University of Groningen, University Medical Center Groningen, Department of Health Sciences, Community & Occupational Medicine, Hanzeplein 1, Postbox 30.001, 9700 RB Groningen, the Netherlands; University of Copenhagen, Copenhagen Health Complexity Center, Department of Public Health, Øster Farimagsgade 5, 1353 Copenhagen, Denmark.
University of Groningen, University Medical Center Groningen, Department of Health Sciences, Community & Occupational Medicine, Hanzeplein 1, Postbox 30.001, 9700 RB Groningen, the Netherlands; Arbo Unie, Utrecht, the Netherlands.
Child Abuse Negl. 2024 Oct;156:107010. doi: 10.1016/j.chiabu.2024.107010. Epub 2024 Sep 4.
Labor market inactivity is common among young adults with a history of childhood abuse, which might be attributable to elevated psychopathology in adolescence.
We examined and decomposed the effect of adolescent psychopathology in the association between frequent or severe childhood abuse and labor market inactivity in young adulthood.
This study used data from the population and high-risk samples of the Dutch prospective TRacking Adolescents' Individual Lives Survey (N = 2172).
Childhood abuse included measures of emotional, physical and sexual abuse. We operationalized adolescent psychopathology using the broadband emotional and behavioral problem scales. Labor market inactivity in young adulthood was defined as being neither in education, employment nor training or receiving benefits. We applied causal mediation analysis combined with a four-way decomposition approach to estimate our effects of interest.
Individuals who reported frequent or severe childhood abuse were 1.51 (95 % CI: 1.13 to 2.22) times more likely to report labor market inactivity, constituting an excess relative risk (ERR) of 0.51. Most of this excess relative risk is due to mediation by psychopathology at 64.7 % (ERR: 0.33, 95 % CI: 0.16 to 0.50). We found no evidence for a mediated interactive effect (ERR: -0.04, 95 % CI: -0.24 to 0.24).
Adolescent psychopathology largely explains the association between frequent and severe childhood abuse and labor market inactivity in young adulthood. Intervening in the occurrence of adolescent psychopathology following frequent and severe childhood abuse may reduce the risk of subsequent labor market inactivity.
童年期遭受虐待的年轻人普遍处于劳动力市场 inactive 状态，这可能归因于青春期升高的精神病理学。
我们研究并分解了青少年精神病理学在频繁或严重的童年期虐待与年轻人劳动力市场 inactive 状态之间关联中的作用。
本研究使用了荷兰前瞻性 TRacking 青少年个体生活调查（N=2172）的一般人群和高危人群样本的数据。
童年期虐待包括情绪、身体和性虐待的测量。我们使用宽带情绪和行为问题量表来操作化青少年精神病理学。年轻人劳动力市场 inactive 状态定义为既不在接受教育、就业或培训，也不在领取福利。我们应用因果中介分析结合四路分解方法来估计我们感兴趣的效应。
报告频繁或严重童年期虐待的个体报告劳动力市场 inactive 的可能性是未报告的个体的 1.51 倍（95%CI：1.13 至 2.22），超额相对风险（ERR）为 0.51。这种超额相对风险主要归因于精神病理学的中介作用，占 64.7%（ERR：0.33，95%CI：0.16 至 0.50）。我们没有发现中介交互作用的证据（ERR：-0.04，95%CI：-0.24 至 0.24）。
青少年精神病理学在很大程度上解释了频繁和严重的童年期虐待与年轻人劳动力市场 inactive 状态之间的关联。干预频繁和严重的童年期虐待后青少年精神病理学的发生可能会降低随后劳动力市场 inactive 的风险。
