Parental mental health, socioeconomic position and the risk of asthma in children—a nationwide Danish register study
Abstract Background Parental mental illness affects child health. However, less is known about the impact of different severities of maternal depression and anxiety as well as other mental health conditions. The objective of this study was to examine the impact of different severities of maternal an...
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| Veröffentlicht in: | European journal of public health 2022-02, Vol.32 (1), p.14-20 |
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| creator | Heuckendorff, Signe Johansen, Martin Nygård Overgaard, Charlotte Johnsen, Søren Paaske Kelly, Yvonne Fonager, Kirsten |
| description | Abstract
Background
Parental mental illness affects child health. However, less is known about the impact of different severities of maternal depression and anxiety as well as other mental health conditions. The objective of this study was to examine the impact of different severities of maternal and paternal mental health conditions on child asthma.
Methods
This nationwide, register-based cohort study included all children in Denmark born from 2000 to 2014. Exposure was parental mental health conditions categorized in three severities: minor (treated at primary care settings), moderate (all ICD-10 F-diagnoses given at psychiatric hospital) and severe (diagnoses of severe mental illness). The children were followed from their third to sixth birthday. Child asthma was identified by prescribed medication and hospital-based diagnoses. Incidence rate ratios were calculated using negative binomial regression analyses.
Results
The analyses included 925 288 children; 26% of the mothers and 16% of the fathers were classified with a mental health condition. Exposed children were more likely to have asthma (10.6–12.0%) compared with unexposed children (8.5–9.0%). The three severities of mental health conditions of the mother and the father increased the risk of child asthma, most evident for maternal exposure. Additive interaction between maternal mental health conditions and disadvantaged socioeconomic position was found.
Conclusion
We found an increased risk of asthma in exposed children, highest for maternal exposure. Not only moderate and severe, but also minor mental health conditions increased the risk of child asthma. The combination of mental health condition and disadvantaged socioeconomic position for mothers revealed a relative excess risk. |
| doi_str_mv | 10.1093/eurpub/ckab205 |
| format | Article |
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Background
Parental mental illness affects child health. However, less is known about the impact of different severities of maternal depression and anxiety as well as other mental health conditions. The objective of this study was to examine the impact of different severities of maternal and paternal mental health conditions on child asthma.
Methods
This nationwide, register-based cohort study included all children in Denmark born from 2000 to 2014. Exposure was parental mental health conditions categorized in three severities: minor (treated at primary care settings), moderate (all ICD-10 F-diagnoses given at psychiatric hospital) and severe (diagnoses of severe mental illness). The children were followed from their third to sixth birthday. Child asthma was identified by prescribed medication and hospital-based diagnoses. Incidence rate ratios were calculated using negative binomial regression analyses.
Results
The analyses included 925 288 children; 26% of the mothers and 16% of the fathers were classified with a mental health condition. Exposed children were more likely to have asthma (10.6–12.0%) compared with unexposed children (8.5–9.0%). The three severities of mental health conditions of the mother and the father increased the risk of child asthma, most evident for maternal exposure. Additive interaction between maternal mental health conditions and disadvantaged socioeconomic position was found.
Conclusion
We found an increased risk of asthma in exposed children, highest for maternal exposure. Not only moderate and severe, but also minor mental health conditions increased the risk of child asthma. The combination of mental health condition and disadvantaged socioeconomic position for mothers revealed a relative excess risk.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckab205</identifier><identifier>PMID: 34893814</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Anxiety ; Asthma ; Asthma in children ; Children ; Children & youth ; Childrens health ; Disadvantaged ; Exposure ; Fathers ; Health aspects ; Health care ; Health risks ; Illnesses ; Mental disorders ; Mental health ; Mental health care ; Mental illness ; Parental influences ; Parents ; Pediatric research ; Primary care ; Psychological aspects ; Public health ; Regression analysis ; Risk ; Risk factors ; Social aspects ; Social Determinants ; Socioeconomic factors ; Socioeconomics ; Statistics</subject><ispartof>European journal of public health, 2022-02, Vol.32 (1), p.14-20</ispartof><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association. 2021</rights><rights>The Author(s) 2021. Published by Oxford University Press on behalf of the European Public Health Association.</rights><rights>COPYRIGHT 2022 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c519t-9edd1cb9d2090abb4af1e76a0491bd90db76f2c6176ad36c34555a93ab90d16d3</citedby><cites>FETCH-LOGICAL-c519t-9edd1cb9d2090abb4af1e76a0491bd90db76f2c6176ad36c34555a93ab90d16d3</cites><orcidid>0000-0002-4074-064X ; 0000-0001-9641-992X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807069/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8807069/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1604,27866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34893814$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heuckendorff, Signe</creatorcontrib><creatorcontrib>Johansen, Martin Nygård</creatorcontrib><creatorcontrib>Overgaard, Charlotte</creatorcontrib><creatorcontrib>Johnsen, Søren Paaske</creatorcontrib><creatorcontrib>Kelly, Yvonne</creatorcontrib><creatorcontrib>Fonager, Kirsten</creatorcontrib><title>Parental mental health, socioeconomic position and the risk of asthma in children—a nationwide Danish register study</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Abstract
Background
Parental mental illness affects child health. However, less is known about the impact of different severities of maternal depression and anxiety as well as other mental health conditions. The objective of this study was to examine the impact of different severities of maternal and paternal mental health conditions on child asthma.
