Inattention in boys from low-income backgrounds predicts welfare receipt: a 30-year prospective study

Childhood disruptive behaviors are highly prevalent and associated with adverse long-term social and economic outcomes. Trajectories of welfare receipt in early adulthood and the association of childhood behaviors with high welfare receipt trajectories have not been examined. Boys (n = 1000) from lo...

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Veröffentlicht in:Psychological medicine 2020-09, Vol.50 (12), p.2001-2009
Hauptverfasser: Vergunst, Francis, Tremblay, Richard E., Nagin, Daniel, Zheng, Yao, Galera, Cedric, Park, Jungwee, Beasley, Elizabeth, Algan, Yann, Vitaro, Frank, Côté, Sylvana M.
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container_end_page 2009
container_issue 12
container_start_page 2001
container_title Psychological medicine
container_volume 50
creator Vergunst, Francis
Tremblay, Richard E.
Nagin, Daniel
Zheng, Yao
Galera, Cedric
Park, Jungwee
Beasley, Elizabeth
Algan, Yann
Vitaro, Frank
Côté, Sylvana M.
description Childhood disruptive behaviors are highly prevalent and associated with adverse long-term social and economic outcomes. Trajectories of welfare receipt in early adulthood and the association of childhood behaviors with high welfare receipt trajectories have not been examined. Boys (n = 1000) from low socioeconomic backgrounds were assessed by kindergarten teachers for inattention, hyperactivity, aggression, opposition, and prosociality, and prospectively followed up for 30 years. We used group-base trajectory modeling to estimate trajectories of welfare receipt from age 19-36 years using government tax return records, then examined the association between teacher-rated behaviors and trajectory group membership using mixed effects multinomial regression models. Three trajectories of welfare receipt were identified: low (70.8%), declining (19.9%), and chronic (9.3%). The mean annual personal employment earnings (US$) for the three groups at age 35/36 years was $36 500 (s.d. = $24 000), $15 600 (s.d. = $16 275), and $1700 (s.d. = $4800), respectively. Relative to the low welfare receipt group, a unit increase in inattention (mean = 2.64; s.d. = 2.32, range = 0-8) at age 6 was associated with an increased risk of being in the chronic group (relative risk ratio; RRR = 1.16, 95% CI 1.03-1.31) and in the declining group (RRR = 1.13, 95% CI 1.03-1.23), after adjustment for child IQ and family adversity, and independent of other behaviors. Family adversity was more strongly associated with trajectories of welfare receipt than any behavior. Boys from disadvantaged backgrounds exhibiting high inattention in kindergarten are at elevated risk of chronic welfare receipt during adulthood. Screening and support for inattentive behaviors beginning in kindergarten could have long-term social and economic benefits for individuals and society.
doi_str_mv 10.1017/S0033291719002058
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Trajectories of welfare receipt in early adulthood and the association of childhood behaviors with high welfare receipt trajectories have not been examined. Boys (n = 1000) from low socioeconomic backgrounds were assessed by kindergarten teachers for inattention, hyperactivity, aggression, opposition, and prosociality, and prospectively followed up for 30 years. We used group-base trajectory modeling to estimate trajectories of welfare receipt from age 19-36 years using government tax return records, then examined the association between teacher-rated behaviors and trajectory group membership using mixed effects multinomial regression models. Three trajectories of welfare receipt were identified: low (70.8%), declining (19.9%), and chronic (9.3%). The mean annual personal employment earnings (US$) for the three groups at age 35/36 years was $36 500 (s.d. = $24 000), $15 600 (s.d. = $16 275), and $1700 (s.d. = $4800), respectively. Relative to the low welfare receipt group, a unit increase in inattention (mean = 2.64; s.d. = 2.32, range = 0-8) at age 6 was associated with an increased risk of being in the chronic group (relative risk ratio; RRR = 1.16, 95% CI 1.03-1.31) and in the declining group (RRR = 1.13, 95% CI 1.03-1.23), after adjustment for child IQ and family adversity, and independent of other behaviors. Family adversity was more strongly associated with trajectories of welfare receipt than any behavior. Boys from disadvantaged backgrounds exhibiting high inattention in kindergarten are at elevated risk of chronic welfare receipt during adulthood. 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source Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete
subjects Adults
Adversity
Age
Attention
Attention deficits
Background
Behavior
Boys
Childhood
Children
Children & youth
Conduct disorder
Earnings
Economics and Finance
Employment
Families & family life
Humanities and Social Sciences
Hyperactivity
Intelligence tests
Intervention
Kindergarten
Low income groups
Membership
Original Articles
Parents & parenting
Prosocial behavior
Psychology
Regression analysis
Risk factors
Self control
Tax returns
Taxation
Teachers
Welfare
title Inattention in boys from low-income backgrounds predicts welfare receipt: a 30-year prospective study
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