Birth order and socioeconomic disadvantage predict behavioural and emotional problems at age 3 years.
inequity
mental health
pre-school children
prevention
single parent
young parents
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
12 2021
12 2021
Historique:
revised:
04
08
2021
received:
09
06
2021
accepted:
01
09
2021
pubmed:
5
9
2021
medline:
15
12
2021
entrez:
4
9
2021
Statut:
ppublish
Résumé
The aim of this study was to describe sociodemographic and family predictors for behavioural and emotional problems in pre-schoolers. This was a cross-sectional study including 30,795 children in the Stockholm region whose parents had completed the Strength and Difficulties Questionnaire (SDQ) prior to a routine visit to a well-baby clinic at age 3 years. Multivariate logistic regression was used to analyse predictors for having a high total SDQ difficulties score. Young parental age and a low level of parental education predicted high total SDQ score in a stepwise pattern. Being a first-born child was associated with a high SDQ score with an adjusted odds ratio of 2.10 (95% C.I. 1.84-2.41), compared with having older siblings. A sole physical custody arrangement predicted a high total SDQ score after parental separation. The percentage of children with a high total SDQ score increased with the Care Need Index (CNI) of the well-baby clinic. This study identified socioeconomic disadvantage and being the first-born child as the main predictors of poor mental health at age 3 years. Well-baby clinics with socioeconomically disadvantaged catchment areas should be provided with adequate resources and methods for equitable prevention.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3294-3301Subventions
Organisme : Knut och Alice Wallenbergs Stiftelse
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2014-0843
Informations de copyright
© 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.
Références
Bremberg S. Mental health problems are rising more in Swedish adolescents than in other Nordic countries and the Netherlands. Acta Paediatr. 2015;104(10):997-1004.
The National Board of Health and Welfare. Psykiatrisk vård och behandling till barn och unga. Öppna jämförelser 2019. [Psychiatric care and treatment for children and youth. Open comparisons 2019]. The National Board of Health and Welfare; 2019.
Wallby T, Hjern A. Child health care uptake among low-income and immigrant families in a Swedish county. Acta Paediatr. 2011;100(11):1495-1503.
Massoudi P, Wickberg B, Hwang P. Screening for postnatal depression in Swedish child health care. Acta Paediatr. 2007;96(6):897-901.
The National Board of Health and Welfare. Vägedning för Barnhälsovården [Guidelines for Preventive Child Health Care]. The National Board of Health and Welfare; 2014.
Goldfeld S. The potential of proportionate universal health services. Acta Paediatr. 2020;109(9):1700-1702.
Dahlberg A, Falt E, Ghaderi A, Sarkadi A, Salari R. Swedish norms for the strengths and difficulties questionnaire for children 3-5 years rated by parents and preschool teachers. Scand J Psychol. 2020;61(2):253-261.
Statistics Sweden. Care Need Index (CNI). Statistics Sweden; 2021.
Steele E, Wong E, Karahalios A, et al. The influence of social disadvantage on children's emotional and behavioral at age 4-7 years. J Pediatr. 2015;167(2):442-448.
Kirby N, Wright B, Allgar V. Child mental health and resilience in the context of socioeconomic disadvantage: results from the born in Bradford cohort study. Eur Child Adolesc Psychiatry. 2020;29(4):467-477.
Pryor L, Strandberg-Larsen K, Nybo Andersen AM, Hulvej Rod N, Melchior M. Trajectories of family poverty and children's mental health: results from the Danish national birth cohort. Soc Sci Med. 2019;220:371-378.
Mazza JR, Lambert J, Zunzunegui MV, Tremblay RE, Boivin M, Cote SM. Early adolescence behavior problems and timing of poverty during childhood: a comparison of lifecourse models. Soc Sci Med. 2017;177:35-42.
Seguin L, Nikiema B, Gauvin L, Zunzunegui MV, Xu Q. Duration of poverty and child health in the Quebec longitudinal study of child development: longitudinal analysis of a birth cohort. Pediatrics. 2007;119(5):e1063-e1070.
Rostila M, Saarela J, Kawachi I. Birth order and suicide in adulthood: evidence from Swedish population data. Am J Epidemiol. 2014;179(12):1450-1457.
Lawson DW, Mace R. Trade-offs in modern parenting: a longitudinal study of sibling competition for parental care. Evol Human Behav. 2009;30(3):170-183.
Prime H, Plamondon A, Jenkins JM. Birth order and preschool children's cooperative abilities: a within-family analysis. Br J Dev Psychol. 2017;35(3):392-405.
Lawson DW, Mace R. Siblings and childhood mental health: evidence for a later-born advantage. Soc Sci Med. 2010;70(12):2061-2069.
Fukuya Y, Fujiwara T, Isumi A, Doi S, Ochi M. Association of birth order with mental health problems, self-esteem, resilience, and happiness among children: results from a-child study. Front Psychiatry. 2021;12:638088.
Strohschein L, Gauthier A, Campbell R, Kleparchuk C. Parenting as a dynamic process: a test of the resource dilution hypothesis. J Marriage Fam. 2008;70:670-683.
Carballo JJ, Garcia-Nieto R, Alvarez-Garcia R, et al. Sibship size, birth order, family structure and childhood mental disorders. Soc Psychiatry Psychiatr Epidemiol. 2013;48(8):1327-1333.
Tucker CJ, McHale SM, Crouter AC. Links between older and younger adolescent siblings’ adjustment: the moderating role of shared activities. Int J Behav Dev. 2008;32(2):152-160.
Chaplin TM, Aldao A. Gender differences in emotion expression in children: a meta-analytic review. Psychol Bull. 2013;139(4):735-765.
Owens J. Early childhood behavior problems and the gender gap in educational attainment in the United States. Sociol Educ. 2016;89(3):236-258.
Bergstrom M, Fransson E, Fabian H, Hjern A, Sarkadi A, Salari R. Preschool children living in joint physical custody arrangements show less psychological symptoms than those living mostly or only with one parent. Acta Paediatr. 2018;107(2):294-300.
Bergström M, Salari R, Hjern A, Hognäs R, Bergqvist K, Fransson E. Importance of living arrangements and coparenting quality for young children’s mental health after parental divorce: a cross-sectional parental survey. BMJ Paediatrics Open. 2021;5(1):e000657.
Hjern A. Migration and public health: health in Sweden: the national public health report 2012. chapter 13. Scand J Public Health. 2012;40(9 Suppl):255-267. https://doi.org/10.1177/1403494812459610
Hjern A, Rajmil L, Bergstrom M, Berlin M, Gustafsson PA, Modin B. Migrant density and well-being-a national school survey of 15-year-olds in Sweden. Eur J Public Health. 2013;23(5):823-828.
Hjern A, Wicks S, Dalman C. Social adversity contributes to high morbidity in psychoses in immigrants-a national cohort study in two generations of Swedish residents. Psychol Med. 2004;34(6):1025-1033.
Goldfeld S, Price A, Smith C, et al. Nurse home visiting for families experiencing adversity: a randomized trial. Pediatrics. 2019;43(1):e20181206.
Barboza M, Marttila A, Burstrom B, Kulane A. Contributions of preventive social services in early childhood home visiting in a disadvantaged area of Sweden: the practice of the parental advisor. Qual Health Res. 2021;31(8):1380-1391.