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Auteur Elisa RISSANEN |
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The long-term cost of childhood conduct problems: Finnish Nationwide 1981 Birth Cohort Study / Elisa RISSANEN in Journal of Child Psychology and Psychiatry, 63-6 (June 2022)
[article]
Titre : The long-term cost of childhood conduct problems: Finnish Nationwide 1981 Birth Cohort Study Type de document : Texte imprimé et/ou numérique Auteurs : Elisa RISSANEN, Auteur ; Virpi KUVAJA-KÖLLNER, Auteur ; Henrik ELONHEIMO, Auteur ; Lauri SILLANMAKI, Auteur ; Andre SOURANDER, Auteur ; Eila KANKAANPÄÄ, Auteur Article en page(s) : p.683-692 Langues : Anglais (eng) Mots-clés : Costs cohort conduct problems register-based study Index. décimale : PER Périodiques Résumé : BACKGROUND: Commonly recognized childhood conduct problems often lead to costly problems in adulthood. This study aimed to evaluate the long-term cumulative cost of childhood conduct problems until the age of 30. The costs included inpatient care, nervous system medicine purchases, and criminal offences. METHODS: The study used population-based nationwide 1981 birth cohort data. Families and teachers assessed the conduct problems of the eight-year-olds based on Rutter questionnaires. We grouped 5,011 children into low-level of conduct problems (52%), intermediate-level of conduct problems (37%), and high-level of conduct problems (11%) groups, based on combined conduct symptoms scores. The analysis included the cohort data with the Care Register for Health Care, the Drug Prescription Register, and the Finnish Police Register. The cost valuation of service use applied national unit costs in 2016 prices. We used Wilcoxon rank-sum test to test the differences between groups and gender. RESULTS: During 1989-2011, average cumulative costs of the high-level (?44,348, p?.001) and the intermediate-level (?19,405, p?.001) of conduct problems groups were higher than the low-level of conduct problems group's (?10,547) costs. In all three groups, the boys' costs were higher than girls' costs. CONCLUSIONS: The costs associated with conduct problems in childhood are substantial, showing a clear need for cost-effective interventions. Implementation decisions of interventions benefit from long-term cost-effectiveness modelling studies. Costing studies, like this, provide cost and cost offset information for modelling studies. En ligne : http://dx.doi.org/10.1111/jcpp.13506 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Journal of Child Psychology and Psychiatry > 63-6 (June 2022) . - p.683-692[article] The long-term cost of childhood conduct problems: Finnish Nationwide 1981 Birth Cohort Study [Texte imprimé et/ou numérique] / Elisa RISSANEN, Auteur ; Virpi KUVAJA-KÖLLNER, Auteur ; Henrik ELONHEIMO, Auteur ; Lauri SILLANMAKI, Auteur ; Andre SOURANDER, Auteur ; Eila KANKAANPÄÄ, Auteur . - p.683-692.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-6 (June 2022) . - p.683-692
Mots-clés : Costs cohort conduct problems register-based study Index. décimale : PER Périodiques Résumé : BACKGROUND: Commonly recognized childhood conduct problems often lead to costly problems in adulthood. This study aimed to evaluate the long-term cumulative cost of childhood conduct problems until the age of 30. The costs included inpatient care, nervous system medicine purchases, and criminal offences. METHODS: The study used population-based nationwide 1981 birth cohort data. Families and teachers assessed the conduct problems of the eight-year-olds based on Rutter questionnaires. We grouped 5,011 children into low-level of conduct problems (52%), intermediate-level of conduct problems (37%), and high-level of conduct problems (11%) groups, based on combined conduct symptoms scores. The analysis included the cohort data with the Care Register for Health Care, the Drug Prescription Register, and the Finnish Police Register. The cost valuation of service use applied national unit costs in 2016 prices. We used Wilcoxon rank-sum test to test the differences between groups and gender. RESULTS: During 1989-2011, average cumulative costs of the high-level (?44,348, p?.001) and the intermediate-level (?19,405, p?.001) of conduct problems groups were higher than the low-level of conduct problems group's (?10,547) costs. In all three groups, the boys' costs were higher than girls' costs. CONCLUSIONS: The costs associated with conduct problems in childhood are substantial, showing a clear need for cost-effective interventions. Implementation decisions of interventions benefit from long-term cost-effectiveness modelling studies. Costing studies, like this, provide cost and cost offset information for modelling studies. En ligne : http://dx.doi.org/10.1111/jcpp.13506 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475