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Is parental unemployment associated with increased risk of adverse childhood experiences? A systematic review and meta-analysis

Judd, N, Hughes, K, Bellis, MA, Hardcastle, K and Amos, R (2023) Is parental unemployment associated with increased risk of adverse childhood experiences? A systematic review and meta-analysis. Journal of Public Health. fdad069. ISSN 1741-3850

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Abstract

Background Unemployment has adverse consequences for families and can put children at risk of harm. This study presents a systematic review and meta-analysis of global evidence on associations between parental unemployment and adverse childhood experiences (ACEs).Methods Systematic literature searches across four databases identified cross-sectional, cohort or case-control studies measuring associations between parental employment and individual or cumulative ACEs in children. Available risk estimates were extracted and pooled odds ratios calculated using random-effects models.Results Of 60 included studies, 37 provided risk estimates suitable for pooling across seven ACE types. Paternal/any parental unemployment was associated with a 29% increased risk of sexual abuse, 54% increased risk of neglect, 60% increased risk of physical abuse and around 90% increased risk of child maltreatment and parental mental illness. No associations were found between maternal unemployment and ACEs. Pooling estimates from representative general population studies also identified increased risk of child maltreatment with paternal/any parental unemployment (82%) but not maternal unemployment. Conclusions Children who grow up with parental unemployment can be at increased risk of ACEs. A combination of socioeconomic measures to increase employment opportunities and parental support targeting fathers and mothers may help break multigenerational cycles of abuse and deprivation.

Item Type: Article
Uncontrolled Keywords: adverse childhood experiences; child maltreatment; unemployment; violence; 1117 Public Health and Health Services; Public Health
Subjects: H Social Sciences > HM Sociology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Oxford University Press
SWORD Depositor: A Symplectic
Date Deposited: 17 Jul 2023 10:23
Last Modified: 17 Jul 2023 10:30
DOI or ID number: 10.1093/pubmed/fdad069
URI: https://researchonline.ljmu.ac.uk/id/eprint/20352
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