# Associations between socio-economic status and household dysfunction in childhood and school-to-work trajectories: the mediating role of adolescent mental health problems

**Authors:** Samira de Groot, Lisette Wijbenga, Ute Bültmann, Benjamin C Amick, Sijmen A Reijneveld, Eliza L Korevaar, Jacomijn Hofstra, Andrea F de Winter, Karin Veldman

PMC · DOI: 10.1093/eurpub/ckaf253 · The European Journal of Public Health · 2026-02-02

## TL;DR

This study explores how childhood household dysfunction and socio-economic status affect young adults' school-to-work paths, finding that low parental SES strongly influences these outcomes.

## Contribution

The study identifies the specific impact of parental socio-economic status on school-to-work trajectories, independent of other household dysfunction factors.

## Key findings

- Low parental SES increases the likelihood of poor school-to-work trajectories in young adulthood.
- Parental divorce decreases the likelihood of early work trajectories in young adults.
- Adolescent mental health does not mediate the effects of household dysfunction on school-to-work outcomes.

## Abstract

Associations between household dysfunction in childhood and school-to-work trajectories throughout young adulthood were examined along with the mediating role of adolescent mental health problems. Data from 1134 participants in the Dutch prospective cohort TRacking Adolescents’ Individual Lives Survey (TRAILS) with 18-year follow-up were used. Factors of household dysfunction were assessed at age 11; (1) parental socio-economic status (SES), (2) parental mental health, and (3) parental divorce. Mental health was assessed at age 16. School-to-work trajectories from ages 20 to 28 were identified using sequence and hierarchical clustering analysis. Structural equation modelling was used to examine direct effects of household dysfunction on school-to-work trajectories, and the mediating role of mental health. Young adults with low parental SES backgrounds were more likely to follow trajectories of Neither in Education, Employment, nor Training or early work (adjusted odds ratio [aOR] 3.83, 95% confidence interval [CI] 2.24–6.54 and aOR 5.15, 95% CI 3.13–8.49, respectively) compared to a study to work trajectory. Young adults whose parents divorced in childhood were less likely to follow an early work trajectory, compared to a study to work trajectory (aOR 0.63, 95% CI 0.40–0.92). Parental mental health problems were not associated with school-to-work trajectories. Adolescent mental health did not mediate the associations between household dysfunction and school-to-work trajectories. Our study showed the importance of childhood parental SES, relative to other parental factors, for young adults’ school-to-work trajectories. More research in larger samples is needed to unravel the underlying mechanisms to better inform policy and practice.

## Full-text entities

- **Diseases:** mental health problems (MESH:D000076082), Mental health (OMIM:603663)

## Full text

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## Figures

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## References

40 references — full list in the complete paper: https://tomesphere.com/paper/PMC13017673/full.md

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Source: https://tomesphere.com/paper/PMC13017673