Quality of Life Research

, Volume 22, Issue 1, pp 203–211 | Cite as

The influence of parental education on child mental health in Spain

  • Michela Sonego
  • Alicia Llácer
  • Iñaki Galán
  • Fernando Simón
Article

Abstract

Purpose

To analyze the association between parental education and offspring’s mental health in a nationally representative Spanish sample, and assess the contribution of other socioeconomic factors to the association.

Methods

We conducted a secondary analysis of data on 4- to 15-year-olds participating in the 2006 Spanish National Health Survey. Mental health was assessed using the parent-reported Strengths & Difficulties Questionnaire. Parents’ respective educational levels were summarized in a single variable. Univariate and multivariate analyses, controlling for family-, child- and parent-related characteristics, were used to study the association.

Results

The final sample comprised 5,635 children. A strong association between parental education and parent-reported child mental health was observed among 4- to 11-year-olds, with odds ratios (ORs) increasing as parental educational level decreased. Where both parents had a sub-university level, maternal education showed a stronger association than did paternal education. Following adjustment for covariates, parental education continued to be the strongest risk factor for parent-reported child mental health problems, OR = 3.7 (95% CI 2.4–5.8) for the lowest educational level, but no association was found among 12- to 15-year-olds. Male sex, immigrant status, activity limitation, parent’s poor mental health, low social support, poor family function, single-parent families, low family income and social class were associated with parent-reported child mental health problems in both age groups.

Conclusions

Our results show that there is a strong association between parental education and parent-reported child mental health, and that this is indeed stronger than that for income and social class. Among adolescents, however, the effect of parental education would appear to be outweighed by other factors.

