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1.
Artículo en Inglés | MEDLINE | ID: mdl-39087138

RESUMEN

Epigenetic studies have provided new opportunities to better understand the biological effects of poverty and racial/ethnic minority status. However, little is known about sex differences in these processes. Methods: We used 15 years of follow up of 854 racially and ethnically diverse birth cohort who were followed from birth to age 15. Structural equation modeling (SEM) was used to examine the effects of race/ethnicity, maternal education, and family structure on poverty at birth, as well as the effects of poverty at birth on epigenetic changes at age 15. We also explored variations by sex. Results: Our findings indicate that Black and Latino families had lower maternal education and married family structure which in turn predicted poverty at birth. Poverty at birth then was predictive of epigenetic changes 15 years later when the index child was 15. This suggested that poverty at birth partially mediates the effects of race/ethnicity, maternal education, and family structure on epigenetic changes of youth at age 15. There was an effect of poverty status at birth on DNA methylation of male but not female youth at age 15. Thus, poverty at birth may have a more salient effect on long term epigenetic changes of male than female youth. Conclusions: Further studies are needed to understand the mechanisms underlying the observed sex differences in the effects of poverty as a mechanism that connects race/ethnicity, maternal education, and family structure to epigenetic changes later in life.

2.
Glob J Epidemol Infect Dis ; 4(1): 8-19, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39055525

RESUMEN

Epigenetic studies, which can reflect biological aging, have shown that measuring DNA methylation (DNAm) levels provides new insights into the biological effects of social environment and socioeconomic position (SEP). This study explores how race, family structure, and SEP (income to poverty ratio) at birth influence youth epigenetic aging at age 15. Data were obtained from the Future of Families and Child Wellbeing Study (FFCWS) cohort, with GrimAge used as a measure of DNAm levels and epigenetic aging. Our analysis included 854 racially and ethnically diverse participants followed from birth to age 15. Structural equation modeling (SEM) examined the relationships among race, SEP at birth, and epigenetic aging at age 15, controlling for sex, ethnicity, and family structure at birth. Findings indicate that race was associated with lower SEP at birth and faster epigenetic aging. Specifically, income to poverty ratio at birth partially mediated the effects of race on accelerated aging by age 15. The effect of income to poverty ratio at birth on DNAm was observed in male but not female youth at age 15. Thus, SEP partially mediated the effect of race on epigenetic aging in male but not female youth. These results suggest that income to poverty ratio at birth partially mediates the effects of race on biological aging into adolescence. These findings highlight the long-term biological impact of early-life poverty in explaining racial disparities in epigenetic aging and underscore the importance of addressing economic inequalities to mitigate these disparities. Policymakers should focus on poverty prevention in Black communities to prevent accelerated biological aging and associated health risks later in life. Interventions aimed at eliminating poverty and addressing racial inequities could have significant long-term benefits for public health. Future research should explore additional factors contributing to epigenetic aging and investigate potential interventions to slow down the aging process. Further studies are needed to understand the mechanisms underlying these associations and to identify effective strategies for mitigating the impact of SEP and racial disparities on biological aging.

3.
J Affect Disord ; 341: 96-103, 2023 11 15.
Artículo en Inglés | MEDLINE | ID: mdl-37625705

RESUMEN

BACKGROUND: Identifying family environment factors related to food insecurity and maternal mental health could inform additional support for mothers who experience food insecurity. This study seeks to examine the mechanistic roles of co-parenting support and parenting stress on the food insecurity-maternal mental health relationship. METHODS: Data from the Future of Families and Child Well-being Study, which recruited mothers post-delivery from 75 urban hospitals, was utilized. Analysis includes 1808 mothers followed for 15 years. Food insecurity was assessed at year 5, co-parenting support and parenting stress at year 9, and maternal depression and anxiety at year 15. Structural equation models evaluated the role of food insecurity on maternal depression (model 1) and anxiety (model 2) through co-parenting support and parenting stress simultaneously, adjusting for socio-demographics. RESULTS: Co-parenting support did not mediate the relationships of food insecurity and maternal depression and anxiety, controlling for parenting stress. Controlling for co-parenting support, parenting stress did not mediate the food insecurity-maternal depression relationship, but partially mediated the food insecurity-maternal anxiety relationship (specific indirect: B = 0.026, CI:0.01, 0.05; specific direct: B = 0.131, CI:-0.04, 0.32). LIMITATIONS: There was a significant period of time (10 years) between assessment of food insecurity and assessment of maternal mental health. Self-reported data on sensitive topics may be susceptible to bias. With observational research, it is possible that unobserved confounding variables impact the findings. CONCLUSIONS: Cumulative support in the form of - parenting, economic (e.g., utilities), and food - may help reduce parenting stress and anxiety among mothers who experience food insecurity.


