Childhood adversities and later economic hardship among Swedish child welfare clients: Cumulative disadvantage or disadvantage saturation?
2016 (English)In: British Journal of Social Work, ISSN 0045-3102, E-ISSN 1468-263XArticle in journal (Refereed) Epub ahead of print
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
Adverse childhood experiences, child welfare, longitudinal
IdentifiersURN: urn:nbn:se:su:diva-137673DOI: 10.1093/bjsw/bcw167OAI: oai:DiVA.org:su-137673DiVA: diva2:1063269