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How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study

Amrita Bandyopadhyay, Tony Whiffen Orcid Logo, Rich Fry Orcid Logo, Sinead Brophy Orcid Logo

SSM - Population Health, Volume: 22, Start page: 101370

Swansea University Authors: Amrita Bandyopadhyay, Rich Fry Orcid Logo, Sinead Brophy Orcid Logo

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DOI (Published version): 10.1016/j.ssmph.2023.101370

Abstract

Objectives: Children growing up in poverty are less likely to achieve in school and more likely to experience mental health problems. This study examined factors in the local area that can help a child overcome the negative impact of poverty.Design: A longitudinal record linkage retrospective cohort...

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Published in: SSM - Population Health
ISSN: 2352-8273 2352-8273
Published: Elsevier BV 2023
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This study examined factors in the local area that can help a child overcome the negative impact of poverty.Design: A longitudinal record linkage retrospective cohort study.Participants: This study included 159,131 children who lived in Wales and completed their age 16 exams (Key Stage 4 (KS4)) between 2009 and 2016. Free School Meal (FSM) provision was used as an indicator of household-level deprivation. Area-level deprivation was measured using the Welsh Index of Multiple Deprivation (WIMD) 2011. An encrypted unique Anonymous Linking Field was used to link the children with their health- and educational records.Outcome measures: The outcome variable ‘Profile to Leave Poverty’ (PLP) was constructed based on successful completion of age 16 exams, no mental health condition, no substance and alcohol misuse records in routine data. Logistic regression with stepwise model selection was used to investigate the association between local area deprivation and the outcome variable.Results: 22% of children on FSM achieved PLP compared to 54.9% of non-FSM children. FSM Children from least deprived areas were significantly more likely to achieve PLP (adjusted odds ratio (aOR) - 2.20 (1.93, 2.51)) than FSM children from most deprived areas. FSM children, living in areas with higher community safety, higher relative income, higher access to services, were more likely to achieve PLP than their peers.Conclusion: The findings indicate that community-level improvements such as increasing safety, connectivity and employment might help in child's education attainment, mental health and reduce risk taking behaviours.</abstract><type>Journal Article</type><journal>SSM - Population Health</journal><volume>22</volume><journalNumber/><paginationStart>101370</paginationStart><paginationEnd/><publisher>Elsevier BV</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>2352-8273</issnPrint><issnElectronic>2352-8273</issnElectronic><keywords>Local area, Deprivation, Child poverty, Resilience, Education, Record linkage, Cohort study</keywords><publishedDay>1</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2023</publishedYear><publishedDate>2023-06-01</publishedDate><doi>10.1016/j.ssmph.2023.101370</doi><url>http://dx.doi.org/10.1016/j.ssmph.2023.101370</url><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm>External research funder(s) paid the OA fee (includes OA grants disbursed by the Library)</apcterm><funders>ES/S007393/1</funders><projectreference/><lastEdited>2023-05-12T16:25:30.9479623</lastEdited><Created>2022-10-25T11:35:31.9020939</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">Swansea University Medical School - Health Data Science</level></path><authors><author><firstname>Amrita</firstname><surname>Bandyopadhyay</surname><orcid/><order>1</order></author><author><firstname>Tony</firstname><surname>Whiffen</surname><orcid>0000-0002-9329-6685</orcid><order>2</order></author><author><firstname>Rich</firstname><surname>Fry</surname><orcid>0000-0002-7968-6679</orcid><order>3</order></author><author><firstname>Sinead</firstname><surname>Brophy</surname><orcid>0000-0001-7417-2858</orcid><order>4</order></author></authors><documents><document><filename>61659__27312__d580fe0b33834c0ab59cce51d1bd0b26.pdf</filename><originalFilename>61659.VOR.pdf</originalFilename><uploaded>2023-05-03T11:11:57.6322838</uploaded><type>Output</type><contentLength>3791632</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0).</documentNotes><copyrightCorrect>true</copyrightCorrect><language>eng</language><licence>https://creativecommons.org/licenses/by/4.0/</licence></document></documents><OutputDurs/></rfc1807>
spelling v2 61659 2022-10-25 How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study 9f1e77f76a83746112ef45709bf83630 Amrita Bandyopadhyay Amrita Bandyopadhyay true false d499b898d447b62c81b2c122598870e0 0000-0002-7968-6679 Rich Fry Rich Fry true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2022-10-25 HDAT Objectives: Children growing up in poverty are less likely to achieve in school and more likely to experience mental health problems. This study examined factors in the local area that can help a child overcome the negative impact of poverty.Design: A longitudinal record linkage retrospective cohort study.Participants: This study included 159,131 children who lived in Wales and completed their age 16 exams (Key Stage 4 (KS4)) between 2009 and 2016. Free School Meal (FSM) provision was used as an indicator of household-level deprivation. Area-level