Psychiatric and neurodevelopmental diagnoses in adolescence and adulthood over-indebtedness among Finns born in 1987.

Background Adolescence psychiatric and neurodevelopmental diagnoses are common but their link to adulthood over-indebtedness is unknown. This study aims to determine this relationship and explores the possible mediating role of upper secondary education completion. Methods We analyzed the 1987 Finni...

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Publicado en:European Journal of Public Health Vol. 32; no. 6; pp. 858 - 864
Autores principales: Hiilamo, Aapo, Keski-Säntti, Markus, Pirkola, Sami, Lallukka, Tea, Kääriälä, Antti
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2022
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      pub: Oxford University Press / USA
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        10.1093/eurpub/ckac126
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        atl: Psychiatric and neurodevelopmental diagnoses in adolescence and adulthood over-indebtedness among Finns born in 1987.
      aug:
        au:
          Hiilamo, Aapo
          Keski-Säntti, Markus
          Pirkola, Sami
          Lallukka, Tea
          Kääriälä, Antti
        affil: Faculty of Social Sciences, University of Helsinki , Helsinki, Finland
      sug:
        subj:
          Mental Disorders Diagnosis
          Debt, Financial In Adulthood
          Mental Disorders Diagnosed in Childhood In Adolescence
          Educational Status
          Finns
          Human
          Adolescence
          Adult
          Finland
          Confidence Intervals
          International Classification of Diseases
          Transition to Adulthood
          Female
          Male
          Sex Factors
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Female
          Male
      ab: Background Adolescence psychiatric and neurodevelopmental diagnoses are common but their link to adulthood over-indebtedness is unknown. This study aims to determine this relationship and explores the possible mediating role of upper secondary education completion. Methods We analyzed the 1987 Finnish Birth Cohort, which consisted of a complete census of children born in Finland in 1987 and registered in the Medical Birth Register (n  = 53 743). Records of debt payment defaults, at the age of 33, were used as a measure of over-indebtedness. Adolescent psychiatric and neurodevelopmental diagnoses at ages 13–17 were derived from the national hospital discharge register. Inverse probability treatment weighting was used to investigate the role of pre-exposure variables in this relationship, and the mediating role of upper secondary education completion. Results Compared to unexposed individuals, those affected by an adolescent psychiatric or neurodevelopmental diagnosis had a 15 percentage points higher prevalence of over-indebtedness in adulthood. This association was more common for males and was additionally notably strong for suicidality and conduct and oppositional disorders. Controlling for measured potential confounding factors, the diagnoses were linked to a 11-percentage point (95% confidence interval 9–12) higher risk of over-indebtedness. Completing at least upper secondary education reduced this effect by some 39%. Conclusion People with psychiatric and neurodevelopmental disorders diagnosed in adolescence are at elevated risk of over-indebtedness in adulthood. Recognizing this high risk may help in efforts to prevent further debt problems. Better education may serve as a protective factor against over-indebtedness and perhaps similar other behavioural consequences.
      pubtype: Academic Journal
      doctype:
        research
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        Journal Article
      ougenre: Article
    language: English
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