Infant hospitalization and maternal depression, poverty and single parenthood – a population‐based study
Identifieur interne : 001183 ( Istex/Corpus ); précédent : 001182; suivant : 001184Infant hospitalization and maternal depression, poverty and single parenthood – a population‐based study
Auteurs : A. Guttmann ; P. Dick ; T. ToSource :
- Child: Care, Health and Development [ 0305-1862 ] ; 2004-01.
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Abstract
Objectives There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population‐based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.
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DOI: 10.1111/j.1365-2214.2004.00390.x
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ISTEX:9909AB7CA68BD11D5A8E051EF3D8FF00EDEE5CA4Le document en format XML
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Dick</name><affiliation><mods:affiliation>Institute for Clinical Evaluative Sciences,</mods:affiliation></affiliation><affiliation><mods:affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</mods:affiliation></affiliation><affiliation><mods:affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</mods:affiliation></affiliation></author><author><name sortKey="To, T" sort="To, T" uniqKey="To T" first="T." last="To">T. 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Guttmann</name><affiliation><mods:affiliation>Institute for Clinical Evaluative Sciences,</mods:affiliation></affiliation><affiliation><mods:affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: astrid.guttmann@ices.on.ca</mods:affiliation></affiliation></author><author><name sortKey="Dick, P" sort="Dick, P" uniqKey="Dick P" first="P." last="Dick">P. Dick</name><affiliation><mods:affiliation>Institute for Clinical Evaluative Sciences,</mods:affiliation></affiliation><affiliation><mods:affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</mods:affiliation></affiliation><affiliation><mods:affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</mods:affiliation></affiliation></author><author><name sortKey="To, T" sort="To, T" uniqKey="To T" first="T." last="To">T. 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We used population‐based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>A. Guttmann</name><affiliations><json:string>Institute for Clinical Evaluative Sciences,</json:string><json:string>Population Health Sciences, Research Institute, The Hospital for Sick Children,</json:string><json:string>E-mail: astrid.guttmann@ices.on.ca</json:string></affiliations></json:item><json:item><name>P. Dick</name><affiliations><json:string>Institute for Clinical Evaluative Sciences,</json:string><json:string>Population Health Sciences, Research Institute, The Hospital for Sick Children,</json:string><json:string>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</json:string><json:string>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</json:string></affiliations></json:item><json:item><name>T. To</name><affiliations><json:string>Institute for Clinical Evaluative Sciences,</json:string><json:string>Population Health Sciences, Research Institute, The Hospital for Sick Children,</json:string><json:string>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</json:string><json:string>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</json:string><json:string>Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>infant hospitalization</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>maternal depression</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>child poverty</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>single 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The Hospital for Sick Children,</affiliation><affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</affiliation><affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</affiliation></author><author xml:id="author-3"><persName><forename type="first">T.</forename><surname>To</surname></persName><affiliation>Institute for Clinical Evaluative Sciences,</affiliation><affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</affiliation><affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</affiliation><affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</affiliation><affiliation>Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada.</affiliation></author></analytic><monogr><title level="j">Child: Care, Health and Development</title><idno type="pISSN">0305-1862</idno><idno type="eISSN">1365-2214</idno><idno type="DOI">10.1111/(ISSN)1365-2214</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2004-01"></date><biblScope unit="volume">30</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="67">67</biblScope><biblScope unit="page" to="75">75</biblScope></imprint></monogr><idno type="istex">9909AB7CA68BD11D5A8E051EF3D8FF00EDEE5CA4</idno><idno type="DOI">10.1111/j.1365-2214.2004.00390.x</idno><idno type="ArticleID">CCH390</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2004</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Objectives There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population‐based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.</p></abstract><abstract><p>Methods Baseline data from the National Longitudinal Survey of Children and Youth (a population‐based study of child health and well‐being) were used. A weighted sample of 332 697 (unweighted n = 2184) children between the age of 12 and 24 months, whose biological mother reported data on hospitalization over the past year, were included. Logistic regression analyses were conducted to estimate the risk of hospitalization by sociodemographic and psychodynamic factors controlling for important biological covariates.