Restricted accessResearch articleFirst published online 2025
Factors Related to Mental Health of 11- to 17-Year-Old Adolescent Low-Birth-Weight Survivors in the United States: Application of Multiple Disadvantage Model
This study examined factors in adolescent low-birth-weight survivors’ mental health problems. This research applied data of 1,657 adolescent low-birth-weight survivors extracted from the 2021 National Survey of Children’s Health. Logistic regression results indicated that the likelihood of adolescent low-birth-weight survivors’ mental health problems was associated negatively with Hispanic adolescents and caregivers’ mental health. Such likelihood was associated positively with relative caregivers, nonrelative caregivers, the difficulty of parenting the adolescent, the adolescent’s difficulty with peers, the adolescent’s chronic health condition(s), family mental health problem, and professional support. The conclusion included that these adolescents’ mental health problems were mainly related to relationships with caregivers and peers, their own health problems, and family members’ mental health. Implications of the present findings included interventions promoting adolescents’ access to continuous health care, effective parenting, parents’ mental health, and adolescents’ social skills with peers.
BaidenP.LabrenzC. A.HarrellD. R.WoodB. M.GobodzoE. C.BaidenJ. F.MetsV. E.HagedornA.HowryS. K. (2024). Exposure to neighborhood violence and suicidal thoughts and behaviors among adolescents in the USA: Findings from a population-based study. School Mental Health, 16(1), 225–238. https://doi.org/10.1007/s12310-023-09627-5
2.
BerkR. A. (1983). An introduction to simple selection bias in sociological data. American Sociological Review, 48(3), 386–398.
3.
BotelleroV. L.SkranesJ.BjulandK. J.HabergA. K.LydersenS.BrubakkA. M.IndredavikM. S.MartinussenM. (2017). A longitudinal study of associations between psychiatric symptoms and disorders and cerebral gray matter volumes in adolescents born very preterm. BMC Pediatrics, 17, Article 45. https://doi.org/10.1186/s12887-017-0793-0
4.
BrokampC.BeckA. F.GoyalN. K.RyanP.GreenbergJ. M.HallE. S. (2019). Material community deprivation and hospital utilization during the first year of life: An urban population-based cohort study. Annals of Epidemiology, 30, 37–43. https://doi.org/10.1016/j.annepidem.2018.11.008
5.
Center for Disease Control and Prevention. (2024). Preterm.
6.
Centers for Medicare & Medicaid Services. (2023a). CHIP eligibility.
7.
Centers for Medicare & Medicaid Services. (2023b). Medicaid & CHIP: The Children Health Insurance Program (CHIP).
8.
Centers for Medicare & Medicaid Services. (2023c). Medicaid eligibility.
9.
ChengT. C.LiQ. (2017). Adolescent delinquency in child welfare system: A multiple disadvantage model. Children and Youth Service Review, 73, 205–212.
10.
ChengT. C.LoC. C. (2016). Racial disparities in children’s health: A longitudinal analysis of mothers based on the Multiple Disadvantage Model. Journal of Community Health, 41(4), 753–760. https://doi.org/10.1007/s10900-016-0149-y
11.
ChengT. C.LoC. C. (2017). Social risk and protective factors in adolescents’ reduction and cessation of alcohol use. Substance Use & Misuse, 52(7), 916–928.
12.
ChengT. C.LoC. C. (2022). Factors related to immigrant/nonimmigrant children’s experience of being bullied: An analysis using the Multiple Disadvantage Model. Community Mental Health Journal, 58(4), 689–700. https://doi.org/10.1007/s10597-021-00873-y
13.
ChengT. C.LoC. C. (2023). Testing the multiple disadvantage model of health with ethnic Asian children: A secondary data analysis. International Journal of Environmental Research and Public Health, 20(1), 483. https://www.mdpi.com/1660-4601/20/1/483
14.
ChengT. C.LoC. C. (2024a). Factors contributing to the health of 0- to 5-year-old low-birth-weight children in the United States: Application of the multiple disadvantage model. European Journal of Investigation in Health Psychology and Education, 14(1), 203–214. https://doi.org/10.3390/ejihpe14010013
15.
ChengT. C.LoC. C. (2024b). Health of children in low-income families: A Multiple Disadvantage Model. Journal of Poverty, 28(7), 607–621. https://doi.org/10.1080/10875549.2023.2259883
16.
ChengT. C.LoC. C. (2024c). Factors contributed to bully victimization among 6 to 13-year-old children cared by parents or relative/non-relative caregivers: A multiple disadvantage model. Families in Society, 105(4), 587–603. https://doi.org/10.1177/10443894231182496
17.
ChengT. C.RobinsonM. A. (2013). Factors leading African Americans and Black Caribbeans to use social work services for treating mental and substance use disorders. Health & Social Work, 38(2), 99–109. https://doi.org/10.1093/hsw/hlt005
18.
DooleyN.ClarkeM.CotterD.CannonM. (2022). Birth weight and childhood psychopathology in the ABCD cohort: Association is strongest for attention problems and is moderated by sex. Research on Child and Adolescent Psychopathology, 50(5), 563–575. https://doi.org/10.1007/s10802-021-00859-0
19.
