The Influence of Parenting on Early Childhood Health and Health Care Utilization

The Influence of Parenting on Early Childhood Health and Health Care Utilization

The Influence of Parenting on Early Childhood Health and Health Care Utilization

The Influence of Parenting on Early Childhood Health and Health Care Utilization s

| Ajouter

Référence bibliographique [17638]

Serbin, Lisa A., Hubert, Michele, Hastings, Paul D., Stack, Dale M. et Schwartzman, Alex E. 2014. «The Influence of Parenting on Early Childhood Health and Health Care Utilization ». Journal of Pediatric Psychology, vol. 39, no 10, p. 1161-1174.

Fiche synthèse

1. Objectifs


Intentions :
«The purpose of the present study was to assess the influence of parental support, structure, and behavioral control on the use of three major types of pediatric health service: nonemergency care, ER [emergency room] visits, and hospitalization.» (p. 1163)

Questions/Hypothèses :
«Three hypotheses were examined in the study. First, use of positive parenting practices, including parental support, structure, and behavioral control, was expected to predict patterns of service usage that have been associated with better child health in the literature. […] Second, […] use of parental support, structure, and positive control was expected to reduce the overall rate of several categories of common childhood ailments, including ear infections, acute respiratory illnesses, and injuries. Third, […] it was expected that effects of family disadvantage on children’s service usage would be moderated by parenting behaviors.» (p. 1164)

2. Méthode


Échantillon/Matériau :
«The present study is part of the Concordia Longitudinal Risk Project, a large prospective intergenerational longitudinal study of developmental and health outcomes in a low-income community sample, initiated in 1976 when the parents in the current analyses were children aged 6–13 years […]. The current sample included 250 families (including 165 mothers and 85 fathers from separate families) who were original participants in the Concordia Longitudinal Risk Project, including 118 daughters and 132 sons born between 1994 and 2000.» (p. 1164)

Instruments :
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé


«Greater parental support was associated with increased rates of nonemergency care and a higher ratio of outpatient to ER services, a pattern typically reflecting better health and effective use of health services (Starfield et al., 2005). Supportive parenting was particularly important for children whose parents came from lower socioeconomic backgrounds. For those children, more supportive parenting was associated with greater use of nonemergency facilities. In addition, use of behavioral control by parents predicted lower rates of both nonemergency care and ER visits, as well as fewer diagnosed respiratory illnesses. […] As predicted, children of behaviorally controlling parents had lower rates of emergency visits. However, in contrast to what we expected, these children also had lower rates of nonemergency visits. […] More controlling parents may be avoiding dangerous situations (e.g., installing baby gates to keep kids nearby and safe from hazards; selecting more structured child care environments for out of home care), and avoiding infections (providing clean and clutter free homes, less unsupervised contact with peers). Consistent with this interpretation, parental control was associated with fewer diagnosed respiratory illnesses.» (p. 1169-1170)