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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study

Authors: Nadine Kacenelenbogen, Michèle Dramaix-Wilmet, Marco Schetgen, Michel Roland

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

In Western countries, many children are affected by the separation of their parents. Our main objective was to assess the possible impact of parental separation family structure on certain aspects of somatic health in low-age children.

Methods

We conducted a cross-sectional study based on data collected in the framework of free preventive medicine consultations in the French Community of Belgium. The data was derived from assessments conducted, between 2006 and 2012, on children 7 to 11 months after birth during which information of 79701 infants was collected regarding the risk of sudden infant death, psychomotor development, and development in terms of height and weight. The main outcome measures were: episode of risk of sudden infant death, polysomnography, home monitoring, psychomotor development, and body mass index.

Results

The parents of 6.6% of the infants were separated. We established multivariable models, based on the presence or absence of confounders. The adjusted ORs (95% CI) of symptoms perceived as frightening, notably at night, of a prescription for a polysomnography, of an abnormal polysomnography result, and of follow-up by home monitoring were thus respectively 1.3 (1.1–1.6), 1.1 (0.9–1.3), 1.8 (1.3–2.4), and 1.3 (1.1–1.6). The adjusted ORs (95% CI) for psychomotor delay and for a body mass index above the 97th percentile were respectively 1.3 (1.0–1.6) and 1.2 (1.1–1.3) in the event of separation.

