Child poverty and children entering care in England, 2015-20: a longitudinal ecological study at the local area level

Bennett, Davara L, Schluter, Daniela K, Melis, Gabriella ORCID: 0000-0001-7532-2563, Bywaters, Paul, Alexiou, Alex ORCID: 0000-0003-3533-3238, Barr, Ben ORCID: 0000-0002-4208-9475, Wickham, Sophie and Taylor-Robinson, David ORCID: 0000-0002-5828-7724
(2022) Child poverty and children entering care in England, 2015-20: a longitudinal ecological study at the local area level. LANCET PUBLIC HEALTH, 7 (6). E496-E503.

Access the full-text of this item by clicking on the Open Access link.


<h4>Background</h4>Children in care face adverse health outcomes throughout their life course compared with their peers. In England, over the past decade, the stark rise in the number of cared-for children has coincided with rising child poverty, a key risk factor for children entering care. We aimed to assess the contribution of recent trends in child poverty to trends in care entry.<h4>Methods</h4>In this longitudinal, ecological study of 147 local authorities in England, we linked data from the Department for Work and Pensions and HM Revenue & Customs on the proportion of children younger than 16 years living in families with income less than 60% of the contemporary national median income, before housing costs, with Department for Education data on rates of children younger than 16 years entering care. Using within-between regression models, and controlling for employment trends, we estimated the association of changing child poverty rates with changing care entry rates within different areas. Our primary outcome was the annual rate of children younger than 16 years starting to be looked after by local authorities in England.<h4>Findings</h4>Between 2015 and 2020, controlling for employment rates, a 1 percentage point increase in child poverty was associated with an additional five children entering care per 100 000 children (95% CI 2-8). We estimate that, over the study period, 8·1% of the total number of children under the age of 16 entering care (5·0-11·3) were linked to rising child poverty, equivalent to 10 351 (6447-14 567) additional children.<h4>Interpretation</h4>We report evidence that rising child poverty rates might be 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 children's care entry in England.<h4>Funding</h4>National Institute for Health Research (NIHR) School for Public Health Research, NIHR Public Health Policy Research Unit, Swedish Research Council, Wellcome Trust, Medical Research Council, and NIHR Applied Research Collaboration North West Coast.

Item Type: Article
Uncontrolled Keywords: Humans, Risk Factors, Poverty, Child, Income, England, Child Poverty
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Population Health
Depositing User: Symplectic Admin
Date Deposited: 06 Jun 2022 08:35
Last Modified: 14 Mar 2024 22:32
DOI: 10.1016/s2468-2667(22)00065-2
Open Access URL:
Related URLs: