Maternal depression and primary healthcare use for children: a population-based cohort study in Denmark.
child
depressive disorder
general practice
mothers
primary health care
Journal
The British journal of general practice : the journal of the Royal College of General Practitioners
ISSN: 1478-5242
Titre abrégé: Br J Gen Pract
Pays: England
ID NLM: 9005323
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
received:
23
05
2018
accepted:
08
07
2018
pubmed:
19
12
2018
medline:
2
1
2020
entrez:
19
12
2018
Statut:
ppublish
Résumé
Depression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness. This study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring. A population-based birth cohort study in Danish primary care using Danish national registers. All Danish children born between 1 January 2000 and 31 December 2013 ( Maternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19-24% more positive infectious-related tests were found in this group. Exposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.
Sections du résumé
BACKGROUND
BACKGROUND
Depression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness.
AIM
OBJECTIVE
This study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring.
DESIGN AND SETTING
METHODS
A population-based birth cohort study in Danish primary care using Danish national registers.
METHOD
METHODS
All Danish children born between 1 January 2000 and 31 December 2013 (
RESULTS
RESULTS
Maternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19-24% more positive infectious-related tests were found in this group.
CONCLUSION
CONCLUSIONS
Exposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.
Identifiants
pubmed: 30559112
pii: bjgp18X700733
doi: 10.3399/bjgp18X700733
pmc: PMC6400607
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e182-e189Commentaires et corrections
Type : CommentIn
Informations de copyright
© British Journal of General Practice 2019.
Références
Am J Public Health. 2000 Apr;90(4):602-7
pubmed: 10754976
Eur Arch Psychiatry Clin Neurosci. 2002 Oct;252(5):201-9
pubmed: 12451460
JAMA. 2003 Jun 18;289(23):3095-105
pubmed: 12813115
Pediatrics. 2004 Jun;113(6):e523-9
pubmed: 15173532
Dev Psychopathol. 2004 Spring;16(2):231-52
pubmed: 15487594
Arch Dis Child. 2007 Jan;92(1):24-8
pubmed: 16966339
N Engl J Med. 1991 Aug 29;325(9):606-12
pubmed: 1713648
JAMA. 2006 Dec 6;296(21):2582-9
pubmed: 17148723
Pediatrics. 2007 Apr;119(4):e829-36
pubmed: 17403826
J Affect Disord. 2008 Apr;107(1-3):247-53
pubmed: 17869346
J Affect Disord. 2008 May;108(1-2):147-57
pubmed: 18067974
Can Fam Physician. 2008 Dec;54(12):1718-1719.e5
pubmed: 19074718
BJOG. 2009 Nov;116(12):1568-77
pubmed: 19681852
J Abnorm Child Psychol. 2010 Jan;38(1):105-17
pubmed: 19693663
BMC Public Health. 2010 Dec 31;10:799
pubmed: 21194453
Scand J Public Health. 2011 Jul;39(7 Suppl):8-10
pubmed: 21775344
Scand J Public Health. 2011 Jul;39(7 Suppl):22-5
pubmed: 21775345
Scand J Public Health. 2011 Jul;39(7 Suppl):34-7
pubmed: 21775348
Scand J Public Health. 2011 Jul;39(7 Suppl):38-41
pubmed: 21775349
Scand J Public Health. 2011 Jul;39(7 Suppl):54-7
pubmed: 21775352
Scand J Public Health. 2011 Jul;39(7 Suppl):12-6
pubmed: 21898916
J Am Board Fam Med. 2012 Mar;25 Suppl 1:S34-8
pubmed: 22403249
Paediatr Perinat Epidemiol. 2013 Jan;27(1):81-8
pubmed: 23215715
Am J Epidemiol. 2013 Nov 1;178(9):1394-402
pubmed: 24013202
Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):3-12
pubmed: 24140480
Eur J Gen Pract. 2014 Sep;20(3):233-7
pubmed: 24654834
J Affect Disord. 2014 Aug;164:112-7
pubmed: 24856563
Med Clin North Am. 2014 Sep;98(5):981-1005
pubmed: 25134869
Epidemiology. 2015 Jan;26(1):79-84
pubmed: 25322321
BMC Pregnancy Childbirth. 2014 Oct 25;14:369
pubmed: 25343848
Psychoneuroendocrinology. 2015 Feb;52:251-60
pubmed: 25544737
J Affect Disord. 2015 Mar 15;174:424-31
pubmed: 25553403
PLoS One. 2015 Mar 26;10(3):e0121459
pubmed: 25811851
Pediatr Allergy Immunol. 2015 Dec;26(8):765-71
pubmed: 26235785
PLoS One. 2015 Oct 06;10(10):e0140197
pubmed: 26439627
Am J Epidemiol. 2016 Aug 1;184(3):199-210
pubmed: 27407085
Ann Allergy Asthma Immunol. 2017 Jan;118(1):55-60.e1
pubmed: 28007088
BMC Fam Pract. 2017 Mar 14;18(1):34
pubmed: 28292257
JAMA Psychiatry. 2017 Jul 1;74(7):740-746
pubmed: 28538981
PLoS One. 2017 Aug 28;12(8):e0182817
pubmed: 28846691
Br J Gen Pract. 2018 Feb;68(667):e97-e104
pubmed: 29335326
JAMA. 1996 Jul 24-31;276(4):293-9
pubmed: 8656541