Conclusions

This study confirms the possibility that not living with both parents is an independent risk factor for the somatic health and psychomotor development of infants. This observation should be verified because it would have a major impact on the actions of family doctors and other first-line healthcare providers, in particular with regard to information and targeted prevention.
Literature
1.
go back to reference Bramlett MD, Blumberg SJ. Family Structure and Children’s Physical and Mental Health. Health Aff. 2007;26:549–58.CrossRef Bramlett MD, Blumberg SJ. Family Structure and Children’s Physical and Mental Health. Health Aff. 2007;26:549–58.CrossRef
8.
go back to reference Nielsen NM, Hansen AV, Simonsen J, Hviid A. Stressful life events in childhood and risk of infectious disease hospitalization. Eur J Pediatr. 2012;171:173–9.CrossRefPubMed Nielsen NM, Hansen AV, Simonsen J, Hviid A. Stressful life events in childhood and risk of infectious disease hospitalization. Eur J Pediatr. 2012;171:173–9.CrossRefPubMed
9.
go back to reference Li L, Manor O, Power C. Early environment and child-to-adult growthtrajectories in the 1958 British birth cohort. Am J Clin Nutr. 2004;80:185–92.PubMed Li L, Manor O, Power C. Early environment and child-to-adult growthtrajectories in the 1958 British birth cohort. Am J Clin Nutr. 2004;80:185–92.PubMed
10.
go back to reference Rothman EF, Edwards EM, Heeren T, Hingson RW. Adverse childhood experiences predict earlier age of drinking onset: results from a representative US sample of current or former drinkers. Pediatrics. 2008;122:298–304.CrossRef Rothman EF, Edwards EM, Heeren T, Hingson RW. Adverse childhood experiences predict earlier age of drinking onset: results from a representative US sample of current or former drinkers. Pediatrics. 2008;122:298–304.CrossRef
11.
12.
go back to reference Hemminki K, Chen B. Lifestyle and cancer: effect of parentaldivorce. Eur J Cancer Prev. 2006;15:524–30.CrossRefPubMed Hemminki K, Chen B. Lifestyle and cancer: effect of parentaldivorce. Eur J Cancer Prev. 2006;15:524–30.CrossRefPubMed
13.
go back to reference Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative Childhood Stress and Autoimmune Diseases in Adults. Psychosom Med. 2009;71:243–50.CrossRefPubMedPubMedCentral Dube SR, Fairweather D, Pearson WS, Felitti VJ, Anda RF, Croft JB. Cumulative Childhood Stress and Autoimmune Diseases in Adults. Psychosom Med. 2009;71:243–50.CrossRefPubMedPubMedCentral
14.
go back to reference Kacenelenbogen N, Roland M, Schetgen M, Dusart AF. The General Practitioner and Children of Separated Parents in Belgium: A Qualitative Study and its Implications. J Gen Pract. 2013;1:133. Kacenelenbogen N, Roland M, Schetgen M, Dusart AF. The General Practitioner and Children of Separated Parents in Belgium: A Qualitative Study and its Implications. J Gen Pract. 2013;1:133.
18.
go back to reference Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New-York: John Wiley & Sons, Inc; 2000. p. 144–56.CrossRef Hosmer DW, Lemeshow S. Applied Logistic Regression. 2nd ed. New-York: John Wiley & Sons, Inc; 2000. p. 144–56.CrossRef
19.
go back to reference Highet AR, Goldwater PN. Maternal and perinatal risk factors for SIDS: a novel analysis utilizing pregnancy outcome data. Eur J Pediatr. 2013;172:369–72.CrossRefPubMed Highet AR, Goldwater PN. Maternal and perinatal risk factors for SIDS: a novel analysis utilizing pregnancy outcome data. Eur J Pediatr. 2013;172:369–72.CrossRefPubMed
20.
go back to reference Mitchell EA, Tuohy PG, Brunt JM. Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: a prospective study. Pediatrics. 1997;100:835–40.CrossRefPubMed Mitchell EA, Tuohy PG, Brunt JM. Risk factors for sudden infant death syndrome following the prevention campaign in New Zealand: a prospective study. Pediatrics. 1997;100:835–40.CrossRefPubMed
21.
go back to reference Millar WJ, Hill GB. Prevalence of and risk factors for sudden infant death syndrome in Canada. CMAJ. 1993;149:629–35.PubMedPubMedCentral Millar WJ, Hill GB. Prevalence of and risk factors for sudden infant death syndrome in Canada. CMAJ. 1993;149:629–35.PubMedPubMedCentral
22.
go back to reference Balayla J, Azoulay L, Abenhaim HA. Maternal marital status and the risk of stillbirth and infant death: a population-based cohort study on 40 million births in the United States. Womens Health Issues. 2011;21:361–5.CrossRefPubMed Balayla J, Azoulay L, Abenhaim HA. Maternal marital status and the risk of stillbirth and infant death: a population-based cohort study on 40 million births in the United States. Womens Health Issues. 2011;21:361–5.CrossRefPubMed
23.
go back to reference Leach CE, Blair PS, Fleming PJ, Smith IJ, Platt MW, Berry PJ, et al. Epidemiology of SIDS and Explained Sudden Infant Deaths. Pediatrics. 1999;104:e43.CrossRefPubMed Leach CE, Blair PS, Fleming PJ, Smith IJ, Platt MW, Berry PJ, et al. Epidemiology of SIDS and Explained Sudden Infant Deaths. Pediatrics. 1999;104:e43.CrossRefPubMed
