PACE is a prevention trial testing the efficacy of a structured program to promote effective parenting and reduce risk of
adverse child outcomes.
Our results support findings from previous studies indicating that PPD in mothers adversely affects their children's development in several domains, and adds to the existing literature in that
these adverse child outcomes remain when controlling for the risk factors associated with PPD.
On the other hand, stress factors can be responsible for
adverse child outcomes in the absence of maternal depression.
Past events have featured researchers and program leaders presenting on topics ranging from primary prevention, model hospital treatment programs, hormones, sleep protection, NICU support, alternative treatments,
adverse child outcomes, support for fathers, and more.
Since
adverse child outcomes associated with PND are more likely to occur in the context of chronic or recurrent depression, it is particularly important that this group be identified and targeted for intervention.
Perinatal depression is common; in high - income countries the point prevalence is approximately 13 %, with higher rates estimated in low - income and middle - income countries.1 Furthermore, perinatal depression is associated with an increased risk of
adverse child outcomes, including behavioural, emotional and cognitive difficulties, 2 which persist into late childhood and adolescence.
This differs from previous studies that use this cohort, where exposure in pregnancy had a significantly greater effect on other types of
adverse child outcomes.23 28 These findings may indicate that the relationship between school attendance and maternal alcohol use disorders is not primarily driven by the neurobehavioural effects of alcohol during pregnancy, but rather a complex family and social environment in which school attendance is not a priority or not well monitored.
Furthermore, although there are separable forms of parenting disturbance in the context of PND that are in turn associated with particular forms of
adverse child outcome, it has yet to be empirically addressed whether particular features of the mother - infant relationship can usefully be addressed in interventions to improve particular child outcomes.
Not exact matches
Helping adolescent males to delay fatherhood may also be important from a
child health perspective: research that controlled for maternal age and other key factors found teenage fatherhood associated with an increased risk of
adverse pregnancy
outcomes, including preterm birth, low birth weight and neonatal death (Chen et al, 2007).
The results overall confirm the substantial health benefits of breastfeeding: it protects against a spectrum of
adverse health
outcomes for
children, and breastfeeding mothers also gain from having breastfed.
While some meta - analyses of home visiting programs suggest that many types of home visiting programs can make a difference in reducing
adverse outcomes such as
child maltreatment and childhood injuries, 14,15 meta - analyses can produce misleading results if there are insufficient numbers of trials of programs represented in the cross-classification of home visiting target populations, program models, and visitors» backgrounds.
Enabling women to breastfeed is also a public health priority because, on a population level, interruption of lactation is associated with
adverse health
outcomes for the woman and her
child, including higher maternal risks of breast cancer, ovarian cancer, diabetes, hypertension, and heart disease, and greater infant risks of infectious disease, sudden infant death syndrome, and metabolic disease (2, 4).
I would say the death of one's
child is an
adverse outcome, and even a small risk of that should be taken very seriously.
Additional potential benefits are increased patient satisfaction, improved maternal /
child well - being and reduced incidence of
adverse outcomes including cesarean sections.
Poor nutrition during these critical growth and developmental periods places infants and
children at risk of impaired emotional and cognitive development and
adverse health
outcomes.
Not being breastfed has an
adverse impact on intelligence quotient (IQ), and educational and behavioural
outcomes for the
child (Heikkilä 2014; Heikkilä 2011; Horta 2015b; Quigley 2012).
«Mothers of infants with complex congenital heart disease are exposed to increased stress, which has been associated with numerous
adverse outcomes,» said Barbara Medoff - Cooper, PhD, RN FAAN, principal investigator and nurse scientist in the Cardiac Center at
Children's Hospital of Philadelphia and at Penn Nursing.
«Not all
children and adolescents who grow up in poverty experience
adverse outcomes.
«For
children with respiratory infections, antibiotics with narrower targets are better: Researchers find
outcomes are similar, but broader - spectrum antibiotics have higher risk of
adverse effects.»
In addition to assessing clinical
outcomes in a retrospective cohort of 30,000
children, the researchers studied a prospective cohort of 2,472
children, doing telephone interviews with caregivers to measure
outcomes that parents had identified as their highest concerns:
adverse drug effects, additional childcare costs, lingering symptoms and missed school days.
Some epidemiologic evidence suggests that arsenic exposure in utero and early in life may be associated with
adverse effects on fetal growth, and on infant and
child immune and neurodevelopment
outcomes.
«Older
children [aged 6 - 12 years] were more likely to report intentional ingestion and to have
adverse health effects and worse
outcomes than were younger
children, suggesting that older
children might be deliberately misusing or abusing alcohol hand sanitizers,» wrote the team led by Dr. Cynthia Santos, of the CDC's National Center for Environmental Health.
