Powell R M, Parish S L
Brandeis University, Lurie Institute for Disability Policy, Waltham, MA, United States.
J Intellect Disabil Res. 2017 Jan;61(1):50-61. doi: 10.1111/jir.12308. Epub 2016 Jun 16.
Despite an increase in international studies examining the experiences of parents with intellectual impairments and their children, few have utilised population-based data. This study investigated the behavioural and cognitive outcomes of 3-year-old US children of mothers with intellectual impairments compared with children of mothers without intellectual impairments.
This study employed a secondary analysis of the Fragile Families Child and Wellbeing Study, a longitudinal birth cohort study in the US. Our analytic sample included mothers with intellectual impairments (n = 263) and a comparison group of mothers without intellectual impairments (n = 1298), as well as each sampled mother's focal child. When weighted, Fragile Families is representative of all births in US cities with populations over 200 000.
Children of mothers with intellectual impairments had poorer behavioural and cognitive outcomes in comparison to same-age children of mothers without intellectual impairments. Notably, however, children of mothers with intellectual impairments were not at increased risk of being aggressive unless their family income was below 200% of the federal poverty level. Further, families headed by mothers with intellectual impairments experienced multiple hardships related to socioeconomic factors, limited social supports and poor self-reported health.
Appropriate policies and programmes must be developed and implemented to effectively support these families, such as increased financial benefits.
尽管国际上对智障父母及其子女经历的研究有所增加,但很少有研究使用基于人群的数据。本研究调查了美国智障母亲的3岁子女与非智障母亲的子女在行为和认知方面的结果。
本研究对美国一项纵向出生队列研究——脆弱家庭儿童与幸福研究进行了二次分析。我们的分析样本包括智障母亲(n = 263)和非智障母亲对照组(n = 1298),以及每个抽样母亲的重点子女。加权后,脆弱家庭研究代表了美国人口超过20万的城市中所有出生情况。
与非智障母亲的同龄子女相比,智障母亲的子女在行为和认知方面的结果较差。然而,值得注意的是,除非家庭收入低于联邦贫困线的200%,智障母亲的子女出现攻击性行为的风险不会增加。此外,由智障母亲领导的家庭在社会经济因素、有限的社会支持和自我报告的健康状况不佳方面经历了多重困难。
必须制定和实施适当的政策和方案,以有效支持这些家庭,例如增加经济福利。