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Article: Spillover Effects of Maternal Chronic Disease on Children’s Quality of Life and Behaviors Among Low-Income Families

TitleSpillover Effects of Maternal Chronic Disease on Children’s Quality of Life and Behaviors Among Low-Income Families
Authors
Issue Date2018
PublisherAdis International Ltd. The Journal's web site is located at http://www.springer.com/adis/journal/40271
Citation
The Patient - Patient-Centered Outcomes Research, 2018, v. 11 n. 6, p. 625-635 How to Cite?
AbstractBackground: Mothers with chronic diseases may have spillover effects on their children. Objective: The aim of this study was to estimate the spillover effects of mothers with chronic disease on their children’s health-related quality of life (HRQOL) and behavior. Method: A cross-sectional study was conducted on 255 mother–child pairs (130 boys and 125 girls, mean age 8.4 years) from low-income Chinese families. We asked the mothers to self-report any doctor-diagnosed chronic diseases, and evaluate their children’s HRQOL and behaviors with the Child Health Questionnaire-Parent Form-50 (CHQ-PF50) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Multiple linear regression analysis was conducted to assess the independent spillover effect of maternal chronic disease on children’s HRQOL and behaviors, with adjustment for confounders. The differential impact of maternal physical and mental diseases was also investigated. Results: Over one-third of mothers (n  = 88, 34.5%) reported one or more doctor-diagnosed chronic diseases. Multiple linear regression analysis showed that children of mothers with chronic diseases had significantly lower CHQ-PF50 scores in the parental impact–time, parental impact–emotional, and family activities subscales and psychosocial summary scores, as well as more hyperactive and inattentive problems measured by SDQ after adjustment for confounders. Maternal mental and physical disease showed a differential impact on children’s HRQOL and behavior. Conclusions: Chronic disease in mothers might exert adverse effects on their children’s HRQOL and behaviors. The effects could differ by maternal physical or mental disease status. Special attention and support should be paid to children of mothers with chronic disease as these children are at an increased risk of poor HRQOL and problematic behaviors.
Persistent Identifierhttp://hdl.handle.net/10722/254879
ISSN
2017 Impact Factor: 2.66
2015 SCImago Journal Rankings: 0.781
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorGuo, Y-
dc.contributor.authorWong, CKH-
dc.contributor.authorWong, RSM-
dc.contributor.authorYu, YTE-
dc.contributor.authorIp, P-
dc.contributor.authorLam, CLK-
dc.date.accessioned2018-06-21T01:08:00Z-
dc.date.available2018-06-21T01:08:00Z-
dc.date.issued2018-
dc.identifier.citationThe Patient - Patient-Centered Outcomes Research, 2018, v. 11 n. 6, p. 625-635-
dc.identifier.issn1178-1653-
dc.identifier.urihttp://hdl.handle.net/10722/254879-
dc.description.abstractBackground: Mothers with chronic diseases may have spillover effects on their children. Objective: The aim of this study was to estimate the spillover effects of mothers with chronic disease on their children’s health-related quality of life (HRQOL) and behavior. Method: A cross-sectional study was conducted on 255 mother–child pairs (130 boys and 125 girls, mean age 8.4 years) from low-income Chinese families. We asked the mothers to self-report any doctor-diagnosed chronic diseases, and evaluate their children’s HRQOL and behaviors with the Child Health Questionnaire-Parent Form-50 (CHQ-PF50) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Multiple linear regression analysis was conducted to assess the independent spillover effect of maternal chronic disease on children’s HRQOL and behaviors, with adjustment for confounders. The differential impact of maternal physical and mental diseases was also investigated. Results: Over one-third of mothers (n  = 88, 34.5%) reported one or more doctor-diagnosed chronic diseases. Multiple linear regression analysis showed that children of mothers with chronic diseases had significantly lower CHQ-PF50 scores in the parental impact–time, parental impact–emotional, and family activities subscales and psychosocial summary scores, as well as more hyperactive and inattentive problems measured by SDQ after adjustment for confounders. Maternal mental and physical disease showed a differential impact on children’s HRQOL and behavior. Conclusions: Chronic disease in mothers might exert adverse effects on their children’s HRQOL and behaviors. The effects could differ by maternal physical or mental disease status. Special attention and support should be paid to children of mothers with chronic disease as these children are at an increased risk of poor HRQOL and problematic behaviors.-
dc.languageeng-
dc.publisherAdis International Ltd. The Journal's web site is located at http://www.springer.com/adis/journal/40271-
dc.relation.ispartofThe Patient - Patient-Centered Outcomes Research-
dc.rightsThe final publication is available at Springer via http://dx.doi.org/10.1007/s40271-018-0314-8-
dc.titleSpillover Effects of Maternal Chronic Disease on Children’s Quality of Life and Behaviors Among Low-Income Families-
dc.typeArticle-
dc.identifier.emailGuo, Y: viviguo@HKUCC-COM.hku.hk-
dc.identifier.emailWong, CKH: carlosho@hku.hk-
dc.identifier.emailYu, YTE: ytyu@hku.hk-
dc.identifier.emailIp, P: patricip@hku.hk-
dc.identifier.emailLam, CLK: clklam@hku.hk-
dc.identifier.authorityWong, CKH=rp01931-
dc.identifier.authorityYu, YTE=rp01693-
dc.identifier.authorityIp, P=rp01337-
dc.identifier.authorityLam, CLK=rp00350-
dc.description.naturepostprint-
dc.identifier.doi10.1007/s40271-018-0314-8-
dc.identifier.hkuros285311-
dc.identifier.volume11-
dc.identifier.issue6-
dc.identifier.spage625-
dc.identifier.epage635-
dc.identifier.isiWOS:000455954600006-
dc.publisher.placeNew Zealand-

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