{"id":"https://openalex.org/W7224090277","doi":"https://doi.org/10.1111/jcpp.70260","title":"Widening educational inequalities for young people attending child and adolescent mental health services: a longitudinal cohort study","display_name":"Widening educational inequalities for young people attending child and adolescent mental health services: a longitudinal cohort study","publication_year":2026,"publication_date":"2026-10-28","ids":{"openalex":"https://openalex.org/W7224090277","doi":"https://doi.org/10.1111/jcpp.70260","pmid":"https://pubmed.ncbi.nlm.nih.gov/42949553"},"language":"en","primary_location":{"id":"doi:10.1111/jcpp.70260","doi":"https://doi.org/10.1111/jcpp.70260","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jcpp.70260","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.70260","source":{"id":"https://openalex.org/S177929781","display_name":"Journal of Child Psychology and Psychiatry","issn_l":"0021-9630","issn":["0021-9630","1469-7610"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Child Psychology and Psychiatry","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.70260","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030384114","display_name":"Kirstie O\u2019Hare","orcid":"https://orcid.org/0000-0002-1166-9792","observed_orcids":["https://orcid.org/0000-0002-1166-9792"]},"institutions":[{"id":"https://openalex.org/I31746571","display_name":"UNSW Sydney","ror":"https://ror.org/03r8z3t63","country_code":"AU","type":"education","lineage":["https://openalex.org/I31746571"]},{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["AU","GB"],"is_corresponding":false,"raw_author_name":"Kirstie O'Hare","raw_affiliation_strings":["Discipline of Psychiatry and Mental Health University of New South Wales  Sydney NSW Australia","Institute for Neuroscience and Cardiovascular Research, The University of Edinburgh  Edinburgh UK"],"raw_orcid":"https://orcid.org/0000-0002-1166-9792","affiliations":[{"raw_affiliation_string":"Discipline of Psychiatry and Mental Health University of New South Wales  Sydney NSW Australia","institution_ids":["https://openalex.org/I31746571"]},{"raw_affiliation_string":"Institute for Neuroscience and Cardiovascular Research, The University of Edinburgh  Edinburgh UK","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006443751","display_name":"Jasmin Wertz","orcid":"https://orcid.org/0000-0002-1332-8617","observed_orcids":["https://orcid.org/0000-0002-1332-8617"]},"institutions":[{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Jasmin Wertz","raw_affiliation_strings":["Department of Psychology The University of Edinburgh  Edinburgh UK"],"raw_orcid":"https://orcid.org/0000-0002-1332-8617","affiliations":[{"raw_affiliation_string":"Department of Psychology The University of Edinburgh  Edinburgh UK","institution_ids":["https://openalex.org/I98677209"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091033225","display_name":"Louise Marryat","orcid":"https://orcid.org/0000-0002-6093-4679","observed_orcids":["https://orcid.org/0000-0002-6093-4679"]},"institutions":[{"id":"https://openalex.org/I7882870","display_name":"University of Glasgow","ror":"https://ror.org/00vtgdb53","country_code":"GB","type":"education","lineage":["https://openalex.org/I7882870"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Louise Marryat","raw_affiliation_strings":["School of Health and Wellbeing University of Glasgow  Glasgow UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Health and Wellbeing University of Glasgow  Glasgow UK","institution_ids":["https://openalex.org/I7882870"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069810909","display_name":"Ian Kelleher","orcid":"https://orcid.org/0000-0003-1484-651X","observed_orcids":["https://orcid.org/0000-0003-1484-651X"]},"institutions":[{"id":"https://openalex.org/I100930933","display_name":"University College Dublin","ror":"https://ror.org/05m7pjf47","country_code":"IE","type":"education","lineage":["https://openalex.org/I100930933"]},{"id":"https://openalex.org/I98381234","display_name":"University of Oulu","ror":"https://ror.org/03yj89h83","country_code":"FI","type":"education","lineage":["https://openalex.org/I98381234"]},{"id":"https://openalex.org/I98677209","display_name":"University of Edinburgh","ror":"https://ror.org/01nrxwf90","country_code":"GB","type":"education","lineage":["https://openalex.org/I98677209"]}],"countries":["FI","GB","IE"],"is_corresponding":true,"raw_author_name":"Ian