Abstract
The purpose of this study is to examine the association of child mental health conditions and parent mental health status. This study used data from the 2007 National Survey of Children’s Health on 80,982 children ages 2–17. The presence of a child mental health condition was defined as a parent-reported diagnosis of at least one of seven child mental health conditions. Parent mental health was assessed via a 5-point scale. Logistic regression was used to assess the association of child mental health conditions and parent mental health status, while examining socioeconomic, parent, family, and community factors as potential effect modifiers and confounders of the association. 11.1% of children had a mental health condition (95% CI = 10.5–11.6). The prevalence of child mental health conditions increased as parent mental health status worsened. Race/ethnicity was the only significant effect modifier of the child-parent mental health association. After adjustment for confounders, the stratum-specific adjusted odds ratios (95% CI) of child mental health conditions related to a one-level decline in parent mental health were: 1.44 (1.35–1.55) for non-Hispanic whites, 1.24 (1.06–1.46) for non-Hispanic blacks, 1.04 (0.81–1.32) for Hispanics from non-immigrant families, 1.21 (0.96–1.93) for Hispanics from immigrant families, and 1.43 (1.21–1.70) for non-Hispanic otherrace children. The effect of parent mental health status on child mental health conditions was significant only among non-Hispanic children. Parent-focused interventions to prevent or improve child mental health conditions may be best targeted to the sub-populations for whom parent and child mental health are most strongly associated.
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References
US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. (2010). The mental and emotional well-being of children: A portrait of states and the nation 2007. Rockville, MD: US Department of Health and Human Services.
Merikangas, K. R., He, J. P., Burstein, M., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the national comorbidity survey replication—Adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.
Grupp-Phelan, J., Harman, J. S., & Kelleher, K. J. (2007). Trends in mental health and chronic condition visits by children presenting for care at U.S. emergency departments. Public Health Reports, 122(1), 55–61.
Kelleher, K. J., McInerny, T. K., Gardner, W. P., et al. (2000). Increasing identification of psychosocial problems: 1979–1996. Pediatrics, 105(6), 1313–1321.
Patel, V., Flisher, A. J., Hetrick, S., et al. (2007). Mental health of young people: A global public-health challenge. Lancet, 369(9569), 1302–1313.
Case, A., Fertig, A., & Paxson, C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24(2), 365–389.
Leckman, J. F. (2002). Tourette’s syndrome. Lancet, 360(9345), 1577–1586.
Saxena, S., Thornicroft, G., Knapp, M., et al. (2007). Resources for mental health: Scarcity, inequity, and inefficiency. Lancet, 370(9590), 878–889.
Washington Kids Count, Human Services Policy Center. (2003). Family matters: Mental health of children and parents. Seattle, Washington: Evans School of Public Health, University of Washington.
Hatton, C., & Emerson, E. (2009). Poverty and the mental health of families with a child with intellectual disabilities. Psychiatry, 8(11), 433–437.
Kim, H. H., Viner-Brown, S. I., & Garcia, J. (2007). Children’s mental health and family functioning in Rhode Island. Pediatrics, 119(Suppl 1), S22–S28.
Herring, S., Gray, K., Taffe, J., et al. (2006). Behaviour and emotional problems in toddlers with pervasive developmental disorders and developmental delay: Associations with parental mental health and family functioning. Journal of Intellectual Disability Research, 50(Pt 12), 874–882.
Lesesne, C. A., Visser, S. N., & White, C. P. (2003). Attention-deficit/hyperactivity disorder in school-aged children: association with maternal mental health and use of health care resources. Pediatrics, 111(5 Part 2), 1232–1237.
Daniels, J. L., Forssen, U., Hultman, C. M., et al. (2008). Parental psychiatric disorders associated with autism spectrum disorders in the offspring. Pediatrics, 121(5), e1357–e1362.
Beardslee, W. R., Versage, E. M., & Gladstone, T. R. G. (1998). Children of affectively ill parents: A review of the last 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 37(11), 1134–1141.
Biedel, D. C., & Turner, S. M. (1997). At risk for anxiety: I. Psychopathology in the offspring of anxious parents. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 918–924.
