Young Adult Outcomes of Children Growing Up With Chronic Illness

Maslow, Gary; Haydon, Abigail A.; Ford, Carol A.; Halpern, Carolyn Tucker

doi:10.1001/archpediatrics.2010.287

Cited by 84 publications

(28 citation statements)

References 21 publications

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“…These findings corroborate past research on children/adolescents with chronic conditions, 4,11 indicating that young adults with diabetes have similar negative psychosocial outcomes to children with chronic conditions. Findings from the current study extend past research on young adults with chronic conditions, 5,8 in that several health behaviors and psychosocial variables were measured rather than focusing solely on socio-economic variables. This study confirms that young adults with chronic conditions seem to experience similar social successes such as having a significant other, having children, and education endeavors as compared to young adults without chronic conditions, 5,8 but extends the literature by showing strong positive associations between having diabetes and several negative health behaviors and psychosocial outcomes.…”

Section: Discussionsupporting

confidence: 68%

“…The few studies that have looked at health behaviors and psychosocial outcomes among young adults with chronic health conditions have shown that while young adults with chronic conditions were equally as likely to be married and have children compared to young adults without chronic conditions, they were more likely to be of lower socio-economic status (SES) and receive public assistance, and less likely to graduate from high school or be employed. 5,8 As these studies have focused primarily on socio-demographic differences, additional research is needed to understand whether young adults with chronic conditions are differentially likely to experience other negative outcomes such as higher BMI, less healthful behaviors (e.g. unhealthy dietary intake, less physical activity), more psychological problems, and increased social stigma.…”

Section: Introductionmentioning

confidence: 99%

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Psychosocial and Health Behavior Outcomes of Young Adults with Asthma or Diabetes

Berge

Bauer²,

Eisenberg³

et al. 2012

J Community Med Health Edu

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Purpose-Previous research has shown a relationship between childhood/adolescent chronic conditions and negative health behaviors, psychological outcomes, and social outcomes. Less is known about whether these negative outcomes are experienced by young adults with chronic health conditions. The purpose of this paper is to investigate how young adults' BMI, health behaviors, and psychological and social outcomes differ depending on whether they have diabetes, asthma, or neither of these chronic conditions.Methods-Data were drawn from the third wave of Project EAT-III: Eating and Activity in Young Adults, a population-based study of 2287 young adults (mean age = 25.3; range 19.8 -31.2). General linear models were used to test differences in BMI, health behaviors (e.g., fast food intake) and psychosocial outcomes (e.g. depressive symptoms) by young adults' chronic disease status.Results-Young adults with diabetes had higher BMIs, engaged in less physical activity and more unhealthy weight control behaviors and binge eating, had lower self-esteem and lower body satisfaction, and experienced more depressive symptoms and appearance-based teasing compared to young adults with asthma or no chronic conditions, after adjusting for age, race/ethnicity, socioeconomic status (SES) and, when relevant, for BMI. There were no significant differences between young adults with asthma and young adults with no chronic condition on all of the psychosocial and health behavior outcomes.Conclusions-Young adults with diabetes reported higher prevalence of negative health behaviors and psychosocial outcomes. Providers may find it useful to assess for negative health Address for correspondence: Jerica M. Berge, PhD, LMFT Department of Family Medicine and Community Health Phillips Wangensteen Building 516 Delaware Street SE Minneapolis, MN 55455 Voice: 612-626-3693 mohl0009@umn.edu. CONTRIBUTORS STATEMENT All co-authors made a substantial contribution to the paper. Dr. Berge conceptualized the paper, conducted data analysis and interpretation, and wrote all drafts of the paper. Dr. Neumark-Sztainer is the principal investigator of Project EAT and assisted in conceptualizing the paper, critically revised the paper and gave final approval of the version to be published. Dr. Bauer assisted with the data analysis and the interpretation of the data. She also critically revised the paper and gave final approval of the version to be published. Dr. Eisenberg assisted with the conceptualization of the paper and the interpretation of the data. She also critically revised the paper and gave final approval of the version to be published. Dr. Denny assisted the interpretation of the data and critically revised the paper and gave final approval of the version to be published. behaviors and psychosocial variables with young adults with diabetes in order to improve treatment and quality of life for these individuals.