Keywords

Children Adolescents Mental Health Parental education Spain 

References

  1. 1.
    Ravens-Sieberer, U., Wille, N., Erhart, M., Nickel, J., Richter, M. (2008). Socioeconomic inequalities in mental health among adolescents in Europe. In: Social cohesion for mental well-being among adolescents. pp 26–42. Copenhagen, WHO Regional Office for Europe Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/84623/E91921.pdf. Accessed 24 June 2011.
  2. 2.
    Dashiff, C., DiMicco, W., Myers, B., & Sheppard, K. (2009). Poverty and adolescent mental health. Journal of Child and Adolescent Psychiatric Nursing, 22(1), 23–32.PubMedCrossRefGoogle Scholar
  3. 3.
    Davis, E., Sawyer, M. G., Lo, S. K., Priest, N., & Wake, M. (2010). Socioeconomic risk factors for mental health problems in 4–5-year-old children: Australian population study. Academic Pediatrics, 10(1), 41–47.PubMedCrossRefGoogle Scholar
  4. 4.
    Kalff, A. C., Kroes, M., Vles, J. S., Bosma, H., Feron, F. J., Hendriksen, J. G., et al. (2001). Factors affecting the relation between parental education as well as occupation and problem behaviour in Dutch 5- to 6-year-old children. Social Psychiatry and Psychiatric Epidemiology, 36(7), 324–331.PubMedCrossRefGoogle Scholar
  5. 5.
    von Rueden, U., Gosch, A., Rajmil, L., Bisegger, C., Ravens-Sieberer, U., the European KIDSCREEN group. (2006). Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. Journal of Epidemiology and Community Health, 60(2), 130–135.CrossRefGoogle Scholar
  6. 6.
    Ezpeleta, L., Granero, R., de la Osa, N., & Doménech, J. (2008). Risk factor clustering for psychopathology in socially at-risk Spanish children. Social Psychiatry and Psychiatric Epidemiology, 43(7), 559–568.PubMedCrossRefGoogle Scholar
  7. 7.
    Fabregat, E., & Palomares, M. J. (2009). Cribado de problemas psicosociales en Atención Primaria [screening for psychosocial problems in primary care]. Revista Pediatría de Atención Primaria, julio/sept, 2009, 425–437.Google Scholar
  8. 8.
    Rajmil, L., Lopez-Aguila, S., Mompart, A., Medina, A., Rodríguez, M., & Brugulat, P. (2010). Desigualdades sociales en la salud mental infantil en Cataluña [Socio-economic inequalities in children’s mental health in Catalonia]. Anales de Pediatría, 73(5), 233–240.PubMedCrossRefGoogle Scholar
  9. 9.
    Moreno, C., Rivera, F., Ramos, P., Muñoz-Tiñoco, V., Sánchez-Queija, I., Granado-Alcón, C. (2008). Spain: social context and psychological adjustment in Spanish adolescents. In: Social cohesion for mental well-being among adolescents. pp 198–208. Copenhagen, WHO Regional Office for Europe WHO/HBSC Forum Available from: http://www.euro.who.int/__data/assets/pdf_file/0005/84623/E91921.pdf. Accessed 24 June 2011.
  10. 10.
    Encuesta Nacional de Salud 2006. Metodología detallada.[2006 National Health Survey. Detailed methodology]. (2008). INE (Instituto Nacional de Estadística) Available from: http://www.ine.es/jaxi/menu.do?L=0&type=pcaxis&path=%2Ft15/p419&file=inebase. Accessed 18 February 2011.
  11. 11.
    Goodman, R. (2009). SDQ. Information for researchers and professionals about the Strengths & Difficulties Questionnaires. In: Youth in mind Available from: http://www.sdqinfo.org/. Accessed 8 August 2011.
  12. 12.
    Goodman, R., Ford, T., Simmons, H., Gatward, R., & Meltzer, H. (2000). Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. The British Journal of Psychiatry, 177(6), 534–539.PubMedCrossRefGoogle Scholar
  13. 13.
    Rodríguez Hernández, P. J. (2006). Trastornos psiquiátricos infantiles de etiología neurobiológica y su despistaje en Atención Primaria. [child psychiatric disorders of neurobiological etiology and their screening in primary care]. Canarias Pediátrica, 30(1), 9–18.Google Scholar
  14. 14.
    Goldberg, D. P., Gater, R., Sartorius, N., Ustun, T. B., Piccinelli, M., Gureje, O., et al. (1997). The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychological Medicine, 27(1), 191–197.PubMedCrossRefGoogle Scholar
  15. 15.
    Smilkstein, G. (1978). The family APGAR: a proposal for a family function test and its use by physicians. Journal of Family Practice, 6(6), 1231–1239.PubMedGoogle Scholar
