Parental mental illness, attendance at preventive child healthcare and dental caries in the offspring: a nation-wide population-based cohort study
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Parental mental illness, attendance at preventive child healthcare and dental caries in the offspring : a nation-wide population-based cohort study. / Davidsen, Kirstine A.; Christiansen, Erik; Haubek, Dorte; Asmussen, Jette; Ranning, Anne; Thorup, Anne Amalie Elgaard; Nordentoft, Merete; Harder, Susanne; Bilenberg, Niels.
In: Social Psychiatry and Psychiatric Epidemiology, Vol. 56, 2021, p. 583–592.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Parental mental illness, attendance at preventive child healthcare and dental caries in the offspring
T2 - a nation-wide population-based cohort study
AU - Davidsen, Kirstine A.
AU - Christiansen, Erik
AU - Haubek, Dorte
AU - Asmussen, Jette
AU - Ranning, Anne
AU - Thorup, Anne Amalie Elgaard
AU - Nordentoft, Merete
AU - Harder, Susanne
AU - Bilenberg, Niels
PY - 2021
Y1 - 2021
N2 - Purpose Severe mental illness (SMI) may interfere with parental caregiving practices and offspring development. Adhering to preventive well-child visits and maintaining good oral hygiene during early childhood requires parental involvement. Whether these activities are affected by parental SMI is unclear. The purpose of the present study was to determine whether children exposed to parental SMI are at increased risk of non-attendance to preventive well-child visits and vaccinations at age 0-5 years and of child dental caries experience at age 5 years. Furthermore, interactions between maternal psychiatric and sociodemographic variables in relation to an adverse child outcome were assessed. Methods Data were obtained from national Danish health registers. All children born in Denmark between January 1997 and December 2010 were followed from birth until their 6th birthday. Results 679,339 children were included in the study (51% male). Of these, 49,059 children (7.8%) had at least one parent with a lifetime SMI diagnosis. Children of parents with SMI had elevated odds of missing well-child visits and vaccinations (OR 1.41; 95% CI 1.39-1.44,p <0.0001), and of child dental caries (OR 1.58; 95% CI 1.55-1.62,p <0.0001). In the presence of maternal SMI, low socioeconomic classification and single-mother status added more to the elevated risk than specific maternal diagnosis or timing of last psychiatric contact. Conclusion Parents with SMI are less compliant with preventive child healthcare activities than parents without SMI. This indicates a need for practical support to these families in order to prevent inequality in health among their offspring.
AB - Purpose Severe mental illness (SMI) may interfere with parental caregiving practices and offspring development. Adhering to preventive well-child visits and maintaining good oral hygiene during early childhood requires parental involvement. Whether these activities are affected by parental SMI is unclear. The purpose of the present study was to determine whether children exposed to parental SMI are at increased risk of non-attendance to preventive well-child visits and vaccinations at age 0-5 years and of child dental caries experience at age 5 years. Furthermore, interactions between maternal psychiatric and sociodemographic variables in relation to an adverse child outcome were assessed. Methods Data were obtained from national Danish health registers. All children born in Denmark between January 1997 and December 2010 were followed from birth until their 6th birthday. Results 679,339 children were included in the study (51% male). Of these, 49,059 children (7.8%) had at least one parent with a lifetime SMI diagnosis. Children of parents with SMI had elevated odds of missing well-child visits and vaccinations (OR 1.41; 95% CI 1.39-1.44,p <0.0001), and of child dental caries (OR 1.58; 95% CI 1.55-1.62,p <0.0001). In the presence of maternal SMI, low socioeconomic classification and single-mother status added more to the elevated risk than specific maternal diagnosis or timing of last psychiatric contact. Conclusion Parents with SMI are less compliant with preventive child healthcare activities than parents without SMI. This indicates a need for practical support to these families in order to prevent inequality in health among their offspring.
KW - Offspring of parents with mental disorders
KW - Preventive child health care
KW - Child oral health
KW - Prevention
KW - MATERNAL DEPRESSIVE SYMPTOMS
KW - ORAL-HEALTH
KW - ASSOCIATION
KW - PREVALENCE
KW - LITERACY
KW - SERVICES
KW - DENMARK
KW - ANXIETY
KW - MOTHERS
KW - PEOPLE
U2 - 10.1007/s00127-020-01936-3
DO - 10.1007/s00127-020-01936-3
M3 - Journal article
C2 - 32812086
VL - 56
SP - 583
EP - 592
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
SN - 0933-7954
ER -
ID: 255100919