Although it is often suggested that
children with epilepsy who are benefiting from ketogenic dietary therapy continue this for at least two years, duration of treatment could be shorter in patients with infantile spasms who become seizure - free; one study reported no
adverse effect on seizure
outcomes and less risk of growth disturbances when treatment was tapered down after 8 months (15).
Dates fruit consumption during late pregnancy has been shown to positively affect the
outcome of labour and delivery without
adverse effect on the mother and
child.»
Both books focus on the importance of developing resilience — an affirmation of the value of a
child's ability to recover and learn from
adverse outcomes, whether these are accidents and injuries, failure, conflict, abuse, neglect or even tragedy.
Poverty has a particularly
adverse effect on the academic
outcomes of
children, especially during early childhood.
Children with disruptive behaviors are at risk for
adverse outcomes.
As seen below
children that have had
adverse childhood experiences are far more likely to exhibit negative
outcomes later in life.
BACKGROUND: Ultrafine particles (UFPs) have been associated with
adverse health
outcomes in
children, but studies are often limited by surrogate estimates of exposure.
Studies of
adverse childhood experiences confirm what many of us know from working with young people —
children raised in
adverse environments are more likely to experience negative developmental
outcomes, including teen pregnancy.
This risk analysis allows stakeholders to develop initiatives to address the upstream social determinants of downstream physical and emotional health
outcomes for
children experiencing
adverse events.
These results are similar to those found in other sustained nurse home visiting studies, 1 14 although the intervention impacted on a broader range of domains of the home environment for this subgroup of women than has been reported previously.1 An increasing body of evidence from both animal and human studies suggests that stress in pregnancy has significant impacts on developmental and behavioural
outcomes for
children.29 While the mental development of
children of mothers who were not distressed antenatally in both the intervention and comparison groups was comparable with the general population,
children's development was particularly poor in the distressed subgroup in the absence of the MECSH intervention, suggesting that sustained nurse home visiting may be particularly effective in ameliorating some
adverse developmental impacts for
children of mothers with antenatal distress.
In 2010, more than 1 in 5
children were reported to be living in poverty.6, 10 Economic disadvantage is among the most potent risks for behavioral and emotional problems due to increased exposure to environmental, familial, and psychosocial risks.11 — 13 In families in which parents are in military service, parental deployment and return has been determined to be a risk factor for behavioral and emotional problems in children.14 Data from the 2003 National Survey of Children's Health demonstrated a strong linear relationship between increasing number of psychosocial risks and many poor health outcomes, including social - emotional health.15 The Adverse Childhood Experience Study surveyed 17000 adults about early traumatic and stressful expe
children were reported to be living in poverty.6, 10 Economic disadvantage is among the most potent risks for behavioral and emotional problems due to increased exposure to environmental, familial, and psychosocial risks.11 — 13 In families in which parents are in military service, parental deployment and return has been determined to be a risk factor for behavioral and emotional problems in
children.14 Data from the 2003 National Survey of Children's Health demonstrated a strong linear relationship between increasing number of psychosocial risks and many poor health outcomes, including social - emotional health.15 The Adverse Childhood Experience Study surveyed 17000 adults about early traumatic and stressful expe
children.14 Data from the 2003 National Survey of
Children's Health demonstrated a strong linear relationship between increasing number of psychosocial risks and many poor health outcomes, including social - emotional health.15 The Adverse Childhood Experience Study surveyed 17000 adults about early traumatic and stressful expe
Children's Health demonstrated a strong linear relationship between increasing number of psychosocial risks and many poor health
outcomes, including social - emotional health.15 The
Adverse Childhood Experience Study surveyed 17000 adults about early traumatic and stressful experiences.
Adverse childhood experiences (ACEs) are associated with poor health
outcomes in
children and adults.
Children who experience poverty, particularly during early life or for an extended period, are at risk of a host of
adverse health and developmental
outcomes through their life course.1 Poverty has a profound effect on specific circumstances, such as birth weight, infant mortality, language development, chronic illness, environmental exposure, nutrition, and injury.
Our findings add insight into the pathways linking early childhood adversity to poor adult wellbeing.29 Complementing past work that focused on physical health, 9 our findings provide information about links between ACEs and early childhood
outcomes at the intersection of learning, behavior, and health.29 We found that ACEs experienced in early childhood were associated with poor foundational skills, such as language and literacy, that predispose individuals to low educational attainment and adult literacy, both of which are related to poor health.23, 30 — 33 Attention problems, social problems, and aggression were also associated with ACEs and also have the potential to interfere with
children's educational experience given known associations between self - regulatory behavior and academic achievement.34, 35 Consistent with the original ACE study and subsequent research, we found that exposure to more ACEs was associated with more
adverse outcomes, suggesting a dose — response association.3 — 8 In fact, experiencing ≥ 3 ACEs was associated with below - average performance or problems in every
outcome examined.