  16. 16.
    Broadhead, W. E., Gehlbach, S. H., de Gruy, F. V., & Kaplan, B. H. (1988). The duke-UNC functional social support questionnaire. Measurement of social support in family medicine patients. Medical Care, 26(7), 709–723.PubMedCrossRefGoogle Scholar
  17. 17.
    Buhmann, B., Rainwater, L., Schmaus, G., & Smeeding, T. M. (1988). Equivalence scales, well-being, inequality, and poverty: Sensitivity estimates across ten countries using the Luxembourg Income Study (LIS) database. Review of Income Wealth, 34(2), 115–142.CrossRefGoogle Scholar
  18. 18.
    Domingo-Salvany, A., Regidor, E., Alonso, y. C. J., Àlvarez-Dardet, J., Borrell, C., Doz, E., et al. (2000). Una propuesta de medida de clase social [Proposal for a social class measure]. Atención Primaria, 25(5), 132–363.Google Scholar
  19. 19.
    Ravens-Sieberer, U., Wille, N., Erhart, M., Bettge, S., Wittchen, H. U., Rothenberger, A., et al. (2008). Prevalence of mental health problems among children and adolescents in Germany: Results of the BELLA study within the national health interview and examination survey. European Child and Adolescent Psychiatry, 17(Suppl 1), 22–33.PubMedCrossRefGoogle Scholar
  20. 20.
    Rajmil, L., Palacio-Vieira, J. A., Herdman, M., Lopez-Aguila, S., Villalonga-Olives, E., Valderas, J. M., et al. (2009). Effect on health-related quality of life of changes in mental health in children and adolescents. Health Quality of Life Outcomes, 7, 103.CrossRefGoogle Scholar
  21. 21.
    Velez, G. R., Lopez, A. S., & Rajmil, L. (2009). Gender and self-perceived health in childhood and adolescence in Spain. Gaceta Sanitaria, 23(5), 433–439.CrossRefGoogle Scholar
  22. 22.
    Van Roy, B., Groholt, B., Heyerdahl, S., & Clench-Aas, J. (2010). Understanding discrepancies in parent-child reporting of emotional and behavioural problems: Effects of relational and socio-demographic factors. BMC Psychiatry, 10, 56.PubMedCrossRefGoogle Scholar
  23. 23.
    Mansbach-Kleinfeld, I., Apter, A., Farbstein, I., Levine, S., & Poznizovsky, A. (2010). A population-based psychometric validation study of the Strengths and Difficulties Questionnaire-Hebrew version. Frontiers in Psychiatry, 2, 1–12.Google Scholar
  24. 24.
    Wille, N., Bettge, S., Wittchen, H. U., & Ravens-Sieberer, U. (2008). How impaired are children and adolescents by mental health problems? Results of the BELLA study. European Child and Adolescent Psychiatry, 17(Suppl 1), 42–51.PubMedCrossRefGoogle Scholar
  25. 25.
    Chalasani, S. (2007). The changing relationship between parents’ education and their time with children. electronic International Journal of Time Use Research 4(1):93–117. Available from: http://ideas.repec.org/a/leu/journl/2007vol4p93-117.html. Accessed 6 June 2011.Google Scholar
  26. 26.
    Guryan, J., Hurst, I., & Kearney, M. (2008). Parental education and parental time with children. Journal of Economic Perspectives, 22(3), 23–46.CrossRefGoogle Scholar
  27. 27.
    Cuidado de hijos menores de 14 años. In: Mujeres y hombres en España. Empleo del tiempo, conciliación trabajo y familia.[Care of children under 14 years. In: Women and Men in Spain. Use of time, reconciling work and family]. (2011). INE (Instituto Nacional de Estadística) Available from: http://www.ine.es/ss/Satellite?L=0&c=INESeccion_C&cid=1259925472720&p=1254735110672&pagename=ProductosYServicios%2FPYSLayout&param3=1259924822888. Accessed 14 April 2011.
  28. 28.
    West, P. (1997). Health inequalities in the early years: Is there equalisation in youth? Social Science and Medicine, 44(6), 833–858.PubMedCrossRefGoogle Scholar
  29. 29.
    Chen, E., Martin, A. D., & Matthews, K. A. (2006). Socioeconomic status and health: do gradients differ within childhood and adolescence? Social Science and Medicine, 62(9), 2161–2170.PubMedCrossRefGoogle Scholar
  30. 30.
    Spencer, N. J. (2006). Social equalization in youth: Evidence from a cross-sectional British survey. European Journal of Public Health, 16(4), 368–375.PubMedCrossRefGoogle Scholar
  31. 31.