Kelleher","raw_affiliation_strings":["Faculty of Medicine University of Oulu  Oulu Finland","Institute for Neuroscience and Cardiovascular Research, The University of Edinburgh  Edinburgh UK","School of Medicine University College Dublin  Dublin Ireland","St John of God Hospitaller Services Group  Dublin Ireland"],"raw_orcid":"https://orcid.org/0000-0003-1484-651X","affiliations":[{"raw_affiliation_string":"Faculty of Medicine University of Oulu  Oulu Finland","institution_ids":["https://openalex.org/I98381234"]},{"raw_affiliation_string":"Institute for Neuroscience and Cardiovascular Research, The University of Edinburgh  Edinburgh UK","institution_ids":["https://openalex.org/I98677209"]},{"raw_affiliation_string":"School of Medicine University College Dublin  Dublin Ireland","institution_ids":["https://openalex.org/I100930933"]},{"raw_affiliation_string":"St John of God Hospitaller Services Group  Dublin Ireland","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":4,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5069810909"],"corresponding_institution_ids":["https://openalex.org/I100930933","https://openalex.org/I98381234","https://openalex.org/I98677209"],"apc_list":{"value":4530,"currency":"USD","value_usd":4530},"apc_paid":{"value":4530,"currency":"USD","value_usd":4530},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87395602,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.5156000256538391,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.5156000256538391,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10023","display_name":"Schizophrenia research and treatment","score":0.062300000339746475,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.059300001710653305,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/educational-attainment","display_name":"educational attainment","score":0.6779999732971191},{"id":"https://openalex.org/keywords/child-and-adolescent-mental-health-services","display_name":"child and adolescent mental health services","score":0.8830000162124634},{"id":"https://openalex.org/keywords/educational-inequality","display_name":"educational inequality","score":0.6389999985694885},{"id":"https://openalex.org/keywords/school-failure","display_name":"school failure","score":0.4749999940395355},{"id":"https://openalex.org/keywords/severe-mental-illness","display_name":"severe mental illness","score":0.6179999709129333},{"id":"https://openalex.org/keywords/socioeconomic-deprivation","display_name":"socioeconomic deprivation","score":0.7269999980926514},{"id":"https://openalex.org/keywords/inpatient-and-outpatient-care","display_name":"inpatient and outpatient care","score":0.6029999852180481},{"id":"https://openalex.org/keywords/cohort-trends","display_name":"cohort trends","score":0.44699999690055847}],"concepts":[{"id":"https://openalex.org/C2779297142","wikidata":"https://www.wikidata.org/wiki/Q3276412","display_name":"Educational attainment","level":2,"score":0.6926000118255615},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.6430000066757202},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6100999712944031},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.5702999830245972},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5566999912261963},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5169000029563904},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.5138000249862671},{"id":"https://openalex.org/C2992592004","wikidata":"https://www.wikidata.org/wiki/Q83900","display_name":"Birth certificate","level":3,"score":0.4408000111579895},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.415800005197525},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4153999984264374},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.3986999988555908},{"id":"https://openalex.org/C96865113","wikidata":"https://www.wikidata.org/wiki/Q2946816","display_name":"Certificate","level":2,"score":0.37380000948905945},{"id":"https://openalex.org/C16991392","wikidata":"https://www.wikidata.org/wiki/Q7432156","display_name":"School Certificate","level":2,"score":0.36070001125335693},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35740000009536743},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.35280001163482666},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3240000009536743},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3199999928474426},{"id":"https://openalex.org/C2781206393","wikidata":"https://www.wikidata.org/wiki/Q2748419","display_name":"Academic