Methods
This nationwide, register-based cohort study included all children in Denmark born from 2000 to 2014. Exposure was parental mental health conditions categorized in three severities: minor (treated at primary care settings), moderate (all ICD-10 F-diagnoses given at psychiatric hospital) and severe (diagnoses of severe mental illness). The children were followed from their third to sixth birthday. Child asthma was identified by prescribed medication and hospital-based diagnoses. Incidence rate ratios were calculated using negative binomial regression analyses.
Results
The analyses included 925 288 children; 26% of the mothers and 16% of the fathers were classified with a mental health condition. Exposed children were more likely to have asthma (10.6–12.0%) compared with unexposed children (8.5–9.0%). The three severities of mental health conditions of the mother and the father increased the risk of child asthma, most evident for maternal exposure. Additive interaction between maternal mental health conditions and disadvantaged socioeconomic position was found.
Conclusion
We found an increased risk of asthma in exposed children, highest for maternal exposure. Not only moderate and severe, but also minor mental health conditions increased the risk of child asthma. The combination of mental health condition and disadvantaged socioeconomic position for mothers revealed a relative excess risk.</description><subject>Anxiety</subject><subject>Asthma</subject><subject>Asthma in children</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens health</subject><subject>Disadvantaged</subject><subject>Exposure</subject><subject>Fathers</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health risks</subject><subject>Illnesses</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental illness</subject><subject>Parental influences</subject><subject>Parents</subject><subject>Pediatric research</subject><subject>Primary care</subject><subject>Psychological aspects</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Risk factors</subject><subject>Social aspects</subject><subject>Social Determinants</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Statistics</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkstq3TAQhk1paS7ttssi6KaBOpEsW7Y2hZBeIdAuWuhOjKXxsRJbOpHklOz6EH3CPkl1OKfphUDRYsTMN7-Y0V8UTxg9ZlTyE1zCeulP9CX0FW3uFfusFnXJBf1yP98ZZSWrRLVXHMR4QSlt2q56WOzxupO8Y_V-cf0RAroEE5m3YUSY0viCRK-tR-2dn60max9tst4RcIakEUmw8ZL4gUBM4wzEOqJHO5ms9ePbdyAONvRXa5C8AmfjSAKubEwYSEyLuXlUPBhgivh4Fw-Lz29efzp7V55_ePv-7PS81A2TqZRoDNO9NBWVFPq-hoFhK4DWkvVGUtO3Yqi0YDlnuNC8bpoGJIc-15gw_LB4udXNS5rR6DxjgEmtg50h3CgPVv1dcXZUK3-tuo62VMgs8HwnEPzVgjGp2UaN0wQO_RJVXi6nraRygz77B73wS3B5vEzxrmlawdhvagUTKusGn9_VG1F12jaZYlLwTB3fQeVjMH-HdzjYnL-rQQcfY8DhdkZG1cYpausUtXNKbnj652Zu8V_WyMDRFvDL-n9iPwG078z0</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Heuckendorff, Signe</creator><creator>Johansen, Martin Nygård</creator><creator>Overgaard, Charlotte</creator><creator>Johnsen, Søren Paaske</creator><creator>Kelly, Yvonne</creator><creator>Fonager, Kirsten</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4074-064X</orcidid><orcidid>https://orcid.org/0000-0001-9641-992X</orcidid></search><sort><creationdate>20220201</creationdate><title>Parental mental health, socioeconomic position and the risk of asthma in children—a nationwide Danish register study</title><author>Heuckendorff, Signe ; Johansen, Martin Nygård ; Overgaard, Charlotte ; Johnsen, Søren Paaske ; Kelly, Yvonne ; Fonager, Kirsten</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c519t-9edd1cb9d2090abb4af1e76a0491bd90db76f2c6176ad36c34555a93ab90d16d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Anxiety</topic><topic>Asthma</topic><topic>Asthma in children</topic><topic>Children</topic><topic>Children & youth</topic><topic>Childrens health</topic><topic>Disadvantaged</topic><topic>Exposure</topic><topic>Fathers</topic><topic>Health aspects</topic><topic>Health care</topic><topic>Health risks</topic><topic>Illnesses</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental illness</topic><topic>Parental influences</topic><topic>Parents</topic><topic>Pediatric