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

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

URL: https://www.thelancet.com/journals/lanpub/article/...

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:Evidence resource
Drug Type:Alcohol
Intervention Type:AOD disorder, AOD disorder harm reduction
Source:The Lancet
Date:15 May 2018
Pages:e279
Publisher:Elsevier
Volume:3
Number:6
EndNote:View
Subjects:A Substance use, abuse, and dependence > Prevalence > Problem substance use
B Substances > Alcohol
G Health and disease > State of health > Mental health
G Health and disease > Substance use disorder > Alcohol use
J Health care, prevention and rehabilitation > Risk and protective factors > Risk factors
J Health care, prevention and rehabilitation > Care by type of problem > Emergency care
J Health care, prevention and rehabilitation > Health care programme or facility > Hospital
L Social psychology and related concepts > Marital relations > Family and kinship > Family relations > Family role > Role of parent
T Demographic characteristics > Child of substance user
VA Geographic area > Europe > United Kingdom > Wales

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