Bright Futures, the AAP health promotion initiative, provides resources for pediatricians to detect both ACEs and
adverse developmental
outcomes.36 Programs like Reach Out and Read, in which pediatricians distribute books and model reading, simultaneously promote emergent literacy and parent —
child relationships through shared reading.37, 38 However, ACEs can not be addressed in isolation and require collaborative efforts with partners in the education, home visitation, and other social service sectors in synergistic efforts to strengthen families.29 In this way, programs like Help Me Grow39 that create streamlined access to early childhood services for at - risk
children can play a critical role in building an integrated system that connects families to needed resources to enhance the development of vulnerable
children.
Relative to
children with no ACEs,
children who experienced ACEs had increased odds of having below - average academic skills including poor literacy skills, as well as attention problems, social problems, and aggression, placing them at significant risk for poor school achievement, which is associated with poor health.23 Our study adds to the growing literature on
adverse outcomes associated with ACEs3 — 9,24 — 28 by pointing to ACEs during early childhood as a risk factor for
child academic and behavioral problems that have implications for education and health trajectories, as well as achievement gaps and health disparities.
Felitti and colleagues1 first described ACEs and defined it as exposure to psychological, physical or sexual abuse, and household dysfunction including substance abuse (problem drinking / alcoholic and / or street drugs), mental illness, a mother treated violently and criminal behaviour in the household.1 Along with the initial ACE study, other studies have characterised ACEs as neglect, parental separation, loss of family members or friends, long - term financial adversity and witness to violence.2 3 From the original cohort of 9508 American adults, more than half of respondents (52 %) experienced at least one
adverse childhood event.1 Since the original cohort, ACE exposures have been investigated globally revealing comparable prevalence to the original cohort.4 5 More recently in 2014, a survey of 4000 American
children found that 60.8 % of
children had at least one form of direct experience of violence, crime or abuse.6 The ACE study precipitated interest in the health conditions of adults maltreated as
children as it revealed links to chronic diseases such as obesity, autoimmune diseases, heart, lung and liver diseases, and cancer in adulthood.1 Since then, further evidence has revealed relationships between ACEs and physical and mental health
outcomes, such as increased risk of substance abuse, suicide and premature mortality.4 7
Approximately 37 % of all
children live in poverty for some period during their childhood.16 Children who are born into poverty and live persistently in poor conditions are at greatest risk of adverse o
children live in poverty for some period during their childhood.16
Children who are born into poverty and live persistently in poor conditions are at greatest risk of adverse o
Children who are born into poverty and live persistently in poor conditions are at greatest risk of
adverse outcomes.
ADHD is a common condition, affecting between 3 % and 5 % of
children, with important consequences for
adverse long - term
outcomes in health and education and welfare; as such it is an important public health problem.
It is important to know whether infants and toddlers with behavioral regulation problems wind up watching more media, as this is a vulnerable population that is already at risk for
adverse developmental
outcomes.20 Perhaps more importantly,
child behavior could be an important residual confounder in the relationship between media and
child development documented in the literature to date.
Families become eligible for services after being determined to be at an elevated risk for
adverse outcomes including
child maltreatment.
The higher risk for maternal postpartum depression is also associated with reduced parenting skills, which may have negative consequences for the development of the
child.28 — 30 Parents of obese
children may lack effective parenting skills providing both a consistent structured frame and emotional support.31 In women with GDM, psychosocial vulnerability including low levels of social and family networks is associated with more
adverse neonatal
outcomes, especially increased birth weight.32 Thus, there is a tight interaction between maternal lifestyle, weight status, mental health, social support as well as between maternal and
child's overall health.
The role of selection A common challenge in research in this area is that parents who are single or cohabiting may have attributes (both observed and unobserved) that differ from those of married parents and that also foster
adverse child and adolescent
outcomes.
In order to determine the effects of institutional care per se, it would be important to study the
outcome of
children admitted to group care from less
adverse home circumstances.
Thus,
adverse outcomes associated with ACE exposure begin in early childhood and impact multiple aspects of
children's lives.
In addition, they propose a unique solution, one more akin to the types of strategies used by thoughtful clinicians — namely,
children in need might be best identified not only through the presence of early behavioural signs and symptoms but also through the convergence of other indicators, such as well established risk factors for
adverse outcomes independent from the behavioural indicators themselves (eg, single parent status, family poverty, neuropsychological functioning, etc).
Where both parents are depressed, the
child is at far greater disadvantage and poorer
outcomes have been observed in
children up to the age of 7.32 Heightened parental anxiety may result in
adverse outcomes for the
child, who is also put at increased risk of anxiety.33 Given that
children born preterm are already at some disadvantage in comparison to their peers born at term, an increase in the prevalence of PD among this group of parents could compound the negative impact of an early delivery on
child outcomes.
Background Both maternal and paternal depression during the perinatal period are associated with
adverse effects on
child outcomes.