Asthma and lower airway diseaseParental psychosocial stress and asthma morbidity in Puerto Rican twins
Section snippets
Population
All families with a multiple-gestation pregnancy in Puerto Rico in 2006 were considered for inclusion. Contact information was obtained from the Puerto Rico Neo-natal Twin Registry established with the assistance of the Puerto Rican Department of Health. Of the 481 families with multiple births in 2006, 82 were ineligible because the neonates were triplets or at least 1 twin was deceased. Of the 399 eligible families, 60 chose not to participate, leaving 339 (85%) families each with a set of
Results
Baseline characteristics of the participating children (twins) and their parents are shown in Table I. Of the 339 fathers, 226 (77%) had at least a high school education, and 207 (71%) were working full time; their mean age was 29.8 years (SD, 7 years). Of the 339 mothers, 277 (82%) had at least a high school education, and 118 (35%) were working either full or part time; their mean age was 26.8 years (SD, 6 years). Most (84%) of the 339 parental couples lived together.
Parental asthma, receipt
Discussion
After adjustment for depression in the other parent and other covariates, we found that indicators of paternal psychosocial stress (PTSD symptoms) and psychiatric disorders (major depressive episode and antisocial behavior) were significantly associated with recent asthma symptoms in children at age 1 year but not with any asthma outcome in children at age 3 years. Maternal depressive symptoms were significantly associated with asthma hospitalizations at age 1 year and both asthma
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Neighborhoods, Caregiver Stress, and Children's Asthma Symptoms
2022, Journal of Allergy and Clinical Immunology: In PracticeCitation Excerpt :Caregivers of children with asthma in low-income urban environments also experience various challenges, ranging from poor housing quality4 to risk for mental health problems such as depressive symptoms.5 Caregiver stress and depression have been linked to more negative asthma outcomes in youth, such as poorer disease control,6 higher levels of inflammatory markers,7 lower rates of medication adherence,8 and increased hospitalizations.9 One proposed mechanism for the link between neighborhood characteristics and children's asthma outcomes is through caregiver psychosocial functioning.
Maternal Depressive Symptoms, Lung Function, and Severe Asthma Exacerbations in Puerto Rican Children
2021, Journal of Allergy and Clinical Immunology: In PracticeCitation Excerpt :Two previous studies in Latin American children showed no association between depressive symptoms in a child's mother or caretaker and asthma hospitalizations22 or asthma control,23 but those null findings could be explained by limited statistical power due to small sample size. In contrast, a study of 339 pairs of Puerto Rican twins followed up to age 3 years showed that maternal depressive symptoms in the child's first year of life were associated with asthma hospitalizations between ages 1 and 3 years (adjusted OR = 1.26, 95% CI = 1.01 to 1.58).24 Consistent with our findings, a study of 158 inner-city school-aged children with asthma reported that a high level of maternal depressive symptoms was associated with 1.3 times increased odds of emergency department visits for asthma after 6 months of follow up (95% CI = 1.1 to 5.0).11
Parental stress and air pollution increase childhood asthma in China
2018, Environmental ResearchCitation Excerpt :A recent study found paternal depression during pregnancy was also associated with childhood asthma (Liu et al., 2015). A US cohort study observed that both maternal and paternal depressions were associated with asthma morbidity in young children (Lange et al., 2011). We found that the asthmatic risks of exposure to air pollution and parental stress were both significant in boys only.
Effects of parental mental illness on children's physical health: Systematic review and meta-analysis
2020, British Journal of Psychiatry
Supported by grants HD0496685, HL079966, and HL007427 from the National Institutes of Health.
Disclosure of potential conflict of interest: The authors have declared that they have no conflict of interest.