Higher family adversity index scores were associated with higher
prevalence of poor child health and health behaviours, with two exceptions.
The findings showed that, in general, the higher the family adversity index score, the higher
the prevalence of poor child health and health behaviours.
Not exact matches
They found a higher
prevalence of risk factors for
poor outcomes in black
children that include ventilator use, oxygen support, wound infections, transfusions and neonatal status.
A recent report by the Health & Social Care Information Centre states that the
poorer you are, the more likely you are to be obese or overweight: «In 2014 - 15, obesity
prevalence for
children living in the most deprived areas was double that
of those living in the least deprived areas.»
Our findings are even more sobering because the
prevalence of psychosocial problems among youth seems to be increasing.110, 111 The US Surgeon General reports that the unmet need for services is as high now as it was 20 years ago.112 Even youth who are insured often can not obtain treatment because few
child and adolescent psychiatrists practice in
poor and minority neighborhoods.113, 114
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.
Physicians underestimated substantially the
prevalence of intrafamilial violence, maternal psychosocial distress, and associated behavior problems in
children compared with use
of a questionnaire for this purpose.23 The use
of a clinic questionnaire identified significantly more mothers with potential risk factors for
poor parenting compared with review
of medical records.24 Shorter versions
of this questionnaire for evaluating parental depressive disorders, 25 substance abuse, 26 and parental history
of physical abuse as a child27 compared favorably to the original measures in terms
of accuracy.
Persistent, poorly controlled antisocial behaviour, however, is socially handicapping and often leads to
poor adjustment in adults.1 It occurs in 5 %
of children, 2 and its
prevalence is rising.3 The
children live with high levels
of criticism and hostility from their parents and are often rejected by their peers.3 Truancy is common, most leave school with no qualifications, and over a third become recurrent juvenile offenders.4 In adulthood, offending usually continues, relationships are limited and unsatisfactory, and the employment pattern is
poor.
Figure 2 - E shows that the
prevalence of poor health among
children aged 4 - 5 increased with a greater number
of family adversity factors, although the pattern
of this increase varied somewhat across health outcomes.
The graphs show that the
prevalence of children in
poor health and with
poor health behaviours increased as the level
of parenting skill decreased.
The
prevalence of children in
poor health and with
poor health behaviours increased as the level
of parenting skill decreased.
To estimate the
prevalence of mild to high stress in low - income parents and the percentage
of children with
poorer HRQOL and more behavioural problems compared with the population norm.
Recent research conducted in mainland China found that obesity
prevalence was higher among
children in wealthier families, 4 but the patterns were different in Hong Kong with higher rates
of childhood obesity among lower income families.4 5 Hong Kong, despite having a per capita gross domestic product
of Hong Kong dollar (HK$) 273 550, has large income differences between rich and
poor as reflected by a high Gini coefficient
of 0.539 reported in 2016; approximately 20 %
of the population are living in poverty as defined by a monthly household income below half
of the Hong Kong median.6 It is widely accepted that population health tend to be worse in societies with greater income inequalities, and hence low - income families in these societies are particularly at risk
of health problems.7 In our previous study,
children from Hong Kong Chinese low - income families experienced
poorer health and more behavioural problems than other
children in the population at similar age.8 Adults from these families also reported
poorer health - related quality
of life (HRQOL), 9 with 6.1 %
of the parents having a known history
of mental illness and 18.2 %
of them reporting elevated level
of stress.
Anxiety disorders are among the most common mental disorders during childhood and adolescence, with a
prevalence of 3 — 5 % in school - age
children (6 — 12 years) and 10 — 19 % in adolescents (13 — 18 years); 1, 2 and the
prevalence of anxiety disorders in this population tends to increase over time.3 Anxiety is the most common psychological symptom reported by
children and adolescents; however, presentation varies with age as younger patients often report undifferentiated anxiety symptoms, for example, muscle tension, headache, stomachache or angry outbursts.4 According to the standard diagnostic systems, there are various types
of anxiety disorders, for example, generalised anxiety disorder (GAD), social phobias (SOP), social anxiety disorder (SAD), panic disorder (PD), overanxious disorder, separation anxiety, post-traumatic stress disorder (PTSD), obsessive - compulsive disorder (OCD).5 Anxiety disorders in
children and adolescents often occur with a number
of comorbidities, such as autism spectrum disorders, 6 depressive disorders, 7 conduct disorder, 8 substance abuse9 or suicide - related behaviour.10 Youths with anxiety disorders experience serious impairment in social functioning (eg,
poor school achievement; relational problems with family members and peers).11, 12 Childhood and adolescent anxiety disorders can persist despite treatment, 1 and they are associated with later adult psychopathology.13, 14