</p></abstract><abstract><p>Results The overall proportion of children who were hospitalized was 11.2%. After adjusting for prematurity, the only statistically significant biological factor associated with the risk of hospitalization was reported present health [odds ratio (OR) 4.04, 95% confidence intervals (CI): 2.93, 5.58]. However, three family variables were significantly associated with hospitalization: low income adequacy (OR 1.66, 95% CI: 1.15, 2.40), single parenthood (OR 1.55, 95% CI: 1.03, 2.34) and maternal depression (OR 1.81, 95% CI: 1.22, 2.69). Having a parent who is a recent immigrant to Canada is associated with a reduced risk of hospitalization (OR 0.53, 95% CI: 0.35, 0.78).</p></abstract><abstract><p>Conclusions Most of the significant associations with hospitalization in the first 2 years of life in the Canadian population relate to the overall family's social and mental health. Maternal depression is a treatable disorder which if recognized might prevent some infant morbidity.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>infant hospitalization</term></item><item><term>maternal depression</term></item><item><term>child poverty</term></item><item><term>single parenthood</term></item><item><term>national survey</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-01">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/9909AB7CA68BD11D5A8E051EF3D8FF00EDEE5CA4/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2214</doi><issn type="print">0305-1862</issn><issn type="electronic">1365-2214</issn><idGroup><id type="product" value="CCH"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="CHILD CARE HEALTH DEVELOPMENT">Child: Care, Health and Development</title></titleGroup></publicationMeta><publicationMeta level="part" position="01001"><doi origin="wiley">10.1111/cch.2004.30.issue-1</doi><numberingGroup><numbering type="journalVolume" number="30">30</numbering><numbering type="journalIssue" number="1">1</numbering></numberingGroup><coverDate startDate="2004-01">January 2004</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="9" status="forIssue"><doi origin="wiley">10.1111/j.1365-2214.2004.00390.x</doi><idGroup><id type="unit" value="CCH390"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title></titleGroup><eventGroup><event type="firstOnline" date="2003-12-15"></event><event type="publishedOnlineFinalForm" date="2003-12-15"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-09"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-09"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-17"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="67">67</numbering><numbering type="pageLast" number="75">75</numbering></numberingGroup><correspondenceTo>Dr Astrid Guttmann, Institute for Clinical Evaluative Sciences, G Wing, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, Toronto, Ontario M4N 3M5, Canada, E‐mail: <email>astrid.guttmann@ices.on.ca</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:CCH.CCH390.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 2 October 2003</unparsedEditorialHistory><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="29"></count><count type="wordTotal" number="4985"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Infant hospitalization and maternal depression, poverty and single parenthood – a population‐based study</title><title type="shortAuthors">A. Guttmann <i>et al.</i></title><title type="short">Infant hospitalization</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2" corresponding="yes"><personName><givenNames>A.</givenNames><familyName>Guttmann</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1 #a2 #a3 #a4"><personName><givenNames>P.</givenNames><familyName>Dick</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1 #a2 #a3 #a4 #a5"><personName><givenNames>T.</givenNames><familyName>To</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Institute for Clinical Evaluative Sciences,</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</unparsedAffiliation></affiliation><affiliation xml:id="a4"><unparsedAffiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</unparsedAffiliation></affiliation><affiliation xml:id="a5" countryCode="CA"><unparsedAffiliation>Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada.</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">infant hospitalization</keyword><keyword xml:id="k2">maternal depression</keyword><keyword xml:id="k3">child poverty</keyword><keyword xml:id="k4">single parenthood</keyword><keyword xml:id="k5">national survey </keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Objectives </b> There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population‐based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.</p><p><b>Methods </b> Baseline data from the National Longitudinal Survey of Children and Youth (a population‐based study of child health and well‐being) were used. A weighted sample of 332 697 (unweighted <i>n</i> = 2184) children between the age of 12 and 24 months, whose biological mother reported data on hospitalization over the past year, were included. Logistic regression analyses were conducted to estimate the risk of hospitalization by sociodemographic and psychodynamic factors controlling for important biological covariates.