DooleyN.HealyC.CotterD.ClarkeM.CannonM. (2023). The persistent effects of foetal growth on child and adolescent mental health: Longitudinal evidence from a large population-based cohort. European Child & Adolescent Psychiatry, 32(10), 2067–2076. https://doi.org/10.1007/s00787-022-02045-z
20.
DukoB.PereiraG.BettsK.TaitR. J.NewnhamJ.AlatiR. (2021). Prenatal alcohol and tobacco use and the risk of depression in offspring at age of 17 years: Findings from the Raine Study. Journal of Affective Disorders, 279, 426–433. https://doi.org/10.1016/j.jad.2020.10.030
21.
FevangS. K. E.RoiselandM. A.BircowE. I.MariaV.MariH. (2023). Symptoms and antecedents of autism in children born extremely premature: A national population-based study. European Child & Adolescent Psychiatry, 32(9), 1579–1588. https://doi.org/10.1007/s00787-022-01953-4
22.
FrazierJ. A.CochranD.KimS.JalnapurkarI.JosephR. M.HooperS. R.SantosH. P.RuH. Y.VenutiL.SinghR.WashburnL. K.GogcuS.MsallM. E.KubanK. C. K.RollinsJ. V.HansonS. G.JaraH.PastyrnakS. L.RoellK. R., . . . ELGAN Study Investigators. (2022). Psychiatric outcomes, functioning, and participation in extremely low gestational age newborns at age 15 years. Journal of the American Academy of Child and Adolescent Psychiatry, 61(7), 892–904. https://doi.org/10.1016/j.jaac.2021.12.008
23.
GuessT. J. (2006). The social construction of whiteness: Racism by intent, racism by consequence [Article]. Critical Sociology, 32(4), 649–673. https://doi.org/10.1163/156916306779155199
24.
IndredavikM. S.VikT.EvensenK. A. I.SkranesJ.TaraldsenG.BrubakkA. M. (2010). Perinatal risk and psychiatric outcome in adolescents born preterm with very low birth weight or term small for gestational age. Journal of Developmental and Behavioral Pediatrics, 31(4), 286–294. https://doi.org/10.1097/DBP.0b013e3181d7b1d3
25.
KediaS. K.SchmidtM.DillonP. J.ArshadH.YuX. (2021). Substance use treatment in Appalachian Tennessee amid COVID-19: Challenges and preparing for the future. Journal of Substance Abuse Treatment, 124, 108270. https://doi.org/10.1016/j.jsat.2020.108270
26.
KoponenA. M.NissinenN. M.GisslerM.Autti-RämöI.SarkolaT.KahilaH. (2020). Prenatal substance exposure, adverse childhood experiences and diagnosed mental and behavioral disorders—A longitudinal register-based matched cohort study in Finland. SSM-Population Health, 11, Article 100625. https://doi.org/10.1016/j.ssmph.2020.100625
27.
LeifheitK. M.SchwartzG. L.PollackC. E.EdinK. J.BlackM. M.JenningsJ. M.AlthoffK. N. (2020). Severe housing insecurity during pregnancy: Association with adverse birth and infant outcomes. International Journal of Environmental Research and Public Health, 17(22), Article 8659. https://doi.org/10.3390/ijerph17228659
28.
LiQ.ChengC. T. (2017). New evidence in physical violent behaviors among school-aged children: A multiple disadvantages model. Children and Youth Services Review, 81, 301–308.
29.
LimK. X.LiuC. Y.SchoelerT.CecilC. A. M.BarkerE. D.VidingE.GrevenC. U.PingaultJ. B. (2018). The role of birth weight on the causal pathway to child and adolescent ADHD symptomatology: A population-based twin differences longitudinal design. Journal of Child Psychology and Psychiatry, 59(10), 1036–1043. https://doi.org/10.1111/jcpp.12949
30.
LoC. C.HowellR. J.ChengT. C. (2013). Explaining Black-White differences in homicide victimization. Aggression and Violent Behavior, 18, 125–134. https://doi.org/10.1016/j.avb.2012.11.006
31.
LoC. C.HowellR. J.ChengT. C. (2015). Racial disparities in age at time of homicide victimization: A test of the multiple disadvantage model. Journal of Interpersonal Violence, 30(1), 152–167. https://doi.org/10.1177/0886260514532720
32.
LovemanM. (1999). Is “race” essential? Comment. American Sociological Review, 64(6), 891–898. https://doi.org/10.2307/2657409
33.
MathewsonK. J.BrookC. A.SaigalS.Van LieshoutR. J.SchmidtL. A. (2023). Dynamic changes in postnatal growth predict adolescent mental health problems in survivors of extremely low birth weight (ELBW). Development and Psychopathology, 36(3), 1356–1372. https://doi.org/10.1017/s0954579423000573
34.
McAndrewS.AcharyaK.WesterdahlJ.BrousseauD. C.PanepintoJ. A.SimpsonP.LeuthnerJ.LagattaJ. M. (2019). A prospective study of parent health-related quality of life before and after discharge from the neonatal intensive care unit. Journal of Pediatrics, 213, 38–45. https://doi.org/10.1016/j.jpeds.2019.05.067
35.
