Socioeconomic position and adverse childhood experiences as risk factors for health-related behaviour change and employment adversity during the COVID-19 pandemic: insights from a prospective cohort study in the UK.
BMC Public Health
; 22(1): 1820, 2022 09 24.
Article
in English
| MEDLINE | ID: covidwho-2043119
ABSTRACT
BACKGROUND:
Non-pharmaceutical interventions to reduce the spread of COVID-19 may have disproportionately affected already disadvantaged populations.METHODS:
We analysed data from 2710 young adult participants of the Avon Longitudinal Study of Parents and Children. We assessed the associations of socioeconomic position (SEP) and Adverse Childhood Experiences (ACEs, e.g. abuse, neglect, measures of family dysfunction) with changes to health-related behaviours (meals, snacks, exercise, sleep, alcohol and smoking/vaping), and to financial and employment status during the first UK lockdown between March-June 2020.RESULTS:
Experiencing 4+ ACEs was associated with reporting decreased sleep quantity during lockdown (OR 1.53, 95% CI 1.07-2.18) and increased smoking and/or vaping (OR 1.85, 95% CI 0.99-3.43); no other associations were seen between ACEs or SEP and health-related behaviour changes. Adverse financial and employment changes were more likely for people with low SEP and for people who had experienced multiple ACEs; e.g. a history of 4+ ACEs was associated with being furloughed or on other leave during lockdown (OR 1.92, 95% CI 1.35-2.74).CONCLUSIONS:
In this sample of young adults, there was little evidence that lockdown worsened inequalities in health-related behaviours. However, adverse financial and employment consequences of lockdown were more likely to be experienced by people who have already experienced socioeconomic deprivation or childhood adversity, thereby widening social inequalities and demonstrating the need for support into adulthood for those with a history of ACEs.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Adverse Childhood Experiences
/
COVID-19
Type of study:
Cohort study
/
Observational study
/
Prognostic study
/
Qualitative research
Limits:
Adult
/
Child
/
Humans
/
Young adult
Country/Region as subject:
Europa
Language:
English
Journal:
BMC Public Health
Journal subject:
Public Health
Year:
2022
Document Type:
Article
Affiliation country:
S12889-022-14184-8
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