achievement","level":2,"score":0.28220000863075256},{"id":"https://openalex.org/C192091488","wikidata":"https://www.wikidata.org/wiki/Q3048982","display_name":"Cohort effect","level":3,"score":0.27950000762939453},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2768999934196472},{"id":"https://openalex.org/C142210648","wikidata":"https://www.wikidata.org/wiki/Q1266546","display_name":"Record linkage","level":3,"score":0.2630999982357025},{"id":"https://openalex.org/C52130261","wikidata":"https://www.wikidata.org/wiki/Q39825","display_name":"Census","level":3,"score":0.2574999928474426},{"id":"https://openalex.org/C183627027","wikidata":"https://www.wikidata.org/wiki/Q6858819","display_name":"Millennium Cohort Study (United States)","level":3,"score":0.25459998846054077}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1111/jcpp.70260","doi":"https://doi.org/10.1111/jcpp.70260","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jcpp.70260","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.70260","source":{"id":"https://openalex.org/S177929781","display_name":"Journal of Child Psychology and Psychiatry","issn_l":"0021-9630","issn":["0021-9630","1469-7610"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Child Psychology and Psychiatry","raw_type":"journal-article"},{"id":"pmid:42949553","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42949553","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of child psychology and psychiatry, and allied disciplines","raw_type":"Journal Article"},{"id":"pmh:oai:eprints.gla.ac.uk:397486","doi":null,"is_oa":true,"landing_page_url":"https://eprints.gla.ac.uk/view/author/16935.html>","pdf_url":"https://eprints.gla.ac.uk/397486/1/397486.pdf","source":{"id":"https://openalex.org/S4210235606","display_name":"ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)","issn_l":"2622-8912","issn":["2622-8912","2622-8920"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj"],"host_organization":"https://openalex.org/I4405259220","host_organization_name":"Institut Agama Islam Negeri Langsa","host_organization_lineage":["https://openalex.org/I4405259220"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"0021-9630","raw_type":"Articles"}],"best_oa_location":{"id":"doi:10.1111/jcpp.70260","doi":"https://doi.org/10.1111/jcpp.70260","is_oa":true,"landing_page_url":"https://doi.org/10.1111/jcpp.70260","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jcpp.70260","source":{"id":"https://openalex.org/S177929781","display_name":"Journal of Child Psychology and Psychiatry","issn_l":"0021-9630","issn":["0021-9630","1469-7610"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Child Psychology and Psychiatry","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9923999905586243},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.9629999995231628},{"id":"https://metadata.un.org/sdg/4","display_name":"Quality education","score":0.6164000034332275}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320320241","display_name":"Academy of Medical Sciences","ror":"https://ror.org/00c489v88"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224090277.pdf","grobid_xml":"https://content.openalex.org/works/W7224090277.grobid-xml"},"referenced_works_count":43,"referenced_works":["https://openalex.org/W789812234","https://openalex.org/W1937968196","https://openalex.org/W1981183221","https://openalex.org/W1982972636","https://openalex.org/W1993637068","https://openalex.org/W2038732840","https://openalex.org/W2055684807","https://openalex.org/W2060363472","https://openalex.org/W2097572674","https://openalex.org/W2108510859","https://openalex.org/W2119750097","https://openalex.org/W2128536211","https://openalex.org/W2146899779","https://openalex.org/W2168083059","https://openalex.org/W2489918957","https://openalex.org/W2607003505","https://openalex.org/W2623656794","https://openalex.org/W2725369960","https://openalex.org/W2767455776","https://openalex.org/W2783055366","https://openalex.org/W2793108862","https://openalex.org/W2802103850","https://openalex.org/W2921377366","https://openalex.org/W2982028900","https://openalex.org/W3006582935","https://openalex.org/W3013219780","https://openalex.org/W3043292142","https://