24.
go back to reference Esani N, Hodgman JE, Ehsani N, Hoppenbrouwers TJ. Apparent life-threatening events and sudden infant death syndrome: comparison of risk factors. Pediatrics. 2008;152:365–70.CrossRef Esani N, Hodgman JE, Ehsani N, Hoppenbrouwers TJ. Apparent life-threatening events and sudden infant death syndrome: comparison of risk factors. Pediatrics. 2008;152:365–70.CrossRef
25.
go back to reference Kiechl-Kohlendorfer U, Hof D, Peglow UP, Traweger-Ravanelli B, Kiechl S. Epidemiology of apparent life threatening events. Arch Dis Child. 2005;90:297–300.CrossRefPubMed Kiechl-Kohlendorfer U, Hof D, Peglow UP, Traweger-Ravanelli B, Kiechl S. Epidemiology of apparent life threatening events. Arch Dis Child. 2005;90:297–300.CrossRefPubMed
26.
go back to reference Kotagal S, Nichols CD, Grigg-Damberger MM, Marcus CL, Witmans MB, Kirk VG, et al. Non-respiratory indications for polysomnography and related procedures in children: an evidence-based review. Sleep. 2012;35:1451–66.PubMedPubMedCentral Kotagal S, Nichols CD, Grigg-Damberger MM, Marcus CL, Witmans MB, Kirk VG, et al. Non-respiratory indications for polysomnography and related procedures in children: an evidence-based review. Sleep. 2012;35:1451–66.PubMedPubMedCentral
27.
go back to reference Ramgopal S, Kothare SV, Rana M, Singh K, Khatwa U. Obstructive sleep apnea in infancy: A 7-year experience at a pediatric sleep center. Pediatr Pulmonol. 2013. doi: 10.1002/ppul.22867. Ramgopal S, Kothare SV, Rana M, Singh K, Khatwa U. Obstructive sleep apnea in infancy: A 7-year experience at a pediatric sleep center. Pediatr Pulmonol. 2013. doi: 10.1002/ppul.22867.
28.
go back to reference Montgomery-Downs HE, Gozal D. Sleep habits and risk factors for sleep-disordered breathing in infants and young toddlers in Louisville, Kentucky. Sleep Med. 2006;7:211–9.CrossRefPubMed Montgomery-Downs HE, Gozal D. Sleep habits and risk factors for sleep-disordered breathing in infants and young toddlers in Louisville, Kentucky. Sleep Med. 2006;7:211–9.CrossRefPubMed
29.
go back to reference Bonuck KA, Chervin RD, Cole TJ, Emond A, Henderson J, Xu L, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011;34:875–84.CrossRefPubMedPubMedCentral Bonuck KA, Chervin RD, Cole TJ, Emond A, Henderson J, Xu L, et al. Prevalence and persistence of sleep disordered breathing symptoms in young children: a 6-year population-based cohort study. Sleep. 2011;34:875–84.CrossRefPubMedPubMedCentral
30.
go back to reference Montgomery-Downs HE, Crabtree VM, Sans Capdevila O, Gozal D. Infant-feeding methods and childhood sleep-disordered breathing. Pediatrics. 2007;120:1030–5.CrossRefPubMed Montgomery-Downs HE, Crabtree VM, Sans Capdevila O, Gozal D. Infant-feeding methods and childhood sleep-disordered breathing. Pediatrics. 2007;120:1030–5.CrossRefPubMed
31.
go back to reference Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5–16.PubMed Scott JA, Binns CW. Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999;7:5–16.PubMed
32.
go back to reference Thulier D, Mercer J. Variables associated with breastfeeding duration. J Obstet Gynecol Neonatal Nurs. 2009;38:259–68.CrossRefPubMed Thulier D, Mercer J. Variables associated with breastfeeding duration. J Obstet Gynecol Neonatal Nurs. 2009;38:259–68.CrossRefPubMed
33.
go back to reference Oves Suárez B, Escartín Madurga L, Samper Villagrasa MP, Cuadrón Andrés L, Alvarez Sauras ML, Lasarte Velillas JJ, et al. Immigration and factors associated with breastfeeding. CALINA study. An Pediatr (Barc). 2013;3(13):00385–8. Oves Suárez B, Escartín Madurga L, Samper Villagrasa MP, Cuadrón Andrés L, Alvarez Sauras ML, Lasarte Velillas JJ, et al. Immigration and factors associated with breastfeeding. CALINA study. An Pediatr (Barc). 2013;3(13):00385–8.
34.
go back to reference McKenna JJ, McDade T. Why babies should never sleep alone: a review of the co-sleeping controversy in relation toSIDS, bedsharing and breast feeding. Paediatr Respir Rev. 2005;6:134–52.CrossRefPubMed McKenna JJ, McDade T. Why babies should never sleep alone: a review of the co-sleeping controversy in relation toSIDS, bedsharing and breast feeding. Paediatr Respir Rev. 2005;6:134–52.CrossRefPubMed
35.
go back to reference Adamsons K, Johnson SK. An updated and expanded meta-analysis of nonresident fathering and child well-being. J Fam Psychol. 2013;27:589–99.CrossRefPubMed Adamsons K, Johnson SK. An updated and expanded meta-analysis of nonresident fathering and child well-being. J Fam Psychol. 2013;27:589–99.CrossRefPubMed
36.
