School of Social Work, San Jose State University, One Washington Square, San Jose, CA, 95192, USA; Prevention Research Center, 2150 Shattuck Avenue, Suite 601, Berkeley, CA, 94704-1365, USA.
College of Social Work, Ohio State University, 340C Stillman Hall, 1947 College Rd. N, Columbus, OH, 43210, USA.
Soc Sci Med. 2021 May;277:113887. doi: 10.1016/j.socscimed.2021.113887. Epub 2021 Apr 1.
Child maltreatment and problematic parenting are related to negative outcomes for children. Poor parental health could be a risk factor for problematic parenting through several mechanisms: 1) inadequate emotional regulation and coping; 2) impairment of parental capacity; and, 3) impairment of the parent-child relationship.
This study examines relationships between self-rated parental health, prescription drug use, and a broad array of negative parenting outcomes.
A sample of general population parents of children aged ten and younger was recruited from 30 mid-sized cities in California (n = 681). Weighted mixed-effects negative binomial and logistic regression models were used to examine associations between poor parental health, prescription drug use and child maltreatment (physical abuse, supervisory neglect, and physical neglect), and problematic parenting (psychological aggression and corporal punishment).
Parents in poor health used physical abuse, corporal punishment, and psychological aggression more frequently and had higher odds of supervisory neglect. Parents who were taking more prescription medications had higher odds of physical neglect. Exploratory analyses suggested that prescriptions for certain medical conditions both increased and decreased the risk of problematic parenting.
Poor health and prescription drug use are not uncommon and present largely under-recognized risk factors for a spectrum of adverse parenting outcomes. Our study provides additional evidence that parents in poor health are at heightened risk of negative parenting, and need targeted intervention supports to support family well-being.
儿童虐待和有问题的育儿方式与儿童的负面结果有关。父母健康状况不佳可能通过多种机制成为有问题的育儿的危险因素：1）情绪调节和应对能力不足；2）父母能力受损；以及 3）亲子关系受损。
本研究探讨了父母自评健康状况、处方药使用与广泛的负面育儿结果之间的关系。
从加利福尼亚州 30 个中等城市招募了 10 岁及以下儿童的一般人群父母作为样本（n=681）。使用加权混合效应负二项和逻辑回归模型来检验父母健康状况不佳、处方药使用与儿童虐待（身体虐待、监督忽视和身体忽视）和有问题的育儿（心理攻击和体罚）之间的关联。
健康状况不佳的父母更频繁地使用身体虐待、体罚和心理攻击，并且监督忽视的可能性更高。服用更多处方药的父母更有可能发生身体忽视。探索性分析表明，某些医疗状况的处方既增加了也降低了有问题的育儿风险。
健康状况不佳和处方药使用并不罕见，是一系列不良育儿结果的主要未被认识到的危险因素。我们的研究提供了额外的证据表明，健康状况不佳的父母有更高的负面育儿风险，需要有针对性的干预支持来支持家庭福祉。