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Section: Discussionsupporting

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Psychosocial and Health Behavior Outcomes of Young Adults with Asthma or Diabetes

Berge

Bauer²,

Eisenberg³

et al. 2012

J Community Med Health Edu

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“…Prior studies have investigated educational attainment for YCMC and found similar gaps in attainment, 17,20,23–26 although few studies have been able to assess the extent to which these disparities stem from underlying differences in educational aspirations or expectations, or pinpoint where in the educational trajectory YCMC are most likely to fall behind their peers. We identified that even prior to completing high school, YCMC and their parents report lower expectations for attainment.…”

Section: Discussionmentioning

confidence: 99%

Expectancy and Achievement Gaps in Educational Attainment and Subsequent Adverse Health Effects Among Adolescents With and Without Chronic Medical Conditions

Wisk

Weitzman

2017

Journal of Adolescent Health

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Purpose While education-based disparities in health are common, the extent to which chronic conditions contribute to education gaps and to consequent health disparities is not fully understood. As such, we sought to investigate educational aspirations, expectations, and attainment among youth with and without chronic conditions, and to determine if these relationships mediated subsequent disparities in health and wellbeing. Methods Longitudinal data on 3518 youth are from the 1997–2013 Panel Study of Income Dynamics (PSID), a population-based survey. Multivariate regression was used to assess disparities in educational aspirations, expectations, and attainment by chronic conditions and the subsequent effects on health and wellbeing, adjusting for important potential confounders. Results Youth with chronic medical conditions (YCMC) did not report significantly lower educational aspirations than their healthy peers; however, YCMC reported lower expectations for their educational attainment and fewer YCMC had earned their desired degree by the end of follow-up (e.g., ≥bachelor’s degree: 19.9% for YCMC vs 26.0% for peers, p<0.05). YCMC reported significantly worse general health, lower life satisfaction, and lower psychological wellbeing in young adulthood than did their healthy peers. These disparities persisted after adjustment for confounders; the association between chronic disease and health was partially, but significantly, mediated by actual educational attainment. Conclusions Findings suggest an important risk mechanism through which YCMC may acquire socioeconomic disadvantage as they develop and progress through educational settings. Disproportionate lags in education, from expectation to attainment, may in turn increase YCMC’s susceptibility to poor health and wellbeing in the future.

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“…Some research suggests that students with diabetes have relatively lower completion rates as compared to peers and achieve slightly lower final grades, particularly if diagnosed at a very early age [22–24]. A recent study using data from the National Longitudinal Study of Adolescent Health found that young adults with diabetes were 6% more likely to drop out of high school and, after controlling for related factors, completed .25 fewer years of schooling than healthy peers; however, the authors did not distinguish between type 1 or type 2 diabetes [25].…”

Section: Young Adulthood and Lifestyle Considerationsmentioning

confidence: 99%

Type 1 Diabetes in Young Adulthood

Monaghan

Helgeson²,

Wiebe³

2015

CDR

157

125

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Type 1 diabetes has traditionally been studied as a chronic illness of childhood. However, young adulthood is a critical time for the development and integration of lifelong diabetes management skills, and research is starting to identify unique challenges faced by youth with diabetes as they age into adulthood. Most young adults experience multiple transitions during this unstable developmental period, including changes in lifestyle (e.g., education, occupation, living situation), changes in health care, and shifting relationships with family members, friends, and intimate others. Young adults with type 1 diabetes must navigate these transitions while also assuming increasing responsibility for their diabetes care and overall health. Despite these critical health and psychosocial concerns, there is a notable lack of evidence-based clinical services and supports for young adults with type 1 diabetes. We review relevant evolving concerns for young adults with type 1 diabetes, including lifestyle considerations, health care transitions, psychosocial needs, and changes in supportive networks, and how type 1 diabetes impacts and is impacted by these key developmental considerations. Specific avenues for intervention and future research are offered.

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Young Adult Outcomes of Children Growing Up With Chronic Illness

Abstract: To examine young adult outcomes in a nationally representative US cohort of young adults growing up with a chronic illness. Design: Secondary analysis of nationally representative data from wave III (in 2001) of the National Longitudinal Study of Adolescent Health.

Cited by 84 publications

References 21 publications

Psychosocial and Health Behavior Outcomes of Young Adults with Asthma or Diabetes

Psychosocial and Health Behavior Outcomes of Young Adults with Asthma or Diabetes

Expectancy and Achievement Gaps in Educational Attainment and Subsequent Adverse Health Effects Among Adolescents With and Without Chronic Medical Conditions

Type 1 Diabetes in Young Adulthood

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