McConnellD.BreitkreuzR.SavageA. (2011). From financial hardship to child difficulties: Main and moderating effects of perceived social support. Child Care Health and Development, 37(5), 679–691. https://doi.org/10.1111/j.1365-2214.2010.01185.x
36.
McKelveyL. M.Whiteside-MansellL.BradleyR. H.CaseyP. H.Conners-BurrowN. A.BarrettK. W. (2011). Growing up in violent communities: Do family conflict and gender moderate impacts on adolescents’ psychosocial development?Journal of Abnormal Child Psychology, 39(1), 95–107. https://doi.org/10.1007/s10802-010-9448-4
37.
MolloyC. S.Di BattistaA. M.AndersonV. A.BurnettA.LeeK. J.RobertsG.CheongJ. L.AndersonP. J.DoyleL. W. (2017). The contribution of visual processing to academic achievement in adolescents born extremely preterm or extremely low birth weight. Child Neuropsychology, 23(3), 361–379. https://doi.org/10.1080/09297049.2015.1118024
38.
NassarR.KaczkurkinA. N.XiaC. H.SotirasA.PehlivanovaM.MooreT. M.de La GarzaA. G.RoalfD. R.RosenA. F. G.LorchS. A.RuparelK.ShinoharaR. T.DavatzikosC.GurR. C.GurR. E.SatterthwaiteT. D. (2019). Gestational age is dimensionally associated with structural brain network abnormalities across development. Cerebral Cortex, 29(5), 2102–2114. https://doi.org/10.1093/cercor/bhy091
39.
NilsenW. (2007). Fostering futures: A preventive intervention program for school-age children in foster care. Clinical Child Psychology and Psychiatry, 12(1), 45–63. https://doi.org/10.1177/1359104507071055
40.
OstermanM. J. K.HamiltonB. E.MartinJ. A.DriscollA. K.ValenzuelaC. P. (2024). Births: Final data for 2022. National Center for Health Statistics.
41.
SandovalV. S.JacksonA.SaleebyE.SmithL.SchickedanzA. (2021). Associations between prenatal food insecurity and prematurity, pediatric health care utilization, and postnatal social needs. Academic Pediatrics, 21(3), 455–461. https://doi.org/10.1016/j.acap.2020.11.020
42.
SavoyC.Van LieshoutR. J. (2022). Prenatal programming of depression: Cumulative risk or mismatch in the Ontario Child Health Study?Journal of Developmental Origins of Health and Disease, 13(1), 75–82 ArticlePiis2040174421000064. https://doi.org/10.1017/s2040174421000064
43.
ShinS. H. (2005). Need for and actual use of mental health service by adolescents in the child welfare system. Children and Youth Services Review, 27(10), 1071–1083. https://doi.org/10.1016/j.childyouth.2004.12.027
44.
SomhovdM. J.EsbjornB. H.HansenB. M.GreisenG. (2018). Extremely prematurely born adolescents self-report of anxiety symptoms, and the mothers’ reports on their offspring. Acta Paediatrica, 107(3), 456–461. https://doi.org/10.1111/apa.14077
45.
TwilhaarE. S.De KievietJ. F.Van ElburgR. M.OosterlaanJ. (2020). Neurocognitive processes underlying academic difficulties in very preterm born adolescents. Child Neuropsychology, 26(2), 274–287. https://doi.org/10.1080/09297049.2019.1639652
46.
U.S. Bureau of Census. (2021). 2021 National Survey of Children’s Health: Methodology report.
47.
U.S. Department of Health & Human Services. (2022). Who’s eligible for medicaid.
48.
Van LieshoutR. J.BoylanK. (2010). Increased depressive symptoms in female but not male adolescents born at low birth weight in the offspring of a national cohort. Canadian Journal of Psychiatry-Revue Canadienne de Psychiatrie, 55(7), 422–430. https://doi.org/10.1177/070674371005500705
49.
WhitakerA. H.FeldmanJ. F.LorenzJ. M.McNicholasF.FisherP. W.ShenS.Pinto-MartinJ.ShafferD.PanethN. (2011). Neonatal head ultrasound abnormalities in preterm infants and adolescent psychiatric disorders. Archives of General Psychiatry, 68(7), 742–752. https://doi.org/10.1001/archgenpsychiatry.2011.62
50.
WoolhouseH.BrownS.KrastevA.PerlenS.GunnJ. (2009). Seeking help for anxiety and depression after childbirth: Results of the Maternal Health Study. Archives of Womens Mental Health, 12(2), 75–83. https://doi.org/10.1007/s00737-009-0049-6
51.
YatesR.TreyvaudK.DoyleL. W.UreA.CheongJ. L. Y.LeeK. J.InderT. E.Spencer-SmithM.AndersonP. J. (2020). Rates and stability of mental health disorders in children born very preterm at 7 and 13 years. Pediatrics, 145(5), Article e20192699. https://doi.org/10.1542/peds.2019-2699
