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Child Poverty and Children Entering Care: A Natural Experiment Using Longitudinal Area-Level Data in England, 2015-2020

30 Pages Posted: 22 Dec 2021

See all articles by Davara L. Bennett

Davara L. Bennett

University of Liverpool - Department of Public Health, Policy and Systems

Daniela K. Schlüter

University of Liverpool - Department of Public Health, Policy and Systems

Gabriella Melis

University of Liverpool - Department of Public Health, Policy and Systems

Paul Bywaters

University of Huddersfield - Centre for Applied Childhood, Youth, and Family Research

Ben Barr

University of Liverpool - Department of Public Health, Policy and Systems

Sophie Wickham

University of Liverpool - Department of Public Health, Policy and Systems

David C. Taylor-Robinson

University of Liverpool - Department of Public Health, Policy and Systems

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Abstract

Background: Children in care face adverse health outcomes through the life-course, relative to their peers. In England, over the past decade, the stark rise in their number has coincided with rising child poverty, a key risk factor for children entering care. Our aim in this study was to assess the contribution of recent trends in child poverty to trends in care entry.

Methods: In this longitudinal ecological study of 147 local authorities between 2015 and 2020, we linked data from the Department for Work and Pensions and HM Revenue & Customs on the proportion of children under 16 living in families with income less than 60% median income, with Department for Education data on rates of children under 16 entering care. Using within-between regression models, and controlling for employment trends, we estimated the contribution of changing child poverty rates to changing care entry rates within areas.

Findings: Between 2015 and 2020 and controlling for employment rates, a 1% increase in child poverty was associated with 5 additional children entering care per 100,000 (95% CI 2–8). We estimate that, over the study period, 8.1% (5.0%–11.3%) of care entries were linked to rising child poverty, equivalent to 10,356 (95% CI 6,443–14,579) additional children.

Interpretation: This study offers evidence that rising child poverty rates are contributing to an increase in children entering care. Children’s exposure to poverty creates and compounds adversity, driving poor health and social outcomes in later life. National anti-poverty policies are key to tackling adverse trends in care entry in England.

Funding: DB, BB and DT-R are funded by the National Institute for Health Research (NIHR) School for Public Health Research (SPHR), Grant Reference Number PD-SPH-2015. DS and GM are funded by the NIHR Public Health Policy Research Unit (PR-PRU-1217-20901). DS is additionally funded by the Swedish Research Council (FORTE) (Grant No. 2020-00274). SW is funded by a Wellcome Trust Society and Ethics Research Fellowship (200335/Z/15/Z). DT-R is also funded by the Medical Research Council (MRC) on a Clinician Scientist Fellowship (MR/P008577/1). BB is also supported by the National Institute for Health Research Applied Research Collaboration North West Coast (ARC NWC). The views expressed in this publication are those of the authors and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care, MRC or Wellcome Trust. The funders of the study had no role in study design, data collection, data analysis, data interpretation, or the writing of the report.

Declaration of Interest: None to declare.

Keywords: Public health, Child welfare, Out-of-home care, socioeconomic conditions

Suggested Citation

Bennett, Davara L. and Schlüter, Daniela K. and Melis, Gabriella and Bywaters, Paul and Barr, Ben and Wickham, Sophie and Taylor-Robinson, David C., Child Poverty and Children Entering Care: A Natural Experiment Using Longitudinal Area-Level Data in England, 2015-2020. Available at SSRN: https://ssrn.com/abstract=3972210 or http://dx.doi.org/10.2139/ssrn.3972210

Davara L. Bennett (Contact Author)

University of Liverpool - Department of Public Health, Policy and Systems ( email )

Liverpool, L69 3GB
United Kingdom

Daniela K. Schlüter

University of Liverpool - Department of Public Health, Policy and Systems

Liverpool, L69 3GB
United Kingdom

Gabriella Melis

University of Liverpool - Department of Public Health, Policy and Systems

Liverpool, L69 3GB
United Kingdom

Paul Bywaters

University of Huddersfield - Centre for Applied Childhood, Youth, and Family Research ( email )

Queensgate
Huddersfield HD1 3DH, HD1 3DH
United Kingdom

Ben Barr

University of Liverpool - Department of Public Health, Policy and Systems ( email )

Liverpool, L69 3GB
United Kingdom

Sophie Wickham

University of Liverpool - Department of Public Health, Policy and Systems ( email )

David C. Taylor-Robinson

University of Liverpool - Department of Public Health, Policy and Systems

Liverpool, L69 3GB
United Kingdom

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