ArticleBMC public health2011
Maternal educational level, parental preventive behavior, risk behavior, social support and medical care consumption in 8-month-old children in Malmö, Sweden.
Article in BMC public health, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 43 citations in OpenAlex.
- Effect of an integrated community-based package for maternal and newborn care on feeding patterns during the first 12 weeks of life: a cluster-randomized trial in a South African township.Public health nutrition · 2015Trial
- Disparities in prevalence of smoking and smoking cessation during pregnancy: a population-based study.BioMed research international · 2015Trial
- Lack of association between breastfeeding duration and body mass index in children and adolescents - A Swedish cohort study.PloS one · 2025Observational
- Understanding parental preference for childcare: a cross-sectional study in Chongqing, China.Frontiers in sociology · 2024Article
- Article
- The impact of exposure to tobacco smoking and maternal trauma in fetal life on risk of migraine.Frontiers in neuroscience · 2023Article
- Adapting a South African social innovation for maternal peer support to migrant communities in Sweden: a qualitative study.International journal for equity in health · 2022Article
- Socioeconomic Disparities in Health Care Consumption: Using the 2018-China Family Panel Studies.International journal of environmental research and public health · 2022Article
- Early Life Factors Associated with Lean Body Mass in Spanish Children: CALINA Study.Children (Basel, Switzerland) · 2022Article
- Association between Mother's Education and Infant and Young Child Feeding Practices in South Asia.Nutrients · 2022Article
- An Extended Home Visit Programme Within the Swedish Child Healthcare System for First-Time Parents in Scania, Sweden: A Study Protocol.Frontiers in public health · 2021Article
- Associations between social support, mental wellbeing, self-efficacy and technology use in first-time antenatal women: data from the BaBBLeS cohort study.BMC pregnancy and childbirth · 2018Article
- Early life risk factors and their cumulative effects as predictors of overweight in Spanish children.International journal of public health · 2018Article
- Mother's education and offspring asthma risk in 10 European cohort studies.European journal of epidemiology · 2017Article
- Childhood anemia in Rural Haiti: the potential role of community health workers.Global health research and policy · 2017Article
- Social and household factors affecting child health checkup attendance based on a household survey in Japan.Industrial health · 2016Article
- Maternal Education and Investments in Children's Health.Journal of marriage and the family · 2016Article
- Ever dispense of prescribed allergy medication in children growing up close to traffic: a registry-based birth cohort.BMC public health · 2015Article
- Parental socioeconomic status, childhood asthma and medication use--a population-based study.PloS one · 2014Article
- The impact of preventive health behaviour and social factors on visits to the doctor.Israel journal of health policy research · 2014Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe social environment in which children grow up is closely associated with their health. The aim of this study was to investigate the relationship between maternal educational level, parental preventive behavior, parental risk behavior, social support, and use of medical care in small children in Malmö, Sweden. We also wanted to investigate whether potential differences in child medical care consumption could be explained by differences in parental behavior and social support.
methodsThis study was population-based and cross-sectional. The study population was 8 month-old children in Malmö, visiting the Child Health Care centers during 2003-2007 for their 8-months check-up, and whose parents answered a self-administered questionnaire (n = 9,289 children).
resultsExclusive breast feeding ≥4 months was more common among mothers with higher educational level. Smoking during pregnancy was five times more common among less-educated mothers. Presence of secondhand tobacco smoke during the first four weeks of life was also much more common among children with less-educated mothers. Less-educated mothers more often experienced low emotional support and low practical support than mothers with higher levels of education (>12 years of education). Increased exposure to unfavorable parental behavioral factors (maternal smoking during pregnancy, secondhand tobacco smoke and exclusive breastfeeding <4 months) was associated with increased odds of in-hospital care and having sought care from a doctor during the last 8 months. The odds were doubled when exposed to all three risk factors. Furthermore, children of less-educated mothers had increased odds of in-hospital care (OR = 1.34 (95% CI: 1.08, 1.66)) and having sought care from a doctor during the last 8 months (OR = 1.28 (95% CI: 1.09, 1.50)), which were reduced and turned statistically non-significant after adjustment for unfavorable parental behavioral factors.
conclusionChildren of less-educated mothers were exposed to more health risks, fewer health-promoting factors, worse social support, and had higher medical care consumption than children with higher educated mothers. After adjustment for parental behavioral factors the excess odds of doctor's visits and in-hospital care among children with less-educated mothers were reduced. Improving children's health calls for policies targeting parents' health-related behaviors and social support.
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