research</topic><topic>Primary care</topic><topic>Psychological aspects</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk</topic><topic>Risk factors</topic><topic>Social aspects</topic><topic>Social Determinants</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Statistics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heuckendorff, Signe</creatorcontrib><creatorcontrib>Johansen, Martin Nygård</creatorcontrib><creatorcontrib>Overgaard, Charlotte</creatorcontrib><creatorcontrib>Johnsen, Søren Paaske</creatorcontrib><creatorcontrib>Kelly, Yvonne</creatorcontrib><creatorcontrib>Fonager, Kirsten</creatorcontrib><collection>Access via Oxford University Press (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heuckendorff, Signe</au><au>Johansen, Martin Nygård</au><au>Overgaard, Charlotte</au><au>Johnsen, Søren Paaske</au><au>Kelly, Yvonne</au><au>Fonager, Kirsten</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental mental health, socioeconomic position and the risk of asthma in children—a nationwide Danish register study</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2022-02-01</date><risdate>2022</risdate><volume>32</volume><issue>1</issue><spage>14</spage><epage>20</epage><pages>14-20</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><abstract>Abstract
Background
Parental mental illness affects child health. However, less is known about the impact of different severities of maternal depression and anxiety as well as other mental health conditions. The objective of this study was to examine the impact of different severities of maternal and paternal mental health conditions on child asthma.
Methods
This nationwide, register-based cohort study included all children in Denmark born from 2000 to 2014. Exposure was parental mental health conditions categorized in three severities: minor (treated at primary care settings), moderate (all ICD-10 F-diagnoses given at psychiatric hospital) and severe (diagnoses of severe mental illness). The children were followed from their third to sixth birthday. Child asthma was identified by prescribed medication and hospital-based diagnoses. Incidence rate ratios were calculated using negative binomial regression analyses.
Results
The analyses included 925 288 children; 26% of the mothers and 16% of the fathers were classified with a mental health condition. Exposed children were more likely to have asthma (10.6–12.0%) compared with unexposed children (8.5–9.0%). The three severities of mental health conditions of the mother and the father increased the risk of child asthma, most evident for maternal exposure. Additive interaction between maternal mental health conditions and disadvantaged socioeconomic position was found.
Conclusion
We found an increased risk of asthma in exposed children, highest for maternal exposure. Not only moderate and severe, but also minor mental health conditions increased the risk of child asthma. The combination of mental health condition and disadvantaged socioeconomic position for mothers revealed a relative excess risk.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>34893814</pmid><doi>10.1093/eurpub/ckab205</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-4074-064X</orcidid><orcidid>https://orcid.org/0000-0001-9641-992X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | DOAJ Directory of Open Access Journals; PAIS Index; Access via Oxford University Press (Open Access Collection); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Anxiety Asthma Asthma in children Children Children & youth Childrens health Disadvantaged Exposure Fathers Health aspects Health care Health risks Illnesses Mental disorders Mental health Mental health care Mental illness Parental influences Parents Pediatric research Primary care Psychological aspects Public health Regression analysis Risk Risk factors Social aspects Social Determinants Socioeconomic factors Socioeconomics Statistics |
| title | Parental mental health, socioeconomic position and the risk of asthma in children—a nationwide Danish register study |
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