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Childhood adversities and later economic hardship among Swedish child welfare clients: Cumulative disadvantage or disadvantage saturation?
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Stockholm University, Faculty of Social Sciences, Department of Social Work.
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Karolinska Institutet, Sweden.
2016 (English)In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

National register data were used in a longitudinal design to test two competing hy-potheses regarding links between cumulative exposure to childhood adversities andlater adverse outcomes, conceptualised as economic hardship in early adulthood,among more than 11,000 Swedish youths who had received the same in-home childwelfare intervention at ages two to five or at ages ten to thirteen. The cumulative-disadvantage perspective argues that the accumulation of childhood adversitiesincrease the likelihood of negative outcomes later in life. In contrast, thedisadvantage-saturation perspective suggests that the accumulation of childhood ad-versities is less consequential for initially disadvantaged individuals. Results from logis-tic regression analyses showed a pronounced positive association between theaccumulation of childhood adversities and economic hardship (measured as extensivemeans-tested social assistance recipiency) in early adulthood. After adjustments forsocio-economic confounders, the analyses showed that youth exposed to four or morechildhood adversities during childhood had two- to four-fold elevated odds of receiv-ing extensive social assistance compared to peers who had received the same inter-vention, but had no indications of exposure to childhood adversities. The results lendsupport to the relevance of accumulated childhood adversities for understandinglong-term outcomes in child welfare populations.

Place, publisher, year, edition, pages
2016.
Keyword [en]
Adverse childhood experiences, child welfare, longitudinal
National Category
Social Work
Identifiers
URN: urn:nbn:se:su:diva-137673DOI: 10.1093/bjsw/bcw167OAI: oai:DiVA.org:su-137673DiVA: diva2:1063269
Available from: 2017-01-09 Created: 2017-01-09 Last updated: 2017-05-09

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Brännström, LarsVinnerljung, BoHjern, Anders
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CiteExportLink to record
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Citation style
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