Differences in Reporting Child Health Needs and Status and Developmental Concerns between Mothers and Fathers: Findings from the National Survey of Children's Health

Hagerman, Thomas K.; Carle, Adam C.; Houtrow, Amy J.

doi:10.1016/j.jpeds.2019.12.059

Cited by 6 publications

(9 citation statements)

References 16 publications

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“…Female caregivers reported less psychosocial problems in their children. The results were similar to those by Dave et al [ 22 ] but in contrast to the findings from Hagerman [ 23 ]. Dave et al [ 22 ] reported higher scores for externalizing behaviors, such as conduct problems and hyperactivity, among children (according to their fathers).…”

Section: Discussionsupporting

confidence: 90%

Caregiver Perceptions of Children’s and Adolescents’ Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study

Liu¹,

Wu²,

Yang³

et al. 2023

JMIR Public Health Surveill

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Background The COVID-19 pandemic represents a global health crisis. The Shanghai municipal government in China implemented strict and comprehensive pandemic control strategies in the first half of 2022 to eliminate a wave of COVID-19 infection. The pandemic and the resulting government responses have led to abrupt changes to families’ daily lives, including the mental health of children and adolescents. Objective The aim of this paper is to examine the impact of COVID-19 exposure and the stringent lockdown measures on the daily life and mental health of children and adolescents and to provide suggestions on maintaining their mental health when similar public health emergencies occur in the future. Methods In this cross-sectional study, an anonymous survey was distributed online in May 1-15, 2022, in Shanghai. Individuals were eligible to participate if they were currently the caregiver of a child or adolescent (aged 4-17 years). Outcomes were psychosocial functioning of children and adolescents, as reported by parents, using the Pediatric Symptom Checklist-17. COVID-19 exposure and life changes were also reported. Multivariate logistic regression was used to analyze risk factors for poor psychosocial functioning. Results In total, 2493 valid questionnaires were analyzed. The rate of positive scores on the global Pediatric Symptom Checklist-17 scale was 16.5% (n=411). Internalizing, attention, and externalizing problem subscale positivity rates were 17.3% (n=431), 10.9% (n=272), and 8.9% (n=221), respectively. Caregivers reported that 64.2% (n=1601) and 20.7% (n=516) of the children’s interactions with friends or peers and parents deteriorated, respectively. Compared with male caregivers, female caregivers were less likely to report psychosocial problems in children and adolescents (adjusted odds ratio [aOR] 0.68; 95% CI 0.53-0.88). Older children and those with lower COVID-19 Exposure and Family Impact Scales scores were less likely to have psychological problems (aOR 1.15; 95% CI 1.10-1.21). Compared with children with screen times <1 hour per day for recreation, those using screens for >3 hours had higher odds of psychological distress (aOR 2.09; 95% CI 1.47-1.97). Children who spent 1-2 hours exercising and had better interactions with friends or peers and parents showed a trend toward lower odds of psychological problems. Children and adolescents with worse sleep compared with preclosure were more likely to have psychological problems. Conclusions The prevalence of psychosocial problems among children and adolescents is relatively high. Being young, having more COVID-19 exposure, and having more screen times (>3 h/day), less exercise time (<30 min), worse sleep, and deteriorated interactions with friends or peers and parents were risk factors for poor psychosocial functioning. It is necessary for governments, communities, schools, and families to take appropriate countermeasures to reduce the negative impact of the stringent control measures on caregivers’ parenting and psychosocial functioning of children and adolescents.

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Section: Discussionsupporting

confidence: 90%

Caregiver Perceptions of Children’s and Adolescents’ Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study

Liu¹,

Wu²,

Yang³

et al. 2023

JMIR Public Health Surveill

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“…First, females had lower confidence in vaccine safety than males. Generally, mothers care more about children's health issues than fathers [50], so they may be more likely to have concern about the vaccination when facing vaccine incidents. A study in China suggested that females' confidence towards vaccination decreased more than males' after the Changchun Changsheng vaccine incident [29].…”

