Poverty and behavior problems trajectories from 1.5 to 8 years of age: Is the gap widening between poor and non-poor children?

Soc Psychiatry Psychiatr Epidemiol. 2016 Aug;51(8):1083-92. doi: 10.1007/s00127-016-1252-1. Epub 2016 Jun 20.

Abstract

Purpose: Poverty has been associated with high levels of behavior problems across childhood, yet patterns of associations over time remain understudied. This study aims: (a) to examine whether poverty predicts changes in behavior problems between 1.5 and 8 years of age; (b) to estimate potential selection bias for the observed associations.

Methods: We used the 1998-2006 waves of the Quebec Longitudinal Study of Child Development (N = 2120). Main outcomes were maternal ratings of hyperactivity, opposition and physical aggression from 1.5 to 8 years of age. Linear mixed-effects models were used to assess the longitudinal association between poverty and behavior problems. Models were re-estimated adjusting for wave nonresponse and using multiple imputation to account for attrition.

Results: Poverty predicted higher levels of behavior problems between 1.5 and 8 years of age. Poverty predicted hyperactivity and opposition in a time dependent manner. Hyperactivity [Bpoverty*age = 0.052; CI 95 % (0.002; 0.101)] and opposition [Bpoverty*age = 0.049; CI 95 % (0.018; 0.079)] increased at a faster rate up to age 5 years, and then decreased at a slower rate for poor than non-poor children. Physical aggression decreased at a steady rate over time for all children [Bpoverty*age = -0.030; p = 0.064). Estimates remained similar when accounting for attrition.

Conclusion: Poverty predicted higher levels of behavior problems between 1.5 and 8 years of age. The difference between poor and non-poor children was stable over time for physical aggression, but increased with age for hyperactivity and opposition. Attrition among poor children did not compromise the validity of results.

Keywords: Attrition; Hyperactivity; Opposition; Physical aggression; Poverty.

MeSH terms

  • Aggression / psychology
  • Attention Deficit and Disruptive Behavior Disorders / psychology
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Linear Models
  • Longitudinal Studies
  • Male
  • Mothers
  • Poverty / psychology*
  • Problem Behavior / psychology*
  • Quebec
  • Time Factors