    Gifford-Smith, M., Dodge, K. A., Dishion, T. J., & McCord, J. (2005). Peer influence in children and adolescents: Crossing the bridge from developmental to intervention science. Journal of Abnormal Child Psychology, 33(3), 255–265.PubMedCrossRefGoogle Scholar
  32. 32.
    Kohn, L., Kittel, F., & Piette, D. (2004). Peer, family integration and other determinants of cannabis use among teenagers. International Journal of Adolescent Medicine and Health, 16(4), 359–370.PubMedCrossRefGoogle Scholar
  33. 33.
    Goodman, E., Huang, B., Wade, T. J., & Kahn, R. S. (2003). A multilevel analysis of the relation of socioeconomic status to adolescent depressive symptoms: does school context matter? Journal of Pediatrics, 143(4), 451–456.PubMedCrossRefGoogle Scholar
  34. 34.
    Iannotti, R. J., Janssen, I., Haug, E., Kololo, H., Annaheim, B., & Borraccino, A. (2009). Interrelationships of adolescent physical activity, screen-based sedentary behaviour, and social and psychological health. International Journal of Public Health, 54(Suppl 2), 191–198.PubMedCrossRefGoogle Scholar
  35. 35.
    Schneiders, J., Drukker, M., van der Ende, J., Verhulst, F. C., van Os, J., & Nicolson, N. A. (2003). Neighbourhood socioeconomic disadvantage and behavioural problems from late childhood into early adolescence. Journal of Epidemiology and Community Health, 57(9), 699–703.PubMedCrossRefGoogle Scholar
  36. 36.
    Goodman, A., Joyce, R., & Smith, J. P. (2011). The long shadow cast by childhood physical and mental problems on adult life. Proceedings of the National Academy of Sciences of the USA, 108(15), 6032–6037.PubMedCrossRefGoogle Scholar
  37. 37.
    Mari-Klose, P., Mari-Klose, M., Granados, F., Gómez-Granell, C., Martínez, A. (2009). Informe de la inclusión social en España. [Report on social inclusion in Spain.]. Barcelona, Fundació Caixa Catalunya.Google Scholar
  38. 38.
    Bradley, R. H., & Corwyn, R. F. (2002). Socioeconomic status and child development. Annual Review of Psychology, 53(1), 371–399.PubMedCrossRefGoogle Scholar
  39. 39.
    Loeber, R., Hipwell, A., Battista, D., Sembower, M., & Stouthamer-Loeber, M. (2009). Intergenerational transmission of multiple problem behaviors: prospective relationships between mothers and daughters. Journal of Abnormal Child Psychology, 37(8), 1035–1048.PubMedCrossRefGoogle Scholar
  40. 40.
    Chassin, L., Pitts, S. C., DeLucia, C., & Todd, M. (1999). A longitudinal study of children of alcoholics: predicting young adult substance use disorders, anxiety, and depression. Journal of Abnormal Psychology, 108(1), 106–119.PubMedCrossRefGoogle Scholar
  41. 41.
    Achenbach, T. M., McConaughy, S. H., & Howell, C. T. (1987). Child/adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity. Psychological Bulletin, 101(2), 213–232.PubMedCrossRefGoogle Scholar
  42. 42.
    Najman, J. M., Williams, G. M., Nikles, J., Spence, S., Bor, W., O’Callaghan, M., et al. (2000). Mothers’ mental illness and child behavior problems: Cause-effect association or observation bias? Journal of the American Academy of Child and Adolescent Psychiatry, 39(5), 592–602.PubMedCrossRefGoogle Scholar
  43. 43.
    Kiss, E., Gentzler, A. M., George, C., Kapornai, K., Tamas, Z., Kovacs, M., et al. (2007). Factors influencing mother-child reports of depressive symptoms and agreement among clinically referred depressed youngsters in Hungary. Journal of Affective Disorders, 100(1–3), 143–151.PubMedCrossRefGoogle Scholar
  44. 44.
    Ordway, M. R. (2011). Depressed mothers as informants on child behavior: Methodological issues. Research in Nursing and Health, 34(6), 520–532.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Michela Sonego
    • 1
  • Alicia Llácer
    • 2
  • Iñaki Galán
    • 3
  • Fernando Simón
    • 2
  1. 1.Field Epidemiology Training Program, National Centre for EpidemiologyCarlos III Institute of HealthMadridSpain
  2. 2.National Centre for EpidemiologyCarlos III Institute of Health, Consortium for Biomedical Research in Epidemiology & Public Health (CIBER en epidemiología y Salud Pública-CIBERESP)MadridSpain
  3. 3.National Centre for EpidemiologyCarlos III Institute of HealthMadridSpain

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