Section: Discussionmentioning

confidence: 99%

Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China

Chantler

Francis

et al. 2021

Vaccines

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Access to vaccination information could influence public attitudes towards vaccination. This study investigated the number and types of vaccination-related information sources, and estimated their associations with vaccine confidence and hesitancy in China. In January 2019, we conducted a cross-sectional survey in China, and 2122 caregivers with children <6 years completed self-administered questionnaires. Logistic regressions were used to assess associations between caregivers’ primary information sources and vaccine confidence/hesitancy. A majority (72%) of caregivers had multiple sources of vaccination-related information. The proportions of caregivers reporting professional sources, media, and peers as primary information sources were 81%, 63%, and 26%. Internal migrants were less likely to get information from professional sources; more educated and wealthier caregivers reported more information sources and were more likely to get information from media and peers. Caregivers who reported professional information sources had significantly higher odds of being confident about the safety of vaccines and lower odds of being hesitant toward vaccination than those who did not. Caregivers who reported the media as a primary information source had significantly higher odds of being hesitant toward vaccination than those who did not. To address vaccine hesitancy, it is essential to promote universal access to professional vaccination-related information sources, and to use the media to disseminate evidence-based information and clarify misinformation. Health communication should target internal migrants, and more educated and wealthier caregivers.

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“…For example, fathers are less likely to identify their children as having unmet health care needs, and father-child rates of agreement on behavioral and health issues are lower than mother-child rates of agreement. 6-8 These findings have important implications for population health surveys where only 1 adult provides data on a randomly selected child’s health. 6 First, children with father respondents could appear to have better health than children with mother respondents, if fathers overestimate children’s health status and underestimate their child’s needs.…”

Section: Introductionmentioning

confidence: 94%

“…6-8 These findings have important implications for population health surveys where only 1 adult provides data on a randomly selected child’s health. 6 First, children with father respondents could appear to have better health than children with mother respondents, if fathers overestimate children’s health status and underestimate their child’s needs. Second, the reported health of children with father respondents may differ based on the socioeconomic and demographic characteristics of families in which the father self-identifies as knowledgeable about a child’s health (and is thus eligible to complete the survey).…”

Section: Introductionmentioning

confidence: 94%

“…Previous comparisons of father- and mother-reported child health have either relied on smaller experimental or clinical samples where both fathers and mothers answered questions about the same child’s health 7,8 ; or have applied multivariable regression techniques to larger data sets where 1 caregiver from each family answered questions about 1 child’s health. 6 In the latter case, the use of multivariable regression may have incompletely adjusted for differences between families where fathers as compared with mothers provided survey responses, due to the multiplicity of potential confounders and the sensitivity of regression-based estimates to model specification. 9,10 Therefore, we analyzed the differences between father- and mother-reported child health in a large US-based survey using propensity score matching (PSM) methods to determine if otherwise similar children from similar families appear to be in better or worse health depending on whether a father or mother completed the survey questionnaire.…”

Section: Introductionmentioning

confidence: 99%

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Parent Gender and Assessment of Children’s Health

Muhammad

Tumin

2023

Clin Pediatr (Phila)

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Caregiver-reported data on children’s health are typically provided by mothers. We investigated whether measures of children’s health would significantly differ between mother and father respondents to a nationally representative survey. This study used de-identified data on children age 0 to 17 years from the 2016-2019 National Survey of Children’s Health (NSCH). The primary exposure was whether the survey was completed by the child’s father (cases) or mother (controls). Outcome variables included general health, special health care needs (SHCN), and unmet health care needs. We identified 85 191 children meeting inclusion criteria, of whom 35.1% had a father respondent. After propensity score matching, 27 738 children with a father respondent were matched to an equal size group of children with a mother respondent. On conditional logistic regression analysis of the matched sample, we found that poor health, SHCN, and unmet health care needs were less likely to be reported for children in the sample by father respondents.

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Differences in Reporting Child Health Needs and Status and Developmental Concerns between Mothers and Fathers: Findings from the National Survey of Children's Health

Cited by 6 publications

References 16 publications

Caregiver Perceptions of Children’s and Adolescents’ Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study

Caregiver Perceptions of Children’s and Adolescents’ Psychosocial Functioning During the Stringent COVID-19 Lockdown Restrictions in Shanghai: Cross-sectional Study

Access to Vaccination Information and Confidence/Hesitancy towards Childhood Vaccination: A Cross-Sectional Survey in China

Parent Gender and Assessment of Children’s Health

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