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Intergenerational transmission of out-of-home care and the role of mental health problems: Findings from Stockholm birth cohort multigenerational study
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.ORCID iD: 0000-0003-2355-1174
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
Stockholm University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-8526-9396
Stockholm University, Faculty of Social Sciences, Department of Public Health Sciences.
Number of Authors: 42021 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 284, article id 114223Article in journal (Refereed) Published
Abstract [en]

Out-of-home care (OHC) experiences are associated with poor long-term outcomes throughout life. However, the continuity of OHC over generations is not fully explored, and the influence of mental health problems (MHP) and socioeconomic conditions on such transmission is still unclear. We therefore assessed the extent to which MHP affect the intergenerational transmissions of OHC as well as whether there are differential patterns depending on the socioeconomic conditions of the family of origin. We used a prospective data from the Stockholm Birth Cohort Multigenerational Study (SBC Multigen) on 11,333 cohort members (Generation 1; G1), their parents (Generation 0; G0), and 24,905 children (Generation 2; G2). Multivariate regressions and path models were used to examine the associations between OHC and MHP across generations; stratified analysis by occupational class in G0 was performed to explore potentially differential patterns. Our findings support the existence of an intergenerational transmission of OHC, particularly in the working class group (OR 4.70); MHP was only transmitted across generations in this group (OR 1.51). While the results indicated a stronger role of MHP among the middle/upper class (OR 5.59) compared to working class (OR 3.52) in part of the pathway (MHP G1-*OHC G2), this patter was not consistent throughout the whole pathway (e.g. OHC G1-*MHP G1). We conclude that there is a tendency for OHC and MHP experiences to continue across generations, particularly among families with more disadvantageous socioeconomic conditions. MHP seem to play an important role in the transmission of OHC irrespective of socioeconomic conditions.

Place, publisher, year, edition, pages
2021. Vol. 284, article id 114223
Keywords [en]
Intergenerational transmission, Out-of-home care, Mental illness, Socioeconomic conditions, Cohort study
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:su:diva-196837DOI: 10.1016/j.socscimed.2021.114223ISI: 000683580300006PubMedID: 34325325OAI: oai:DiVA.org:su-196837DiVA, id: diva2:1594630
Available from: 2021-09-16 Created: 2021-09-16 Last updated: 2025-02-20Bibliographically approved

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S. Straatmann, VivianeJackisch, JosephineBrännström, LarsAlmquist, Ylva B.

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