ArticleSocial science & medicine (1982)2013
Chaos as a social determinant of child health: Reciprocal associations?
Article in Social science & medicine (1982), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
39 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Reducing Inequities in Early Childhood Mental Health: How Might the Neighborhood Built Environment Help Close the Gap? A Systematic Search and Critical Review.International journal of environmental research and public health · 2019Pooled it
- The relationship between unintentional injury in childhood and risk of mental health problems in adolescence: An analysis of the UK Millennium Cohort Study unintentional injury in childhood and mental health in adolescence.Social psychiatry and psychiatric epidemiology · 2026Article
- Reciprocal Relationships Among Household Chaos, Parenting Stress, and Children's Behavioral Self-Regulation From Early to Middle Childhood.Family process · 2025Article
- Examining Caregiver- and Family-Level Psychosocial Influences on Child Oral Health Behavioral Outcomes in Racially and Economically Minoritized Urban Families.Children (Basel, Switzerland) · 2024Article
- Article
- Household chaos, child temperament, and structure-related feeding practices in toddlerhood: A moderation analysis.Eating behaviors · 2024Article
- The impact of social-environmental factors on IQ in syndromic intellectual developmental disabilities.Journal of clinical and translational science · 2024Review
- Relationships of Maternal Employment and Work Impact with Weight-Related Behaviors and Home Environments of Mothers and Their School-Age Children.International journal of environmental research and public health · 2023Article
- Associations between Socio-Economic Status and Unfavorable Social Indicators of Child Wellbeing; a Neighbourhood Level Data Design.International journal of environmental research and public health · 2021Article
- Work-Family Reconciliation and Children's Well-Being Disparities across OECD Countries.Social forces; a scientific medium of social study and interpretation · 2021Article
- Mothers' Work Schedule Inflexibility and Children's Behavior Problems.Journal of family issues · 2021Article
- Household chaos, family routines, and young child movement behaviors in the U.S. during the COVID-19 outbreak: a cross-sectional study.BMC public health · 2021Article
- Family as a health promotion setting: A scoping review of conceptual models of the health-promoting family.PloS one · 2021Article
- Identifying Modifiable Factors Linking Parenting and Sleep in Racial/Ethnic Minority Children.Journal of pediatric psychology · 2020Article
- Associations Among Household Chaos, School Belonging and Risk Behaviors in Adolescents.The journal of primary prevention · 2020Article
- Socioeconomic status and sleep in adolescence: The role of family chaos.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2020Article
- The relationship between household chaos and child, parent, and family outcomes: a systematic scoping review.BMC public health · 2020Article
- Family Functioning in Latinx Families of Children with ADHD: The Role of Parental Gender and Acculturation.Journal of child and family studies · 2020Article
- A healthful home food environment: Is it possible amidst household chaos and parental stress?Appetite · 2019Article
- Change and Continuity in Low-Income Working Mothers' Food Practices for Young Children in Response to Life Events.Maternal and child health journal · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
This study informs the social determinants of child health by exploring an understudied aspect of children's social contexts: chaos. Chaos has been conceptualized as crowded, noisy, disorganized, unpredictable settings for child development (Evans, Eckenrode, & Marcynyszyn, 2010). We measure chaos at two levels of children's ecological environment - the microsystem (household) and the mesosystem (work-family-child care nexus) - and at two points in early childhood (ages 3 and 5). Using data from the Fragile Families and Child Wellbeing Study (N = 3288), a study of predominantly low-income women and their partners in large US cities, we develop structural equation models that assess how maternal-rated child health (also assessed at ages 3 and 5) is associated with latent constructs of chaos, and whether there are important reciprocal effects. Autoregressive cross-lagged path analysis suggest that increasing chaos (at both the household and maternal work levels) is associated with worse child health, controlling for key confounders like household economic status, family structure, and maternal health status. Child health has little effect on chaos, providing further support for the hypothesis that chaos is an important social determinant of child health in this sample of relatively disadvantaged children. This suggests child health may be improved by supporting families in ways that reduce chaos in their home and work/family environments, and that as researchers move beyond SES, race, and family structure to explore other sources of health inequalities, chaos and its proximate determinants may be a promising avenue for future research.
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Registered trials
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