Spillover Effects of Maternal Chronic Disease on Children’s Quality of Life and Behaviors Among Low-Income Families

Vivian Y. W. Guo, Carlos K. H. Wong (), Rosa S. M. Wong, Esther Y. T. Yu, Patrick Ip and Cindy L. K. Lam
Additional contact information
Vivian Y. W. Guo: The University of Hong Kong
Carlos K. H. Wong: The University of Hong Kong
Rosa S. M. Wong: The University of Hong Kong
Esther Y. T. Yu: The University of Hong Kong
Patrick Ip: The University of Hong Kong
Cindy L. K. Lam: The University of Hong Kong

The Patient: Patient-Centered Outcomes Research, 2018, vol. 11, issue 6, No 7, 625-635

Abstract: Abstract Background Mothers with chronic diseases may have spillover effects on their children. Objective The aim of this study was to estimate the spillover effects of mothers with chronic disease on their children’s health-related quality of life (HRQOL) and behavior. Method A cross-sectional study was conducted on 255 mother–child pairs (130 boys and 125 girls, mean age 8.4 years) from low-income Chinese families. We asked the mothers to self-report any doctor-diagnosed chronic diseases, and evaluate their children’s HRQOL and behaviors with the Child Health Questionnaire-Parent Form-50 (CHQ-PF50) and the Strengths and Difficulties Questionnaire (SDQ), respectively. Multiple linear regression analysis was conducted to assess the independent spillover effect of maternal chronic disease on children’s HRQOL and behaviors, with adjustment for confounders. The differential impact of maternal physical and mental diseases was also investigated. Results Over one-third of mothers (n = 88, 34.5%) reported one or more doctor-diagnosed chronic diseases. Multiple linear regression analysis showed that children of mothers with chronic diseases had significantly lower CHQ-PF50 scores in the parental impact–time, parental impact–emotional, and family activities subscales and psychosocial summary scores, as well as more hyperactive and inattentive problems measured by SDQ after adjustment for confounders. Maternal mental and physical disease showed a differential impact on children’s HRQOL and behavior. Conclusions Chronic disease in mothers might exert adverse effects on their children’s HRQOL and behaviors. The effects could differ by maternal physical or mental disease status. Special attention and support should be paid to children of mothers with chronic disease as these children are at an increased risk of poor HRQOL and problematic behaviors.

Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://link.springer.com/10.1007/s40271-018-0314-8 Abstract (text/html)
Access to the full text of the articles in this series is restricted.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:patien:v:11:y:2018:i:6:d:10.1007_s40271-018-0314-8

Ordering information: This journal article can be ordered from
http://www.springer.com/economics/journal/40271

DOI: 10.1007/s40271-018-0314-8

Access Statistics for this article

The Patient: Patient-Centered Outcomes Research is currently edited by Christopher I. Carswell

More articles in The Patient: Patient-Centered Outcomes Research from Springer, International Academy of Health Preference Research
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().