Parental separation and behaviours that influence the health of infants aged 7–11 months: a cross-sectional study

Kacenelenbogen, Nadine; Dramaix-Wilmet, Michèle; Schetgen, Marco; Roland, Michel

doi:10.1136/bmjopen-2014-005183

Cited by 10 publications

(13 citation statements)

References 19 publications

(20 reference statements)

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“…This is far from being negligible for a relatively commonplace situation. These observations are similar to those made in a cross-sectional study that analysed a large sample of Belgian infants aged 7 to 11 months: [19] between 2010 and 2012, exposure to smoking was more frequent in children when the parents were separated, with an OR of 1.5 (95% CI 1.3–1.7) adjusting for the mother’s age, occupation, and level of education. That confirms what has been said by Belgian GPs, who indeed offered an explanation for their observations: that separated parents exhibited more risky behaviours, including smoking, because of their anxiety [18].…”

Section: Discussionsupporting

confidence: 86%

“…Moreover, our study shows that when parents are separated, parental behaviour is significantly poorer concerning the health of children aged under 3 years (passive smoking, oral hygiene and amblyopic screening) regardless of the level of maternal education or cultural environment. These results are echoed in other studies, which also show a greater risk of exposure to smoking, suboptimal nutrition and lower adherence to the immunisation schedule when infants did not live with two parents who were together [19]. In the event of parental separation, family doctors or paediatricians should be more focused on parental behaviour that may affect the health of their children such as interruption of contraception, pregnancy plans and/or postnatal follow-up.…”

Section: Resultsmentioning

confidence: 90%

“…We hypothesise that the behaviour of parents with regard to their child’s health may be different when they are separated compared with when they are together. A cross-sectional study of nearly 80,000 Belgian infants aged 7 to 11 months has already shown a significant association between a child not living with both parents and passive smoking, absence of breastfeeding and non-adherence to the immunisation schedule [19].…”

Section: Introductionmentioning

confidence: 99%

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Parental separation and behaviours that influence the health of infants aged 28 to 32 months: a cross-sectional study

et al. 2018

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Section: Discussionsupporting

confidence: 86%

Section: Resultsmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

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Parental separation and behaviours that influence the health of infants aged 28 to 32 months: a cross-sectional study

et al. 2018

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“…Third, a strong increase in participation was observed for children who grow up in one-parent families. There is some evidence that single parents have an increased risk of non-participation in preventive child health examinations [ 27 , 28 ] and incomplete immunisation schedules [ 29 , 30 ]. One hypothesis is the time limit of single parents [ 28 , 30 ] and the increase after implementation of the reminder system could be explained by the fact that the examination was simply forgotten.…”

Section: Discussionmentioning

confidence: 99%

Reminder system for health screening in early childhood – an analysis regarding different social circumstances

et al. 2021

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Background Children with a low socio-economic position (SEP) participate in prevention and health examinations less often. In order to increase participation, reminder systems have been implemented in Germany since 2009. The aim of the study is to investigate whether this implementation is associated with an increased participation in health examination in early childhood for children in disadvantaged social circumstances. Methods We used data from the school enrolment examination from 2002 to 2017 from the city of Duesseldorf (n = 64,883 children). With a trend analysis we observed health examination over time and we compared rates of children after implementation of the reminder system (2010 or later) to those who were not exposed to the programme (earlier than 2010). Health examination was measured by participation in the last examination before school entry (“U9”) documented by paediatricians. Social circumstances included neighbourhood deprivation (very high to very low), migration background (foreign first language vs. German) and family status (one-parent vs. two-parent families). Poisson regression estimated adjusted Prevalence Ratios (PR) with a 95% confidence interval (CI) of U9 participation by reminder system exposure, both for the total population and within groups of social circumstances. Based on that, we calculated adjusted participation rates (predictive margins) by reminder system exposure for the different social circumstances. Results Participation rates increased slightly, but gradually over time. The probability of U9 participation for children exposed to the reminder system is 1.04-fold (1.03–1.04 CI) compared to children who were not exposed to it. The association of the reminder system and U9 participation differs according to social circumstances. Adjusted prevalences increased the most in the group of children from very deprived neighbourhoods, ranging from 84.3 to 91.4% (PR = 1.07; 1.03–1.10 CI); in all language groups; more in children from one-parent families ranging from 82.4 to 88.9% (PR = 1.07; 1.05–1.09 CI). Conclusion Our results suggest that reminder systems have a moderate impact on the participation in health examinations in early childhood in the general population. In vulnerable groups, however, they could make a difference. Reminder systems should be combined with further activities of tailored prevention.

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“…Yet other studies, some prospective in nature [ 32 ], have demonstrated the positive impact of breastfeeding for at least 6 months on the psychomotor development of children during the first 5 years of life. Other studies have revealed a relationship between maternal marital status and breastfeeding [ 33 ], in particular including a cross-sectional study demonstrating a significant association between parental separation and specific parental behaviors, such as less frequent breastfeeding or earlier weaning [ 34 ]. This relationship between breastfeeding and the child’s development could at least be partly accounted for by the regulation mechanisms of cortisol metabolism and stress in children [ 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Parental separation: a risk for the psychomotor development of children aged 28 to 32 months? A cross-sectional study

et al. 2016

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BackgroundIn Western countries, about a quarter of children are affected by parental separation and a number of authors have previously investigated how familial structure impacts children’s health. The purpose of the work: to analyze the psychomotor development of children aged 28 to 32 months based on family structure (parents together or separated), independently of the influence of socio-economic environment that is well documented.To analyse the psychomotor development of children younger than 3 years based on family structure (parents together or separated) independently of the influence of socio-economic environment that is well documented.MethodsCross-sectional study by examination of 28 871 children as part of a free preventive medicine consultation. The data came from an assessment conducted 28 to 32 months after birth during which information was collected about the psychomotor development: to perform a standing jump, dress themselves, draw a vertical line and circle, use the “I” pronoun, build a three-word sentence, and say their first nameResultsTen percent of the children had separated parents. Compared to parents who were together, when adjusting for the socioeconomic environment, as well as all potential confounders, the adjusted odds ratios (ORs) (95 % confidence interval [CI]) for children with separated parents, in terms of their ability to perform a standing jump, dress themselves, and draw a vertical line and circle were respectively 0.9 (0.7-1.1), 1.1 (0.9-1.2), 1.3 (1.1-1.4) and 1.2 (1.1-1.4). The adjusted ORs (95 % CI) for children’s inability to say the “I” pronoun, build a three-word sentence, and say their first name were respectively 1.2 (1.1-1.3), 1.3 (1.2-1.5), and 1.2 (0.9-1.5).ConclusionsAfter adjusting for sociocultural factors and other potential confounders, we observed that the children exhibited slower progression in psychomotor development, especially in language and graphic abilities when their parents were separated. While the implications of our study are somewhat limited, they do provide us with the necessary arguments enabling us to set up a prospective cohort study. Such a study should be able to better assess the impact of parental separation on the child's development, confirming our preliminary results.

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Parental separation and behaviours that influence the health of infants aged 7–11 months: a cross-sectional study

Cited by 10 publications

References 19 publications

Parental separation and behaviours that influence the health of infants aged 28 to 32 months: a cross-sectional study

Parental separation and behaviours that influence the health of infants aged 28 to 32 months: a cross-sectional study

Reminder system for health screening in early childhood – an analysis regarding different social circumstances

Parental separation: a risk for the psychomotor development of children aged 28 to 32 months? A cross-sectional study

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