Parenting stress in US families: implications for paediatric healthcare utilization

Raphael, Jean L.; Zhang, Y; Liu, H; Giardino, Angelo P.

doi:10.1111/j.1365-2214.2009.01052.x

Cited by 102 publications

(87 citation statements)

References 40 publications

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“…Low emotional and practical support have previously been shown to be associated with health care seeking [28,29]. For example, a recent American study showed that children whose parents experienced low emotional support had higher odds for having paid visits to primary care with the child [28].…”

Section: Discussionmentioning

confidence: 99%

“…For example, a recent American study showed that children whose parents experienced low emotional support had higher odds for having paid visits to primary care with the child [28]. Poor maternal psychosocial functioning may influence the child's psychosocial and physical health both directly, by inhibiting the mother's ability to care for the child, and also indirectly through her limited personal resources to help her child by turning to a physician for assistance [29].…”

Section: Discussionmentioning

confidence: 99%

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Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmö, Sweden

et al. 2011

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BackgroundThe social environment in which children grow up is closely associated with their health. The aim of this study was to investigate the relationship between maternal educational level, parental preventive behavior, parental risk behavior, social support, and use of medical care in small children in Malmö, Sweden. We also wanted to investigate whether potential differences in child medical care consumption could be explained by differences in parental behavior and social support.MethodsThis study was population-based and cross-sectional. The study population was 8 month-old children in Malmö, visiting the Child Health Care centers during 2003-2007 for their 8-months check-up, and whose parents answered a self-administered questionnaire (n = 9,289 children).ResultsExclusive breast feeding ≥4 months was more common among mothers with higher educational level. Smoking during pregnancy was five times more common among less-educated mothers. Presence of secondhand tobacco smoke during the first four weeks of life was also much more common among children with less-educated mothers. Less-educated mothers more often experienced low emotional support and low practical support than mothers with higher levels of education (>12 years of education). Increased exposure to unfavorable parental behavioral factors (maternal smoking during pregnancy, secondhand tobacco smoke and exclusive breastfeeding <4 months) was associated with increased odds of in-hospital care and having sought care from a doctor during the last 8 months. The odds were doubled when exposed to all three risk factors. Furthermore, children of less-educated mothers had increased odds of in-hospital care (OR = 1.34 (95% CI: 1.08, 1.66)) and having sought care from a doctor during the last 8 months (OR = 1.28 (95% CI: 1.09, 1.50)), which were reduced and turned statistically non-significant after adjustment for unfavorable parental behavioral factors.ConclusionChildren of less-educated mothers were exposed to more health risks, fewer health-promoting factors, worse social support, and had higher medical care consumption than children with higher educated mothers. After adjustment for parental behavioral factors the excess odds of doctor's visits and in-hospital care among children with less-educated mothers were reduced. Improving children's health calls for policies targeting parents' health-related behaviors and social support.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmö, Sweden

et al. 2011

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“…Mothers go through a complex decision-making process when their children are unwell, which is influenced by the mother's psychological state 1. Mothers from a military family are often alone and emotionally vulnerable when their partner is absent on deployment.…”

Section: Introductionmentioning

confidence: 99%

Mothers’ decision-making during times of stress as a lone parent: a qualitative study

et al. 2015

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An algorithm was generated from the findings, which illustrates the importance of ascertaining whether the mother is alone at the time of the consultation. Increased emotional vulnerability intensified the need for reassurance and affected a mother's decision-making ability. Primary healthcare staff should ascertain whether mothers are currently lone parents at an early stage of their assessment, as this may influence the entire consultation.

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“…In addition, secondary data analysis of HCUD can yield significant findings that can positively or negatively affect the direction of future studies. For instance, a utilization study by Raphael, Zang, Liu & Giardino (2010) used national children’s health data to investigate the relationship between high parenting stress and healthcare utilization, finding a significant correlation between increases in parenting stress and the frequency of emergency care visits. Even controlling for psychosocial and sociodemographic variables, they determined that parents with high parenting stress were more likely (adjusted odds ratio, 1.24; 95% confidence interval 1.10–1.41) to seek emergency care for their children compared to parents with low parenting stress.…”

Section: Healthcare Utilization and Its Contribution To Clinical Outcmentioning

confidence: 99%

Methodological challenges collecting parent phone-call healthcare utilization data

Moreau

Crawford

Sullivan-Bolyai

2016

Applied Nursing Research

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Recommendations by the National Institute of Nursing Research and other groups have strongly encouraged nurses to pay greater attention to cost-effectiveness analysis when conducting research. Given the increasing prominence of translational science and comparative effective research, cost-effective analysis has become a basic tool in determining intervention value in research. Tracking phone-call communication (number of calls and context) with cross-checks between parents and healthcare providers is an example of this type of healthcare utilization data collection. This article identifies some methodological challenges that have emerged in the process of collecting this type of data in a randomized controlled trial: Parent education Through Simulation-Diabetes (PETS-D). We also describe ways in which those challenges have been addressed with comparison data results, and make recommendations for future research.

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Parenting stress in US families: implications for paediatric healthcare utilization

Abstract: Having a parent who is experiencing high parenting stress is associated with greater utilization of paediatric emergency care. Interventions targeted at parenting stress may provide families with needed support and reduce unnecessary emergency care utilization.

Cited by 102 publications

References 40 publications

Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmö, Sweden

Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmö, Sweden

Mothers’ decision-making during times of stress as a lone parent: a qualitative study

Methodological challenges collecting parent phone-call healthcare utilization data

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