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Adolescent conduct problems and premature mortality: follow-up to age 65 years in a national birth cohort
BACKGROUND: Severe youth antisocial behaviour has been associated with increased risk of premature mortality in high-risk samples for many years, and some evidence now points to similar effects in representative samples. We set out to assess the prospective association between adolescent conduct pro...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948505/ https://www.ncbi.nlm.nih.gov/pubmed/23962416 http://dx.doi.org/10.1017/S0033291713001402 |
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author | Maughan, B. Stafford, M. Shah, I. Kuh, D. |
author_facet | Maughan, B. Stafford, M. Shah, I. Kuh, D. |
author_sort | Maughan, B. |
collection | PubMed |
description | BACKGROUND: Severe youth antisocial behaviour has been associated with increased risk of premature mortality in high-risk samples for many years, and some evidence now points to similar effects in representative samples. We set out to assess the prospective association between adolescent conduct problems and premature mortality in a population-based sample of men and women followed to the age of 65 years. METHOD: A total of 4158 members of the Medical Research Council National Survey of Health and Development (the British 1946 birth cohort) were assessed for conduct problems at the ages of 13 and 15 years. Follow-up to the age of 65 years via the UK National Health Service Central Register provided data on date and cause of death. RESULTS: Dimensional measures of teacher-rated adolescent conduct problems were associated with increased hazards of death from cardiovascular disease by the age of 65 years in men [hazard ratio (HR) 1.17, 95% confidence interval (CI) 1.04–1.32], and of all-cause and cancer mortality by the age of 65 years in women (all-cause HR 1.16, 95% CI 1.07–1.25). Adjustment for childhood cognition and family social class did little to attenuate these risks. Adolescent conduct problems were not associated with increased risks of unnatural/substance-related deaths in men or women in this representative sample. CONCLUSIONS: Whereas previous studies of high-risk delinquent or offender samples have highlighted increased risks of unnatural and alcohol- or substance abuse-related deaths in early adulthood, we found marked differences in mortality risk from other causes emerging later in the life course among women as well as men. |
format | Online Article Text |
id | pubmed-3948505 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-39485052014-03-12 Adolescent conduct problems and premature mortality: follow-up to age 65 years in a national birth cohort Maughan, B. Stafford, M. Shah, I. Kuh, D. Psychol Med Original Articles BACKGROUND: Severe youth antisocial behaviour has been associated with increased risk of premature mortality in high-risk samples for many years, and some evidence now points to similar effects in representative samples. We set out to assess the prospective association between adolescent conduct problems and premature mortality in a population-based sample of men and women followed to the age of 65 years. METHOD: A total of 4158 members of the Medical Research Council National Survey of Health and Development (the British 1946 birth cohort) were assessed for conduct problems at the ages of 13 and 15 years. Follow-up to the age of 65 years via the UK National Health Service Central Register provided data on date and cause of death. RESULTS: Dimensional measures of teacher-rated adolescent conduct problems were associated with increased hazards of death from cardiovascular disease by the age of 65 years in men [hazard ratio (HR) 1.17, 95% confidence interval (CI) 1.04–1.32], and of all-cause and cancer mortality by the age of 65 years in women (all-cause HR 1.16, 95% CI 1.07–1.25). Adjustment for childhood cognition and family social class did little to attenuate these risks. Adolescent conduct problems were not associated with increased risks of unnatural/substance-related deaths in men or women in this representative sample. CONCLUSIONS: Whereas previous studies of high-risk delinquent or offender samples have highlighted increased risks of unnatural and alcohol- or substance abuse-related deaths in early adulthood, we found marked differences in mortality risk from other causes emerging later in the life course among women as well as men. Cambridge University Press 2014-04 2013-08-21 /pmc/articles/PMC3948505/ /pubmed/23962416 http://dx.doi.org/10.1017/S0033291713001402 Text en © Cambridge University Press 2013 The online version of this article is published within an Open Access environment subject to the conditions of the Creative Commons Attribution licence <http://creativecommons.org/licenses/by/3.0/. |
spellingShingle | Original Articles Maughan, B. Stafford, M. Shah, I. Kuh, D. Adolescent conduct problems and premature mortality: follow-up to age 65 years in a national birth cohort |
title | Adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
title_full | Adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
title_fullStr | Adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
title_full_unstemmed | Adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
title_short | Adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
title_sort | adolescent conduct problems and premature mortality: follow-up to age 65
years in a national birth cohort |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948505/ https://www.ncbi.nlm.nih.gov/pubmed/23962416 http://dx.doi.org/10.1017/S0033291713001402 |
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