Parental Depressive Symptoms and Children's School Attendance and Emergency Department Use: A Nationally Representative Study.

We sought to assess the association between parental depressive symptoms and school attendance and emergency department (ED) use among children with and without chronic health conditions. Secondary analysis of the 1997-2004 National Health Interview Survey, a nationally representative survey. Parent...

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Publicado en:Maternal & Child Health Journal Vol. 17; no. 6; pp. 1130 - 1138
Autores principales: Guevara, James, Mandell, David, Danagoulian, Shooshan, Reyner, Jacqueline, Pati, Susmita
Formato: research tables/charts Journal Article
Publicado: Springer Nature Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2013
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      pub: Springer Nature
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        atl: Parental Depressive Symptoms and Children's School Attendance and Emergency Department Use: A Nationally Representative Study.
      aug:
        au:
          Guevara, James
          Mandell, David
          Danagoulian, Shooshan
          Reyner, Jacqueline
          Pati, Susmita
        affil: PolicyLab: Center to Bridge Research, Practice, and Policy, The Children's Hospital of Philadelphia, Philadelphia USA
      sug:
        subj:
          Depression
          Parents
          Emergency Service Utilization
          Absenteeism In Infancy and Childhood
          Chronic Disease In Infancy and Childhood
          Children of Impaired Parents
          Human
          Attention Deficit Hyperactivity Disorder
          Child
          Prevalence
          Relative Risk
          Pennsylvania
          Clinical Assessment Tools
          Asthma
          Data Analysis Software
          Confidence Intervals
          Poisson Distribution
          Child: 6-12 years
      ab: We sought to assess the association between parental depressive symptoms and school attendance and emergency department (ED) use among children with and without chronic health conditions. Secondary analysis of the 1997-2004 National Health Interview Survey, a nationally representative survey. Parental depressive symptoms were measured by three questions assessing sadness, hopelessness, or worthlessness in the past month. Children with and without asthma or attention-deficit/hyperactivity disorder (ADHD) were identified, and their school attendance and ED visits were reported by adult household respondents. Children with information on parental depressive symptoms, health conditions, and services use were eligible. We incorporated weights available in the survey for each eligible child to reflect the complex sampling design. 104,930 eligible children were identified. The point prevalence of parental depressive symptoms was low (1.8 %, 95 % CI 1.7-2.0), but greater among children with asthma (2.7 %, 95 % CI 2.4-3.0) and ADHD (3.8 %, 95 % CI 3.2-4.4) than among other children (1.6 %, 95 % CI 1.5-1.7). After adjustment for potential confounders, children whose parents reported depressive symptoms most or all of the time were more likely to report an ED visit (adjusted incident rate ratio [IRR] 1.18, 95 % CI 1.06-1.32) or school absence (adjusted IRR 1.36, 95 % CI 1.14-1.63) than children whose parents did not. The effect of parental depressive symptoms was not modified by child health conditions. Parental depressive symptoms were adversely associated with school attendance and ED use in children. These results suggest the importance of measuring depressive symptoms among adult caregivers of children.
      pubtype: Academic Journal
      doctype:
        research
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      ougenre: Article
    language: English
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