Cantor, R. M., & Geschwind, D. H. (2008). Schizophrenia: Genome, interrupted. Neuron, 58(2), 165–167.
Smalley, S. L. (1997). Genetic influences in childhood-onset psychiatric disorders: Autism and attention-deficit/hyperactivity disorder. American Journal of Human Genetics, 60(6), 1276–1282.
Hallmayer, J., Cleveland, S., Torres, A., et al. (2011). Genetic heritability and shared environmental factors among twin pairs with autism. Archives Genetic Psychiatry, E1–E8 (advance online publication).
Wille, N., Bettge, S., Ravens-Sieberer, U., et al. (2008). Risk and protective factors for children’s and adolescents’ mental health: results of the BELLA study. European Child and Adolescent Psychiatry, 17(Suppl 1), 133–147.
Croen, L. A., Grether, J. K., Yoshida, C. K., et al. (2011). Antidepressant use during pregnancy and childhood autism spectrum disorders. Archives Genetic Psychiatry, E1–E9 (advance online publication).
Blumberg, S. J., Foster, E. M., Frasier, A. M., et al. (in press). Design and operation of the National Survey of Children’s Health, 2007. Vital Health Statistics Series 1, 1–109. Draft retrieved from http://ftp.cdc.gov/pub/Health_Statistics/NCHS/slaits/nsch07/2_Methodology_Report/NSCH_Design_and_Operations_052109.pdf.
Granados, G., Puvvula, J., Berman, N., et al. (2001). Health care for Latino children: Impact of child and parental birthplace on insurance status and access to health services. American Journal of Public Health, 91(11), 1806–1807.
Singh, G. K., Kogan, M. D., & Dee, D. L. (2007). Nativity/immigrant status, race/ethnicity, and socioeconomic determinants of breastfeeding initiation and duration in the United States, 2003. Pediatrics, 119(Suppl 1), S38–S46.
Weathers, A. C., Minkovitz, C. S., Diener-West, M., et al. (2008). The effect of parental immigration authorization on health insurance coverage for migrant Latino children. Journal of Immigrant and Minority Health, 10(3), 247–254.
Weathers, A. C., Novak, S. P., Sastry, N., et al. (2008). Parental nativity affects children’s health and access to care. Journal of Immigrant and Minority Health, 10(2), 155–165.
Yu, S. M., Huang, Z. J., & Kogan, M. D. (2008). State-level health care access and use among children in US immigrant families. American Journal of Public Health, 98(11), 1996–2003.
Pedlow, S., Luke, J. V., & Blumberg, S. J. (2007). Multiple imputation of missing household poverty level values from the national survey of children with special health care needs, 2001, and the national survey of children’s health, 2003. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.
Goodman, A., Fleitlich-Bilyk, B., Patel, V., et al. (2007). Child, family, school and community risk factors for poor mental health in Brazilian schoolchildren. Journal of the American Academy of Child and Adolescent Psychiatry, 46(4), 448–456.
Alegria, M., Canino, G., Shrout, P. E., et al. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry, 165(3), 359–369.
Burgos, A. E., Schetzina, K. E., Dixon, L. B., et al. (2005). Importance of generational status in examining access to and utilization of health care services by Mexican American children. Pediatrics, 115(3), e322–e330.
Huang, Z. J., Yu, S. M., & Ledsky, R. (2006). Health status and health service access and use among children in US immigrant families. American Journal of Public Health, 96(4), 634–640.
Nadeem, E., Lange, J. M., Edge, D., et al. (2007). Does stigma keep poor young immigrant and U.S.-born Black and Latina women from seeking mental health care? Psychiatric Services, 58(12), 1547–1554.
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Bennett, A.C., Brewer, K.C. & Rankin, K.M. The Association of Child Mental Health Conditions and Parent Mental Health Status Among U.S. Children, 2007. Matern Child Health J 16, 1266–1275 (2012). https://doi.org/10.1007/s10995-011-0888-4
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DOI: https://doi.org/10.1007/s10995-011-0888-4