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Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study

Paranjothy, Shantini, Evans, Annette, Bandyopadhyay, Amrita, Fone, David, Schofield, Behnaz, John, Ann, Bellis, Mark A., Lyons, Ronan A., Farewell, Daniel and Long, Sara Jayne 2018. Risk of emergency hospital admission in children associated with mental disorders and alcohol misuse in the household: an electronic birth cohort study. Lancet Public Health 3 (6) , e279-e288. 10.1016/S2468-2667(18)30069-0

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Abstract

Background Mental disorders and alcohol misuse are common in families but their effects on the physical health of children are not known. We investigated the risk of emergency hospital admissions during childhood associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission. Methods We did this cohort study in a total population electronic child cohort in Wales, UK, which includes all children who live in Wales or with a mother who is resident in Wales. We used Cox regression to model time to first emergency hospital admission during the first 14 years of life associated with living with an adult who has a mental health disorder, or who had an alcohol-related hospital admission. We adjusted our results for social deprivation and perinatal risk factors. Findings We included data for 253 717 children with 1 015 614 child-years of follow-up. Living with an adult with a mental disorder was associated with an increased risk of emergency admission for all causes (adjusted hazard ratio [aHR] 1·17, 95% CI 1·16–1·19), for injuries and external causes (1·14, 1·11–1·18), and childhood victimisation (1·55, 1·44–1·67). Children living with a household member who had an alcohol-related hospital admission had a significantly higher risk of emergency admissions for injuries and external causes (aHR 1·13, 95% CI 1·01–1 ·26) and victimisation (1·39, 1·00–1·94), but not for all-cause emergency admissions (1·01, 0·93–1·09). Interpretation The increased risk of emergency admissions in children associated with mental disorders and alcohol misuse in the household supports the need for policy measures to provide support to families that are affected.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Social Sciences (Includes Criminology and Education)
Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Additional Information: This is an open access article under the CCBY license.
Publisher: Elsevier
ISSN: 2468-2667
Funders: Economic and Social Research Council, Medical Research Council, Alcohol Research UK, Public Health Wales, ERC
Date of First Compliant Deposit: 16 May 2018
Date of Acceptance: 3 April 2018
Last Modified: 02 Nov 2020 17:30
URI: http://orca.cardiff.ac.uk/id/eprint/111499

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