Online Program

When the more is not the better: The impact of Cumulative Familial and Maternal Risks on Child Health

Wednesday, November 4, 2015 : 11:30 a.m. - 11:50 a.m.

Yi-Ching Lin, Ph.D., School of Public Health, National Taiwan University, Taipei, Taiwan
Chun-Chieh Wang, Ph.D., Department of Recreation and Leisure Industry Management, National Taiwan Sport University, Taoyuan City 333, Taiwan
Background: Child health is associated with familial and maternal risks. A singular familial or maternal risk could underestimate its capability to interfere with child health; therefore, cumulative familial and maternal risks (CFMR) might be better describing adverse consequences on child health. This study examined singular and cumulative effects of familial and maternal risks in predicting different children’s health outcomes.

Method: Using data from the National Survey of Children’s Health (USA), including 65,680 children (6-17 years old, Boys 51.8%). 

Measures: Cumulative Familial and Maternal Risk scale (CFMR, including race, family size, income, employment, parenting stress, and maternal health, emotional health as well as education level), parent-rated child health, teeth health, obesity, ADHD, internalizing behavior (depression, anxiety), externalizing behavior (behavioral problem), and covariates (child sex and age).

Analysis: EFA, CFA, Chi-square test, Univariate/Multivariate logistic regression

Results: The findings identify the hypotheses that the singular risk and numbers of risks both predicts health outcomes for children. Among singular risks, the effect of maternal general health on children’s health outcomes is the greatest (OR=2.44). CFMR reveal significant gradients for all studied health outcomes and the impact on general health and behavioral problems are most manifest (OR=19.98 and 13.59 respectively).

Conclusions: Compared to singular risk factors, cumulative risks cause mush higher likelihood of adverse consequences on children’s health outcomes. The more risks present, the worse the health outcomes. The scale can serve as a health evaluation base and the findings support critical needs for the comprehensive early preventions and intervention for child health, especially for disadvantaged children.

Learning Areas:

Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research

Learning Objectives:
Define family as a health setting and the impact of familial and maternal risks for child health; Identify the effect of singular and cumulative risk factors on children's health outcomes; Assess experimental evidences to describe the reciprocation between cumulative risk factors and child health; Discuss the early prevention or intervention plans for eliminating the adverse consequences on child health.

Keyword(s): Maternal and Child Health, Child Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research and teaching have been focusing on child health, family health and health promotion in both USA and Taiwan for more than 10 years. In addition, I am privileged to observe and compare differences between Eastern and Western cultures in terms of current issue and policies of maternal and child health through my personal growth and scientific training experiences. My research goal is helping to eliminate health inequality for children and families.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.