TY - JOUR
T1 - Collective Trauma and Mental Health Hospitalization Rates Among Children in New York State, 1999–2013
T2 - Age, Period, and Cohort Effects
AU - Liu, Sze Yan
AU - Lim, Sungwoo
N1 - Publisher Copyright:
Published 2020. This article is a U.S. Government work and is in the public domain in the USA
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Mental health hospitalization rates among U.S. children have been increasing locally and nationally in recent decades. Children in New York State (NYS) have also witnessed several collective traumatic events during the last two decades including the September 11, 2001, terrorist attacks (9/11), the Great Recession, and Hurricane Sandy (2012) and its aftermath. Decomposition of these rates into age, period, and cohort effects may help elucidate how large-scale collective traumatic events may be driving time trends. This study examined age–period–cohort effects in children and youth mental health hospitalizations in NYS from 1999–2013. Age effects followed a linear trend from age 5 years, B = −2.76, 95% CI [−3.48, −2.03)] up to age 15 years, B = 1.62, 95% CI [1.52, 1.73]. The largest period effects were noted in 2004, B = 0.36, 95% CI [0.28, 0.45], and in 2013, B = 0.31, 95% CI [0.15, 0.47], approximately 3 years after 9/11 and the Great Recession, respectively. The largest birth cohort effect was noted for children born in 1992–1995 (range: 0.29 for children born in 1992–0.27 for children born in 1995), suggesting that the birth cohorts who experienced the 9/11 attacks during middle childhood and the Great Recession during puberty are at increased risk of mental health hospitalizations compared to other birth cohorts.
AB - Mental health hospitalization rates among U.S. children have been increasing locally and nationally in recent decades. Children in New York State (NYS) have also witnessed several collective traumatic events during the last two decades including the September 11, 2001, terrorist attacks (9/11), the Great Recession, and Hurricane Sandy (2012) and its aftermath. Decomposition of these rates into age, period, and cohort effects may help elucidate how large-scale collective traumatic events may be driving time trends. This study examined age–period–cohort effects in children and youth mental health hospitalizations in NYS from 1999–2013. Age effects followed a linear trend from age 5 years, B = −2.76, 95% CI [−3.48, −2.03)] up to age 15 years, B = 1.62, 95% CI [1.52, 1.73]. The largest period effects were noted in 2004, B = 0.36, 95% CI [0.28, 0.45], and in 2013, B = 0.31, 95% CI [0.15, 0.47], approximately 3 years after 9/11 and the Great Recession, respectively. The largest birth cohort effect was noted for children born in 1992–1995 (range: 0.29 for children born in 1992–0.27 for children born in 1995), suggesting that the birth cohorts who experienced the 9/11 attacks during middle childhood and the Great Recession during puberty are at increased risk of mental health hospitalizations compared to other birth cohorts.
UR - http://www.scopus.com/inward/record.url?scp=85077863332&partnerID=8YFLogxK
U2 - 10.1002/jts.22449
DO - 10.1002/jts.22449
M3 - Article
C2 - 31930575
AN - SCOPUS:85077863332
SN - 0894-9867
VL - 33
SP - 824
EP - 834
JO - Journal of Traumatic Stress
JF - Journal of Traumatic Stress
IS - 5
ER -