</p><p><b>Results </b> The overall proportion of children who were hospitalized was 11.2%. After adjusting for prematurity, the only statistically significant biological factor associated with the risk of hospitalization was reported present health [odds ratio (OR) 4.04, 95% confidence intervals (CI): 2.93, 5.58]. However, three family variables were significantly associated with hospitalization: low income adequacy (OR 1.66, 95% CI: 1.15, 2.40), single parenthood (OR 1.55, 95% CI: 1.03, 2.34) and maternal depression (OR 1.81, 95% CI: 1.22, 2.69). Having a parent who is a recent immigrant to Canada is associated with a reduced risk of hospitalization (OR 0.53, 95% CI: 0.35, 0.78).</p><p><b>Conclusions </b> Most of the significant associations with hospitalization in the first 2 years of life in the Canadian population relate to the overall family's social and mental health. Maternal depression is a treatable disorder which if recognized might prevent some infant morbidity.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Infant hospitalization and maternal depression, poverty and single parenthood – a population‐based study</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Infant hospitalization</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Infant hospitalization and maternal depression, poverty and single parenthood – a population‐based study</title></titleInfo><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Guttmann</namePart><affiliation>Institute for Clinical Evaluative Sciences,</affiliation><affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</affiliation><affiliation>E-mail: astrid.guttmann@ices.on.ca</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Dick</namePart><affiliation>Institute for Clinical Evaluative Sciences,</affiliation><affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</affiliation><affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</affiliation><affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.</namePart><namePart type="family">To</namePart><affiliation>Institute for Clinical Evaluative Sciences,</affiliation><affiliation>Population Health Sciences, Research Institute, The Hospital for Sick Children,</affiliation><affiliation>Paediatric Outcomes Research Team, the Division of Paediatric Medicine, The Hospital for Sick Children,</affiliation><affiliation>Department of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, and</affiliation><affiliation>Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2004-01</dateIssued><edition>Accepted for publication 2 October 2003</edition><copyrightDate encoding="w3cdtf">2004</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">2</extent><extent unit="references">29</extent><extent unit="words">4985</extent></physicalDescription><abstract>Objectives There is variation in rates of hospitalization for young children which is unexplained by differences in health. We used population‐based survey data to examine the contribution of family sociodemographic and psychodynamic factors to the risk of hospitalization in children under the age of 2 years in Canada.</abstract><abstract>Methods Baseline data from the National Longitudinal Survey of Children and Youth (a population‐based study of child health and well‐being) were used. A weighted sample of 332 697 (unweighted n = 2184) children between the age of 12 and 24 months, whose biological mother reported data on hospitalization over the past year, were included. Logistic regression analyses were conducted to estimate the risk of hospitalization by sociodemographic and psychodynamic factors controlling for important biological covariates.</abstract><abstract>Results The overall proportion of children who were hospitalized was 11.2%. After adjusting for prematurity, the only statistically significant biological factor associated with the risk of hospitalization was reported present health [odds ratio (OR) 4.04, 95% confidence intervals (CI): 2.93, 5.58]. However, three family variables were significantly associated with hospitalization: low income adequacy (OR 1.66, 95% CI: 1.15, 2.40), single parenthood (OR 1.55, 95% CI: 1.03, 2.34) and maternal depression (OR 1.81, 95% CI: 1.22, 2.69). Having a parent who is a recent immigrant to Canada is associated with a reduced risk of hospitalization (OR 0.53, 95% CI: 0.35, 0.78).</abstract><abstract>Conclusions Most of the significant associations with hospitalization in the first 2 years of life in the Canadian population relate to the overall family's social and mental health. Maternal depression is a treatable disorder which if recognized might prevent some infant morbidity.</abstract><subject lang="en"><genre>keywords</genre><topic>infant hospitalization</topic><topic>maternal depression</topic><topic>child poverty</topic><topic>single parenthood</topic><topic>national survey</topic></subject><relatedItem type="host"><titleInfo><title>Child: Care, Health and Development</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0305-1862</identifier><identifier type="eISSN">1365-2214</identifier><identifier type="DOI">10.1111/(ISSN)1365-2214</identifier><identifier type="PublisherID">CCH</identifier><part><date>2004</date><detail type="volume"><caption>vol.</caption><number>30</number></detail><detail type="issue"><caption>no.</caption><number>1</number></detail><extent unit="pages"><start>67</start><end>75</end><total>9</total></extent></part></relatedItem><identifier type="istex">9909AB7CA68BD11D5A8E051EF3D8FF00EDEE5CA4</identifier><identifier type="DOI">10.1111/j.1365-2214.2004.00390.x</identifier><identifier type="ArticleID">CCH390</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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