openalex.org/W3094797321","https://openalex.org/W3110289926","https://openalex.org/W3122440903","https://openalex.org/W3209932881","https://openalex.org/W4210366542","https://openalex.org/W4220973238","https://openalex.org/W4225272129","https://openalex.org/W4230098450","https://openalex.org/W4283817301","https://openalex.org/W4388409512","https://openalex.org/W4388968765","https://openalex.org/W4406716317","https://openalex.org/W4409737528","https://openalex.org/W4416041506","https://openalex.org/W4417182379","https://openalex.org/W7137346344"],"related_works":["https://openalex.org/W7167496445","https://openalex.org/W7140121121","https://openalex.org/W3185119924","https://openalex.org/W2980920423","https://openalex.org/W4205593088","https://openalex.org/W4309580506","https://openalex.org/W4383533644","https://openalex.org/W2990962718","https://openalex.org/W4387150575","https://openalex.org/W7162257638"],"abstract_inverted_index":{"BACKGROUND:":[0],"A":[1],"'mortality":[2],"gap'":[3,15],"is":[4,38,259,300],"well-documented":[5],"in":[6,19,30,34,84,172,179,201,251,254,263],"individuals":[7,83],"with":[8,21,114],"severe":[9],"mental":[10,56],"illness":[11],"but":[12],"an":[13,301],"'education":[14],"emerges":[16],"much":[17],"earlier":[18],"life,":[20],"major":[22],"long-term":[23],"consequences.":[24],"While":[25],"educational":[26,252,264,293],"attainment":[27,253,265],"has":[28],"improved":[29],"most":[31],"high-income":[32],"countries":[33],"recent":[35],"decades,":[36],"it":[37],"unknown":[39],"whether":[40,134],"these":[41],"improvements":[42,250],"have":[43],"narrowed":[44],"the":[45,71,99,122,135,152,155,163,173,180,255,292],"education":[46],"gap":[47,214,262],"for":[48,78,218,223],"young":[49,112,158,267,296],"people":[50,113,159,185,268,297],"who":[51,186],"attend":[52],"child":[53],"and":[54,89,91,115,132,140,235,271,304],"adolescent":[55],"health":[57,306],"services":[58],"(CAMHS).":[59],"METHODS:":[60],"This":[61],"nationwide,":[62],"longitudinal":[63],"cohort":[64,81,176],"study":[65],"used":[66],"linked":[67],"administrative":[68],"data":[69],"from":[70,170],"Secure":[72],"Anonymised":[73],"Information":[74],"Linkage":[75],"(SAIL)":[76],"databank":[77],"a":[79,260],"large":[80],"of":[82,102,157,295],"Wales":[85],"born":[86],"between":[87,111,137,266],"1992":[88],"2003":[90],"followed":[92],"to":[93,142,161,177,194,196,276,282,289],"2019.":[94],"We":[95,120],"compared":[96],"performance":[97],"on":[98,287],"General":[100],"Certificate":[101],"Secondary":[103],"Education":[104],"(GCSE)":[105],"exams,":[106],"taken":[107],"at":[108],"age":[109],"16,":[110],"without":[116],"prior":[117],"CAMHS":[118,138,224,236,270,299],"contact.":[119],"divided":[121],"population":[123],"into":[124],"two":[125],"sequential":[126],"birth":[127],"cohorts":[128,203],"(1992-1997":[129],"vs":[130],"1998-2003)":[131],"tested":[133],"association":[136],"contact":[139],"failure":[141,275],"achieve":[143,162,197],"key":[144],"GCSE":[145,165,219],"thresholds":[146],"changed":[147],"over":[148,216],"time.":[149],"RESULTS:":[150],"In":[151],"total":[153],"population,":[154,257],"proportion":[156],"failing":[160],"basic":[164,278],"level":[166,198],"one":[167,199],"threshold":[168],"fell":[169],"6.9%":[171],"older":[174],"(1992-1997)":[175],"3.7%":[178],"younger":[181],"(1998-2003)":[182],"cohort.":[183],"Young":[184],"attended":[187],"CAMHS,":[188],"however,":[189],"were":[190],"significantly":[191],"more":[192],"likely":[193],"fail":[195],"GCSEs":[200],"both":[202,222],"(aOR":[204],"=":[205,209,228,232,240,244],"4.28,":[206],"95%":[207,230,242],"CI":[208,231,243],"4.08,":[210],"4.48).":[211],"Critically,":[212],"this":[213],"widened":[215],"time":[217],"Level-1":[220],"attainment,":[221],"outpatients":[225],"(interaction":[226,238],"aOR":[227,239],"1.30,":[229],"1.20,":[233],"1.40)":[234],"inpatients":[237],"1.80,":[241],"1.47,":[245],"2.19).":[246],"CONCLUSIONS:":[247],"Despite":[248],"overall":[249],"general":[256],"there":[258],"growing":[261],"accessing":[269],"their":[272],"peers.":[273],"The":[274],"attain":[277],"qualifications":[279],"may":[280],"lead":[281],"lifelong":[283],"socioeconomic":[284],"disadvantage.":[285],"Research":[286],"how":[288],"effectively":[290],"address":[291],"needs":[294],"attending":[298],"urgent":[302],"economic":[303],"public":[305],"issue.":[307]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-29T00:00:00"}