Parenting stress in US families

Implications for paediatric healthcare utilization

J. L. Raphael, Y. Zhang, Hao Liu, A. P. Giardino

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Objective: According to family stress models, parental responses to stress disrupt interactions between parent and child and may lead to parental inability to seek timely medical care for their child. The objective of this study was to quantitatively assess the relationship between high parenting stress and child healthcare utilization. Methods: We used the 2003-2004 National Survey of Children's Health to determine the prevalence of parenting stress in US families and associated socio-demographic variables. We used weighted logistic regression to investigate associations between parenting stress and healthcare utilization, controlling for other parental psychosocial and socio-demographic variables. The primary independent variables were parenting stress, parental mental health, parental coping and social support. The main dependent variables were emergency care, sick visits to primary care and preventive care in the past 12 months. Results: Nationally, 13% of children lived in households with at least one parent experiencing high parenting stress. Socio-demographic variables associated with the highest odds of parenting stress included Black race, special needs status and non-English primary language. Parents with high parenting stress had a higher odds (adjusted odds ratio 1.24, 95% confidence interval 1.10-1.41) of seeking emergency care for their children compared with parents with low parenting stress, controlling for other parental psychosocial factors and socio-demographic variables. Conclusions: Having a parent who is experiencing high parenting stress is associated with greater utilization of paediatric emergency care. Interventions targeted at parenting stress may provide families with needed support and reduce unnecessary emergency care utilization.

Original languageEnglish (US)
Pages (from-to)216-224
Number of pages9
JournalChild: Care, Health and Development
Volume36
Issue number2
DOIs
StatePublished - Mar 1 2010
Externally publishedYes

Fingerprint

Parenting
Pediatrics
Delivery of Health Care
Emergency Medical Services
Demography
Parents
Preventive Medicine
Child Care
Social Support
Primary Health Care
Mental Health
Language
Logistic Models
Odds Ratio
Confidence Intervals
Psychology

Keywords

  • Healthcare services utilization
  • Parenting stress

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Parenting stress in US families : Implications for paediatric healthcare utilization. / Raphael, J. L.; Zhang, Y.; Liu, Hao; Giardino, A. P.

In: Child: Care, Health and Development, Vol. 36, No. 2, 01.03.2010, p. 216-224.

Research output: Contribution to journalArticle

Raphael, J. L. ; Zhang, Y. ; Liu, Hao ; Giardino, A. P. / Parenting stress in US families : Implications for paediatric healthcare utilization. In: Child: Care, Health and Development. 2010 ; Vol. 36, No. 2. pp. 216-224.
@article{3b80b8054c6a4068b932f401f63493cc,
title = "Parenting stress in US families: Implications for paediatric healthcare utilization",
abstract = "Objective: According to family stress models, parental responses to stress disrupt interactions between parent and child and may lead to parental inability to seek timely medical care for their child. The objective of this study was to quantitatively assess the relationship between high parenting stress and child healthcare utilization. Methods: We used the 2003-2004 National Survey of Children's Health to determine the prevalence of parenting stress in US families and associated socio-demographic variables. We used weighted logistic regression to investigate associations between parenting stress and healthcare utilization, controlling for other parental psychosocial and socio-demographic variables. The primary independent variables were parenting stress, parental mental health, parental coping and social support. The main dependent variables were emergency care, sick visits to primary care and preventive care in the past 12 months. Results: Nationally, 13{\%} of children lived in households with at least one parent experiencing high parenting stress. Socio-demographic variables associated with the highest odds of parenting stress included Black race, special needs status and non-English primary language. Parents with high parenting stress had a higher odds (adjusted odds ratio 1.24, 95{\%} confidence interval 1.10-1.41) of seeking emergency care for their children compared with parents with low parenting stress, controlling for other parental psychosocial factors and socio-demographic variables. Conclusions: Having a parent who is experiencing high parenting stress is associated with greater utilization of paediatric emergency care. Interventions targeted at parenting stress may provide families with needed support and reduce unnecessary emergency care utilization.",
keywords = "Healthcare services utilization, Parenting stress",
author = "Raphael, {J. L.} and Y. Zhang and Hao Liu and Giardino, {A. P.}",
year = "2010",
month = "3",
day = "1",
doi = "10.1111/j.1365-2214.2009.01052.x",
language = "English (US)",
volume = "36",
pages = "216--224",
journal = "Child: Care, Health and Development",
issn = "0305-1862",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Parenting stress in US families

T2 - Implications for paediatric healthcare utilization

AU - Raphael, J. L.

AU - Zhang, Y.

AU - Liu, Hao

AU - Giardino, A. P.

PY - 2010/3/1

Y1 - 2010/3/1

N2 - Objective: According to family stress models, parental responses to stress disrupt interactions between parent and child and may lead to parental inability to seek timely medical care for their child. The objective of this study was to quantitatively assess the relationship between high parenting stress and child healthcare utilization. Methods: We used the 2003-2004 National Survey of Children's Health to determine the prevalence of parenting stress in US families and associated socio-demographic variables. We used weighted logistic regression to investigate associations between parenting stress and healthcare utilization, controlling for other parental psychosocial and socio-demographic variables. The primary independent variables were parenting stress, parental mental health, parental coping and social support. The main dependent variables were emergency care, sick visits to primary care and preventive care in the past 12 months. Results: Nationally, 13% of children lived in households with at least one parent experiencing high parenting stress. Socio-demographic variables associated with the highest odds of parenting stress included Black race, special needs status and non-English primary language. Parents with high parenting stress had a higher odds (adjusted odds ratio 1.24, 95% confidence interval 1.10-1.41) of seeking emergency care for their children compared with parents with low parenting stress, controlling for other parental psychosocial factors and socio-demographic variables. Conclusions: Having a parent who is experiencing high parenting stress is associated with greater utilization of paediatric emergency care. Interventions targeted at parenting stress may provide families with needed support and reduce unnecessary emergency care utilization.

AB - Objective: According to family stress models, parental responses to stress disrupt interactions between parent and child and may lead to parental inability to seek timely medical care for their child. The objective of this study was to quantitatively assess the relationship between high parenting stress and child healthcare utilization. Methods: We used the 2003-2004 National Survey of Children's Health to determine the prevalence of parenting stress in US families and associated socio-demographic variables. We used weighted logistic regression to investigate associations between parenting stress and healthcare utilization, controlling for other parental psychosocial and socio-demographic variables. The primary independent variables were parenting stress, parental mental health, parental coping and social support. The main dependent variables were emergency care, sick visits to primary care and preventive care in the past 12 months. Results: Nationally, 13% of children lived in households with at least one parent experiencing high parenting stress. Socio-demographic variables associated with the highest odds of parenting stress included Black race, special needs status and non-English primary language. Parents with high parenting stress had a higher odds (adjusted odds ratio 1.24, 95% confidence interval 1.10-1.41) of seeking emergency care for their children compared with parents with low parenting stress, controlling for other parental psychosocial factors and socio-demographic variables. Conclusions: Having a parent who is experiencing high parenting stress is associated with greater utilization of paediatric emergency care. Interventions targeted at parenting stress may provide families with needed support and reduce unnecessary emergency care utilization.

KW - Healthcare services utilization

KW - Parenting stress

UR - http://www.scopus.com/inward/record.url?scp=76349107604&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=76349107604&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2214.2009.01052.x

DO - 10.1111/j.1365-2214.2009.01052.x

M3 - Article

VL - 36

SP - 216

EP - 224

JO - Child: Care, Health and Development

JF - Child: Care, Health and Development

SN - 0305-1862

IS - 2

ER -