Box 1. Child, family, school and area variables assessed.
Exposure of interest |
Ethnicity |
[P] Indian vs. White | |
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A priori confounders |
[P] Child’s age |
[P*] Child’s gender | |
[I] Survey year (1999 vs. 2004) | |
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Level 1: area characteristics, school characteristics and family SEP |
Area characteristics |
[I] Geographical region: North East; North West; Yorkshire & Humberside; East Midlands; West Midlands; East Anglia; London; South East; South West. | |
[I] Metropolitan vs. non-metropolitan region | |
[I*] Small area deprivation, from the 2004 English Indices of Multiple Deprivation (Noble, et al., 2004). | |
School characteristics | |
[I*] Ford Score, a predictor of the prevalence of mental health problems in a school (A. Goodman & Ford, 2008). | |
Family SEP | |
[P] Responding parent’s highest educational qualification: no qualifications [coded 1]; poor GCSEs (grades D-F) or equivalent [2]; good GCSEs (grades A-C) [3]; A-level [4]; diploma [5]; degree [6]. | |
[P] Weekly household income: £0-99 [coded 0.5]; £100-199 [1.5]; £200-299 [2.5]; £300- 399 [3.5]; £400-499 [4.5]; £500-599 [5.5]; £600-769 [6.85]; £770 or over [8.5]. | |
[P] Housing tenure: owner occupied; social sector rented; privately rented. | |
[P] Occupational social class: I; II; III Non-manual; III Manual; IV; V; Never worked; Full- time student.† | |
[P] Mother’s economic activity: full time employed; part-time employed; looking after home and family; unemployed; other. | |
[P] Father’s economic activity: as for mother’s economic activity | |
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Level 2: Family composition and family stress | Family composition |
[P] Family type: two-parent; stepfamily; lone parent family | |
[P] Parents married vs. cohabiting | |
[P] Three-generation household: grandparent present vs. no grandparent present | |
[P] Number of co-resident siblings | |
[P*] Mother’s age at child’s birth | |
Family stress | |
[P*] Parent’s mental health, from the 12-item General Health Questionnaire (GHQ-12: Goldberg & Williams, 1998).† | |
[P*] Family functioning, from the general functioning subscale of the McMaster Family Activity Device (Miller, Epstein, Bishop, & Keitner, 1985).† | |
[P] Family ever experienced parental separation : yes/no | |
[P] Family ever experienced financial crisis: yes/no | |
[P] Family member (not the child) ever had police contact: yes/no | |
[P] Family ever experienced the death of a parent or sibling of the child: yes/no | |
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Level 3: Child characteristics | Physical disorders† |
[P] Neuro-developmental disorder: yes/no | |
[P] Developmental problems or immaturity: yes/no | |
[P] Common physical health disorder: yes/no | |
[P] Rare physical health disorder: yes/no | |
Stressful life events to child | |
[P] Child ever experienced serious illness requiring hospitalisation: yes/no | |
[P] Child ever experienced death of a friend: yes/no | |
Substance use† | |
[C] Regular smoking (≥1 cigarette a week): yes/no. | |
[C] Frequency of alcohol consumption: less than once a fortnight; once a fortnight to once a week; twice a week or more. | |
[C] Ever used illegal drugs: yes/no | |
Academic abilities and difficulties | |
[T*] Teacher-reported academic difficulties (range 0-9), created by summing the teacher’s response to question on the child’s ability in 1) maths, 2) reading 3) spelling. Each question had response options above average [coded 0]; average [1]; some difficulty [2]; or marked difficulty [3]. | |
[P] Parent-reported learning difficulties: yes/no | |
[P] Parent-reported dyslexia: yes/no | |
[A*] Formal tests of reading ability, from the British Ability Scales, second edition (Elliott, Smith, & McCulloch, 1996); B-CAMHS 1999 only | |
[A*] Formal tests of spelling ability, measured as for reading ability; B-CAMHS 1999 only | |
Parent reward and punishment behaviours; B-CAMHS 1999 only | |
[P] Frequency of praising child: never; seldom; sometimes; often. | |
[P] Frequency of non-physical punishment: never; seldom; sometimes; often. | |
[P] Frequency of smacking child: never; seldom; sometimes; often. | |
[P] Ever hits or shakes the child: yes/no | |
Relationships with relatives; B-CAMHS 2004, 11-16 year olds only | |
[C*] Perceived social support (range 0-14), using seven questions from the 1985 Health and Lifestyle Survey (Cox, et al., 1987).† | |
[C] Number of close relatives inside the home | |
[C] Number of close relatives outside the home | |
[C] How often child helps relatives: under once a month; once a month; once a week; daily. | |
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Outcomes | Externalising problems |
[P] Parent externalising SDQ score | |
[T] Teacher externalising SDQ score |
[P]=parent-reported; [T]=teacher-reported; [C]=child-reported; [A]=formal assessment; [I]=investigator-assigned.
=continuous variables.
=Further information in Electronic Appendix