deprivation was measured using the Welsh Index of Multiple Deprivation (WIMD) 2011. An encrypted unique Anonymous Linking Field was used to link the children with their health- and educational records.Outcome measures: The outcome variable ‘Profile to Leave Poverty’ (PLP) was constructed based on successful completion of age 16 exams, no mental health condition, no substance and alcohol misuse records in routine data. Logistic regression with stepwise model selection was used to investigate the association between local area deprivation and the outcome variable.Results: 22% of children on FSM achieved PLP compared to 54.9% of non-FSM children. FSM Children from least deprived areas were significantly more likely to achieve PLP (adjusted odds ratio (aOR) - 2.20 (1.93, 2.51)) than FSM children from most deprived areas. FSM children, living in areas with higher community safety, higher relative income, higher access to services, were more likely to achieve PLP than their peers.Conclusion: The findings indicate that community-level improvements such as increasing safety, connectivity and employment might help in child's education attainment, mental health and reduce risk taking behaviours. Journal Article SSM - Population Health 22 101370 Elsevier BV 2352-8273 2352-8273 Local area, Deprivation, Child poverty, Resilience, Education, Record linkage, Cohort study 1 6 2023 2023-06-01 10.1016/j.ssmph.2023.101370 http://dx.doi.org/10.1016/j.ssmph.2023.101370 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University External research funder(s) paid the OA fee (includes OA grants disbursed by the Library) ES/S007393/1 2023-05-12T16:25:30.9479623 2022-10-25T11:35:31.9020939 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Amrita Bandyopadhyay 1 Tony Whiffen 0000-0002-9329-6685 2 Rich Fry 0000-0002-7968-6679 3 Sinead Brophy 0000-0001-7417-2858 4 61659__27312__d580fe0b33834c0ab59cce51d1bd0b26.pdf 61659.VOR.pdf 2023-05-03T11:11:57.6322838 Output 3791632 application/pdf Version of Record true Distributed under the terms of a Creative Commons Attribution 4.0 License (CC BY 4.0). true eng https://creativecommons.org/licenses/by/4.0/
title How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
spellingShingle How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
Amrita Bandyopadhyay
Rich Fry
Sinead Brophy
title_short How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
title_full How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
title_fullStr How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
title_full_unstemmed How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
title_sort How does the local area deprivation influence life chances for children in poverty in Wales: A record linkage cohort study
author_id_str_mv 9f1e77f76a83746112ef45709bf83630
d499b898d447b62c81b2c122598870e0
84f5661b35a729f55047f9e793d8798b
author_id_fullname_str_mv 9f1e77f76a83746112ef45709bf83630_***_Amrita Bandyopadhyay
d499b898d447b62c81b2c122598870e0_***_Rich Fry
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author Amrita Bandyopadhyay
Rich Fry
Sinead Brophy
author2 Amrita Bandyopadhyay
Tony Whiffen
Rich Fry
Sinead Brophy
format Journal article
container_title SSM - Population Health
container_volume 22
container_start_page 101370
publishDate 2023
institution Swansea University
issn 2352-8273
2352-8273
doi_str_mv 10.1016/j.ssmph.2023.101370
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Health Data Science{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Health Data Science
url http://dx.doi.org/10.1016/j.ssmph.2023.101370
document_store_str 1
active_str 0
description Objectives: Children growing up in poverty are less likely to achieve in school and more likely to experience mental health problems. This study examined factors in the local area that can help a child overcome the negative impact of poverty.Design: A longitudinal record linkage retrospective cohort study.Participants: This study included 159,131 children who lived in Wales and completed their age 16 exams (Key Stage 4 (KS4)) between 2009 and 2016. Free School Meal (FSM) provision was used as an indicator of household-level deprivation. Area-level deprivation was measured using the Welsh Index of Multiple Deprivation (WIMD) 2011. An encrypted unique Anonymous Linking Field was used to link the children with their health- and educational records.Outcome measures: The outcome variable ‘Profile to Leave Poverty’ (PLP) was constructed based on successful completion of age 16 exams, no mental health condition, no substance and alcohol misuse records in routine data. Logistic regression with stepwise model selection was used to investigate the association between local area deprivation and the outcome variable.Results: 22% of children on FSM achieved PLP compared to 54.9% of non-FSM children. FSM Children from least deprived areas were significantly more likely to achieve PLP (adjusted odds ratio (aOR) - 2.20 (1.93, 2.51)) than FSM children from most deprived areas. FSM children, living in areas with higher community safety, higher relative income, higher access to services, were more likely to achieve PLP than their peers.Conclusion: The findings indicate that community-level improvements such as increasing safety, connectivity and employment might help in child's education attainment, mental health and reduce risk taking behaviours.
published_date 2023-06-01T16:25:29Z
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