Dataset Information

The Health of Mothers of Adult Children with Serious Conditions.

ABSTRACT:

Objectives

This study examined the association between parenting adult children with serious conditions and mothers' midlife health in the United States.

Background

The literature about the link between the parenting status of having an adult child with a serious condition and maternal wellbeing can be advanced by systematic analysis of the cumulative role that this parenting status can play in maternal health over the life course as opposed to at any one point.

Method

Propensity score reweighting models of data from the National Longitudinal Study of Youth 1979 and its linked child and young adult data estimated disparities in midlife health among mothers of adult children with serious conditions (disabilities, developmental disorders, chronic diseases) and mothers of typically developing children, including examining variation by how long mothers had been in this parenting role and moderation by maternal education and marital status.

Results

Mothers of young adult children with serious conditions had poorer physical (but not mental) health at midlife than other mothers, especially when more years had elapsed since the child was diagnosed with or developed the condition. These patterns did not differ by maternal education and marital status.

Conclusion

The dynamics of epidemiological risk and protection among parents of children with serious conditions were temporally situated in the maternal life course but were consistent across different segments of the maternal population.

SUBMITTER: Hyungmin Cha

PROVIDER: S-EPMC9384965 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

The Health of Mothers of Adult Children with Serious Conditions.

Hyungmin Cha Crosnoe Robert R

Journal of marriage and the family 20220128 3

<h4>Objectives</h4>This study examined the association between parenting adult children with serious conditions and mothers' midlife health in the United States.<h4>Background</h4>The literature about the link between the parenting status of having an adult child with a serious condition and maternal wellbeing can be advanced by systematic analysis of the cumulative role that this parenting status can play in maternal health over the life course as opposed to at any one point.<h4>Method</h4>Prop ...[more]

PMID: 35990797

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Project description:ImportanceFamily caregiving after critical illness has been associated with several adverse health outcomes, including various aspects of mental health, but research focusing specifically on family members of stroke survivors is limited.ObjectivesTo examine the associations of stroke in a partner or parent with the risk of depression, substance use disorders, anxiety disorders, and self-harm or suicide.Design, setting, and participantsThis nationwide, population-based cohort study used data from Danish nationwide administrative and clinical registries (2004-2021). Participants included partners and adult children of survivors of stroke. Data analysis was performed from March to December 2023.ExposureHaving a partner or parent who survived stroke.Main outcomes and measuresThe Aalen-Johansen estimator was used to compute propensity score-weighted 3-year absolute risks, risk differences, and risk ratios for depression, substance use disorders, anxiety disorders, and self-harm or suicide among partners or children of survivors of stroke compared with partners or children of survivors of myocardial infarction (MI) and matched individuals from the general population.ResultsThe study included a total of 1 923 732 individuals: 70 917 partners of stroke survivors (median [IQR] age, 68 [59-76] years; 46 369 women [65%]), 70 664 partners of MI survivors (median [IQR] age, 65 [55-73] years; 51 849 women [73%]), 354 570 partners of individuals from the general population (median [IQR] age, 68 [59-76] years; 231 833 women [65%]), 207 386 adult children of stroke survivors (median [IQR] age, 45 [36-52] years; 99 382 women [48%]), 183 309 adult children of MI survivors (median [IQR] age, 42 [33-49] years; 88 078 women [48%]), and 1 036 886 adult children of individuals from the general population (median [IQR] age, 45 [36-52] years; 496 875 women [48%]). Baseline characteristics were well balanced across cohorts after propensity score weighting. Among partners of stroke survivors, the 3-year absolute risk was 1.0% for depression, 0.7% for substance use disorders, 0.3% for anxiety disorders, and 0.04% for self-harm or suicide. Risk ratio point estimates for the assessed outcomes ranged from 1.14 to 1.42 compared with the general population and from 1.04 to 1.09 compared with partners of MI survivors. The elevated risk of depression in partners of stroke survivors was more pronounced after severe or moderate stroke than after mild stroke. Among adult children of stroke survivors, the 3-year absolute risk was 0.6% for depression, 0.6% for substance use disorders, 0.2% for anxiety disorders, and 0.05% for self-harm or suicide. Both absolute risks and risk ratios for adult children of stroke survivors were smaller than those reported in the partner analyses.Conclusions and relevanceIn this cohort study of partners and adult children of stroke survivors, risks of several mental health conditions and self-harm or suicide were moderately higher compared with the general population and, to a lesser extent, partners and adult children of MI survivors. These findings highlight the potential consequences of stroke among family members, particularly partners, and its findings may possibly serve as a quantitative foundation for the development of future stroke rehabilitation services.

Dataset Information

The Health of Mothers of Adult Children with Serious Conditions.

Objectives

Background

Method

Results

Conclusion

Publications

The Health of Mothers of Adult Children with Serious Conditions.

Similar Datasets

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