Kirstine A Davidsen1,2, Erik Christiansen3, Dorte Haubek4, Jette Asmussen3,5, Anne Ranning6, Anne A E Thorup6,7, Merete Nordentoft6, Susanne Harder8, Niels Bilenberg3,5. 1. Department of Psychology, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. kdavidsen@health.sdu.dk. 2. Child and Adolescent Mental Health Services, Odense, Research Unit, Mental Health Services in the Region of Southern Denmark, Odense, Denmark. kdavidsen@health.sdu.dk. 3. Child and Adolescent Mental Health Services, Odense, Research Unit, Mental Health Services in the Region of Southern Denmark, Odense, Denmark. 4. Section for Paediatric Dentistry, Department of Dentistry and Oral Health, Health, Aarhus University, Aarhus, Denmark. 5. Department of Clinical Research, University of Southern Denmark, Odense, Denmark. 6. Mental Health Centre Copenhagen, Copenhagen University Hospital, Copenhagen, Denmark. 7. Child and Adolescent Mental Health Centre, University of Copenhagen, Capital Region of Denmark, Copenhagen, Denmark. 8. Department of Psychology, University of Copenhagen, Copenhagen, Denmark.
Abstract
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.
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.
Entities:
Keywords:
Child oral health; Offspring of parents with mental disorders; Prevention; Preventive child health care
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