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Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study

BACKGROUND: Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked. We exam...

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Autores principales: Heuckendorff, Signe, Johansen, Martin Nygård, Johnsen, Søren Paaske, Overgaard, Charlotte, Fonager, Kirsten
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7981963/
https://www.ncbi.nlm.nih.gov/pubmed/33743653
http://dx.doi.org/10.1186/s12889-021-10625-y
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author Heuckendorff, Signe
Johansen, Martin Nygård
Johnsen, Søren Paaske
Overgaard, Charlotte
Fonager, Kirsten
author_facet Heuckendorff, Signe
Johansen, Martin Nygård
Johnsen, Søren Paaske
Overgaard, Charlotte
Fonager, Kirsten
author_sort Heuckendorff, Signe
collection PubMed
description BACKGROUND: Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked. We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. METHODS: This register-based cohort study included all live-born children born in Denmark from 2000 to 2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life. RESULTS: The analyses included 964,395 children. Twenty percent of the mothers and 12 % of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04–1.06) and out-of-hour IRR 1.20 (CI95% 1.18–1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17–1.19) and out-of-hour IRR 1.39 (CI95% 1.37–1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23–1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45–1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21–1.24) and out-of-hour IRR 1.37 (CI95% 1.34–1.41)). This pattern was the same for all types of healthcare contacts. CONCLUSIONS: Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10625-y.
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spelling pubmed-79819632021-03-22 Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study Heuckendorff, Signe Johansen, Martin Nygård Johnsen, Søren Paaske Overgaard, Charlotte Fonager, Kirsten BMC Public Health Research Article BACKGROUND: Parental mental health conditions have been associated with increased morbidity and use of healthcare services in offspring. Existing studies have not examined different severities of parental mental health conditions, and the impact of paternal mental health has been overlooked. We examined the association between two severities of parental mental health conditions and use of healthcare services for children during the first year of life and explored the impact of both maternal and paternal mental health conditions. METHODS: This register-based cohort study included all live-born children born in Denmark from 2000 to 2016. Information on socioeconomics, diagnoses, drug prescriptions, and healthcare contacts was extracted from nationwide public registries. Parents were grouped according to severity of mental condition based on the place of treatment of the mental health condition. Negative binominal regression analyses were performed to estimate the incidence rate ratio (IRR) of contacts to general practice (GP), out-of-hour medical service, emergency room (ER), and out- and inpatient hospital contacts during the first 12 months of the child’s life. RESULTS: The analyses included 964,395 children. Twenty percent of the mothers and 12 % of the fathers were identified with mental health conditions. Paternal mental health conditions were independently associated with increased risk of infant healthcare contacts (GP IRR 1.05 (CI95% 1.04–1.06) and out-of-hour IRR 1.20 (CI95% 1.18–1.22)). Risks were higher for maternal mental health conditions (GP IRR 1.18 (CI95% 1.17–1.19) and out-of-hour IRR 1.39 (CI95% 1.37–1.41)). The risks were even higher if both parents were classified with a mental health condition (GP IRR 1.25 (CI95% 1.23–1.27) and out-of-hour contacts IRR 1.49 (CI95% 1.45–1.54)), including minor mental health condition (GP IRR 1.22 (CI95% 1.21–1.24) and out-of-hour IRR 1.37 (CI95% 1.34–1.41)). This pattern was the same for all types of healthcare contacts. CONCLUSIONS: Both maternal and paternal mental health conditions, including minor mental health conditions, were associated with increased utilization of healthcare services. Focus on both parents’ mental health conditions (even if minor) may be warranted in service planning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-10625-y. BioMed Central 2021-03-21 /pmc/articles/PMC7981963/ /pubmed/33743653 http://dx.doi.org/10.1186/s12889-021-10625-y Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Heuckendorff, Signe
Johansen, Martin Nygård
Johnsen, Søren Paaske
Overgaard, Charlotte
Fonager, Kirsten
Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title_full Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title_fullStr Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title_full_unstemmed Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title_short Parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
title_sort parental mental health conditions and use of healthcare services in children the first year of life– a register-based, nationwide study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7981963/
https://www.ncbi.nlm.nih.gov/pubmed/33743653
http://dx.doi.org/10.1186/s12889-021-10625-y
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