go back to reference Sarkadi A, Kristiansson R, Oberklaid F. Fathers’ involvement and children’s developmental outcomes: a systematic review of longitudinal studies. Acta Paediatr. 2008;97:153–8.CrossRefPubMed Sarkadi A, Kristiansson R, Oberklaid F. Fathers’ involvement and children’s developmental outcomes: a systematic review of longitudinal studies. Acta Paediatr. 2008;97:153–8.CrossRefPubMed
37.
go back to reference Tamis-LeMonda CS, Shannon JD, Cabrera NJ. Fathers and mothers at play with their 2- and 3-year-olds: contributions to language and cognitive development. Child Dev. 2004;75:1806–20.CrossRefPubMed Tamis-LeMonda CS, Shannon JD, Cabrera NJ. Fathers and mothers at play with their 2- and 3-year-olds: contributions to language and cognitive development. Child Dev. 2004;75:1806–20.CrossRefPubMed
38.
go back to reference Ferretti F, Franca A, Folin M. Risk factors associated with postnatal depressive symptomatology: a study conducted in the Southern Area of the Local Health Unit of Modena. Epidemiol Prev. 2013;37:138–44.PubMed Ferretti F, Franca A, Folin M. Risk factors associated with postnatal depressive symptomatology: a study conducted in the Southern Area of the Local Health Unit of Modena. Epidemiol Prev. 2013;37:138–44.PubMed
39.
go back to reference Dennis CL, Heaman M, Vigod S. Epidemiology of postpartum depressive symptoms among Canadian women: regional and national results from a cross-sectional survey. Can J Psychiatry. 2012;57:537–46.PubMed Dennis CL, Heaman M, Vigod S. Epidemiology of postpartum depressive symptoms among Canadian women: regional and national results from a cross-sectional survey. Can J Psychiatry. 2012;57:537–46.PubMed
40.
go back to reference Bernard-Bonnin AC. Maternal depression and child development. Paediatr Child Health. 2004;9:575–83. Bernard-Bonnin AC. Maternal depression and child development. Paediatr Child Health. 2004;9:575–83.
41.
go back to reference Giallo R, Cooklin A, Wade C. Maternal postnatal mental health and later emotional-behavioural development of children: the mediating role of parenting behaviour. Child Care Health Dev. 2013 30. doi:10.1111/cch.12028 Giallo R, Cooklin A, Wade C. Maternal postnatal mental health and later emotional-behavioural development of children: the mediating role of parenting behaviour. Child Care Health Dev. 2013 30. doi:10.1111/cch.12028
43.
go back to reference Naughton AM, Maguire SA, Mann MK, Lumb RC, Tempest V, Gracias S, et al. Emotional, behavioral, and developmental features indicative of neglect or emotional abuse in preschool children: a systematic review. JAMA Pediatr. 2013;167:769–75.CrossRefPubMed Naughton AM, Maguire SA, Mann MK, Lumb RC, Tempest V, Gracias S, et al. Emotional, behavioral, and developmental features indicative of neglect or emotional abuse in preschool children: a systematic review. JAMA Pediatr. 2013;167:769–75.CrossRefPubMed
45.
go back to reference Wolfe DA, Crooks CV, Lee V, McIntyre-Smith A, Jaffe PG. The effects of children’s exposure to domestic violence: A meta-analysis and critique. Clin Child Fam Psychol Rev. 2003;6:171–87.CrossRefPubMed Wolfe DA, Crooks CV, Lee V, McIntyre-Smith A, Jaffe PG. The effects of children’s exposure to domestic violence: A meta-analysis and critique. Clin Child Fam Psychol Rev. 2003;6:171–87.CrossRefPubMed
46.
go back to reference Dubois L, Girard M. Early determinants of overweight at 4.5 years in a population-based longitudinal study. Int J Obes (Lond). 2006;610:7. Dubois L, Girard M. Early determinants of overweight at 4.5 years in a population-based longitudinal study. Int J Obes (Lond). 2006;610:7.
47.
go back to reference Bergmann KE, Bergmann RL, Von Kries R, Böhm O, Richter R, Dudenhausen JW, et al. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord. 2003;27:162–72.CrossRefPubMed Bergmann KE, Bergmann RL, Von Kries R, Böhm O, Richter R, Dudenhausen JW, et al. Early determinants of childhood overweight and adiposity in a birth cohort study: role of breast-feeding. Int J Obes Relat Metab Disord. 2003;27:162–72.CrossRefPubMed
49.
go back to reference Krebs NF, Jacobson MS. Prevention of pediatric overweight and obesity. Pediatrics. 2003;112:424–30.CrossRefPubMed Krebs NF, Jacobson MS. Prevention of pediatric overweight and obesity. Pediatrics. 2003;112:424–30.CrossRefPubMed
50.
go back to reference Power C, Parsons T. Nutritional and other influences in childhood as predictors of adult obesity. Proc Nutr Soc. 2000;59:267–72.CrossRefPubMed Power C, Parsons T. Nutritional and other influences in childhood as predictors of adult obesity. Proc Nutr Soc. 2000;59:267–72.CrossRefPubMed
Metadata
Title
Not living with both parents is associated with more health- and developmental problems in infants aged 7 to 11 months: a cross sectional study
Authors
Nadine Kacenelenbogen
Michèle Dramaix-Wilmet
Marco Schetgen
Michel Roland
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1505-z

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