Key Health Data for the West Midlands 2004
Table 2.1: Factors which increase the risk of child poverty and its associated adverse outcomes
Drivers | ||
Demography | Lone parenthood | |
Teenage parenthood | ||
Fertility rate variation by socio-economic group | ||
Families with 3 or more children | ||
Certain ethnic minority groups especially Pakistani and Black African / Carribean | ||
Asylum seekers | ||
Parents with ill health and disability | ||
Unemployment / Economic inactivity/ Worklessness | ||
Labour Market | Low Pay | |
Dispersion of earnings (young vs old, skilled vs less skilled, private vs public sectors) | ||
Part time and temporary work | ||
Lack of affordable and appropriate childcare | ||
Social Policy | Low proportion of GDP collected by state | |
More regressive taxation | ||
Less progressive taxation | ||
Lower spending on social protection for children | ||
Cash benefits linked to prices rather than earnings | ||
Restricted entitlement to social assistance | ||
Benefits in kind (health, education, social care) benefit more affluent than those in poverty | ||
Failure to regulate or intervene where market provision has failed eg childcare, housing, inverse care law in public services, food deserts, | ||
Child poverty | ||
Low family income | ||
No savings / assets / marketable wealth | ||
Homelessness | ||
Debt | ||
Routes of transmission | ||
Individual capacities, vulnerabilities | Children with poor health and disability | |
Looked after children | ||
Children with Special Education Needs | ||
Family | Family dysfunction | |
Low psychological capital: low levels of parental interest and support especially emotional and educational support | ||
Cultural capital: level of parental education, TV viewing habits, physical activity patterns, aspirations etc | ||
Low social capital: Restricted social networks | ||
Divorce and relationship breakdown | ||
Neighbourhood | Ward deprivation | |
Unaffordability, low availability and poor quality of housing | ||
Lack of local services eg launderette, food deserts, public transport, leisure services, etc | ||
High crime | ||
Child Outcomes | ||
Physical | Morbidity | Low Birth Weight |
Accidents | ||
Childhood Obesity | ||
Dental illhealth | ||
Mortality | Child mortality | |
Stillbirths | ||
Perinatal mortality | ||
Neonatal mortality | ||
Infant mortality | ||
Child accident mortality | ||
Educational | Educational attainment | |
Behavioural | Teenage pregnancy | |
Exclusion from school | ||
Emotional / Mental | Conduct disorder | |
Suicide mortality in young people | ||
Adult Outcomes | Premature mortality in men | |
Mortality from stroke and stomach cancer | ||
Mortality from CHD and respiratory disease | ||
Adult obesity | ||
Periodontal disease and tooth decay |
Source: Bradshaw et al (2004) The Drivers of Social Exclusion. A review of the literature for the Social Exclusion Unit in the Breaking the Cycle series. ODPM, London | ||
Source: Bradshaw J (2001) Poverty: the outcomes for children. ESRC, FPFC, SPRU. Family Policy Studies Centre. London |
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© Department of Public Health and Epidemiology, University of Birmingham