Early Educ Dev 18(3):453–472

  60. 60.

    Razaz N, Boyce WT, Brownell M, Jutte D, Tremlett H, Marrie RA et al (2016) Five-minute Apgar score as a marker for developmental vulnerability at 5 years of age. Arch Dis Child Fetal Neonatal Ed 101(2):F114–F120. https://doi.org/10.1136/archdischild-2015-308458

  61. 61.

    Rosas BM (2016). Examination of the relationship between caesarean section births and attention deficit hyperactivity disorder

  62. 62.

    Santos R, Brownell M, Ekuma O, Mayer T, Soodeen RA (2012) The early development instrument (EDI) in Manitoba: linking linking socioeconomic adversity and biological vulnerability at birth to children’s outcomes at age 5. Manitoba Centre for Health Policy

  63. 63.

    Kingston D, Heaman M, Brownell M, Ekuma O (2015) Predictors of childhood anxiety: a population-based cohort study. PLoS ONE 10(7):e0129339. https://doi.org/10.1371/journal.pone.0129339

  64. 64.

    Aarnoudse-Moens CS, Weisglas-Kuperus N, van Goudoever JB, Oosterlaan J (2009) Meta-analysis of neurobehavioral outcomes in very preterm and/or very low birthweight children. Pediatrics 124(2):717–728. https://doi.org/10.1542/peds.2008-2816

  65. 65.

    Halmoy A, Klungsoyr K, Skjaerven R, Haavik J (2012) Pre- and perinatal risk factors in adults with attention-deficit/hyperactivity disorder. Biol Psychiatry 71(5):474–481. https://doi.org/10.1016/j.biopsych.2011.11.013

  66. 66.

    Layton TJ, Barnett ML, Hicks TR, Jena AB (2018) Attention deficit-hyperactivity disorder and month of school enrollment. N Engl J Med 379(22):2122–2130. https://doi.org/10.1056/NEJMoa1806828

  67. 67.

    Tearne JE, Robinson M, Jacoby P, Allen KL, Cunningham NK, Li J et al (2016) Older maternal age is associated with depression, anxiety, and stress symptoms in young adult female offspring. J Abnorm Psychol 125(1):1–10. https://doi.org/10.1037/abn0000119

  68. 68.

    Statistics Canada (2018). Fertility: Fewer children, older moms. Ottawa, ON

  69. 69.

    Brady D, Burroway R (2012) Targeting, universalism, and single-mother poverty: a multilevel analysis across 18 affluent democracies. Demography 49(2):719–746. https://doi.org/10.1007/s13524-012-0094-z

  70. 70.

    Pulkingham J, Fuller S, Kershaw P (2010) Lone motherhood, welfare reform and active citizen subjectivity. Crit Soc Policy 30(2):267–291

  71. 71.

    Kimmel J (1998) Child care costs as a barrier to employment for single and married mothers. Rev Econ Stat 80(2):287–299

  72. 72.

    Bauman LJ, Silver EJ, Stein RE (2006) Cumulative social disadvantage and child health. Pediatrics 117(4):1321–1328. https://doi.org/10.1542/peds.2005-1647

  73. 73.

    Crnic KA, Greenberg MT (1990) Minor parenting stresses with young children. Child Dev 61(5):1628–1637

  74. 74.

    Tiwari SK, Wang J (2008) Ethnic differences in mental health service use among White, Chinese, South Asian and South East Asian populations living in Canada. Soc Psychiatry Psychiatr Epidemiol 43(11):866–871. https://doi.org/10.1007/s00127-008-0373-6

  75. 75.

    Guhn M, Milbrath C, Hertzman C (2016) Associations between child home language, gender, bilingualism and school readiness: a population-based study. Early Child Res Q 35:95–110

  76. 76.

    Bock C, Bukh JD, Vinberg M, Gether U, Kessing LV (2009) Validity of the diagnosis of a single depressive episode in a case register. Clin Pract Epidemiol Ment Health 5:4

  77. 77.

    British Columbia Psychologists Association (2018) Who pays for the services of a Registered Psychologist? https://www.psychologists.bc.ca/faq/who-pays-services-registered-psychologist

  78. 78.

    Canadian Institute for Health Information (2007) The Status of Alternative Payment Programs for Physicians in Canada, 2003–2004 and Preliminary Information for 2004–2005. Canadian Institute for Health Information, Ottawa

  79. 79.

    Warburton RN (2005) Takeup of income-tested health-care premium subsidies: evidence and remedies for British Columbia. Can Tax J 53(1):1–28

  80. 80.

    Marmot M, Friel S, Bell R, Houweling TA, Taylor S (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Lancet 372(9650):1661–1669. https://doi.org/10.1016/s0140-6736(08)61690-6

  81. 81.

    Dutton DJ, Forest PG, Kneebone RD, Zwicker JD (2018) Effect of provincial spending on social services and health care on health outcomes in Canada: an observational longitudinal study. CMAJ 190(3):E66–e71. https://doi.org/10.1503/cmaj.170132

  82. 82.

    Brownell MD, Chartier MJ, Nickel NC, Chateau D, Martens PJ, Sarkar J et al (2016) Unconditional prenatal income supplement and birth outcomes. Pediatrics 137(6):e20152992

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Correspondence to Martin Guhn.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The University Research Ethics Board approved this study.

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Guhn, M., Emerson, S.D., Mahdaviani, D. et al. Associations of Birth Factors and Socio-Economic Status with Indicators of Early Emotional Development and Mental Health in Childhood: A Population-Based Linkage Study. Child Psychiatry Hum Dev 51, 80–93 (2020) doi:10.1007/s10578-019-00912-6

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Keywords

  • Birth factors
  • Perinatal
  • Mental health
  • Children
  • Socio-economic status