Asunto(s)
Depresión , Responsabilidad Parental , Niño , Femenino , Humanos , Depresión/epidemiología , Ansiedad/epidemiología , Trastornos de Ansiedad , Alimentos
4.
J Econ Inequal ; 21(1): 169-200, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37333425

RESUMEN

This paper combines data on family, school, neighborhood, and city contexts with survey data from the Year 9 (n = 2,193) and Year 15 (n = 2, 236) Fragile Families and Child Wellbeing Study to study children in America's inner-cities who are "beating the odds". We identify children as beating the odds if they were born to families of low socio-economic status but scored above the state average in reading, vocabulary and math at age 9, and were academically on-track by age 15. We also examine if the influences of these contexts are developmentally nuanced. We find that living in two parent households where harsh parenting methods are absent (family context) and living in neighborhoods where two parent families predominate (neighborhood context) are protective factors that help children beat the odds. We also find that city-wide contexts of higher levels of religiosity and fewer single parent households contribute to children beating the odds, however, these macro predictors are weaker when compared with family/neighborhood contexts. We find that these contextual effects are indeed developmentally nuanced. We conclude with a discussion of some interventions and policies that could help increase the number of at-risk children who beat the odds.

5.
J Fam Issues ; 44(3): 745-765, 2023 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37007602

RESUMEN

Using data from a contemporary cohort of children, we revisit the question of whether children benefit from being close to and engaging in activities with a stepfather. We deploy the Fragile Families and Child Wellbeing Study, a birth cohort study of nearly 5000 children born in US cities in 1998-2000, with a large oversample of nonmarital births. We explore the relationships between stepfathers' closeness and active engagement and youth's internalizing and externalizing behaviors and school connectedness at ages 9 and 15 for between 550 and 740 children (depending on the wave) with stepfathers. We find that the emotional tenor of the relationship and level of active engagement between youth and their stepfathers are associated with reduced internalizing behaviors and higher school connectedness. Our findings suggest that stepfathers' roles seem to have evolved in ways that are more beneficial to their adolescent stepchildren than was previously the case.

6.
Dev Psychopathol ; : 1-12, 2023 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-36847250

RESUMEN

The present work sought to confirm the factor structure and examine longitudinal strengths-based and mental health correlates of the dysregulation profile (DP) in children of at-risk fragile families of diverse ethnoracial backgrounds. The data came from the Fragile Families and Child Wellbeing Study (N = 2125 families). Mothers (Mage = 25.3) were mostly unmarried (74.6%), and children (51.4% boys) were identified as Black (47.0%), Hispanic (21.4%), White (16.7%), or multiracial or other backgrounds. Childhood DP was constructed using mother reports of the Child Behavior Checklist at age 9. Mothers' in-home parent-child interactions and depressive symptoms were assessed at child age 5. At age 15, children responded about their own mental health, social skills, and other strengths-focused outcomes. A bifactor DP structure fit well to the data, with the DP factor representing difficulties in self-regulation. Using SEM, we found that mothers who were more depressed and used less warm parenting at child age 5 had children who presented with higher DP at age 9. DP was in turn associated with less social skills, perseverance, optimism, and more anxiety, depression, and impulsivity at adolescence. Childhood DP appears to be relevant and applicable for at-risk, diverse families, and may also impede on children's future positive functioning.

7.
J Interpers Violence ; 38(1-2): NP311-NP335, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-35466765

RESUMEN

Adverse childhood experiences (ACEs) have been linked to a host of subsequent negative health and behavioral problems. However, the role of sex in the ramifications of early ACEs remains unclear, particularly for delinquency and substance use initiation in adolescence. A small body of research has produced mixed findings on sex differences in the relationship between ACEs and antisocial outcomes in adolescence, resulting in uncertainty about whether and how ACEs may operate differently for boys and girls. The current study drew on a high-risk group of adolescents (N=2455; Mage=15.4; 48% female; 50% Black, 23% Hispanic) from the Fragile Families and Child Wellbeing Study to examine the associations between accumulated ACEs across early childhood, and delinquency and substance use initiation of alcohol, cigarette, and cannabis in adolescence. We utilized mother and father reports on the exposure to seven different types of ACEs (i.e., physical abuse, psychological abuse, neglect, parental substance misuse, parental mental illness, parental intimate partner violence, and parental criminal behavior) when adolescents were ages 1, 3, and 5. Total ACEs scores and their relationships with delinquency, and lifetime use of alcohol, cigarettes, and cannabis were assessed separately for girls and boys. Results suggested that accumulated ACEs during early childhood may be implicated in boys' delinquency, while ACEs were not significantly associated with girls' self-reported delinquency or for boys' and girls' substance use initiation. Findings suggest that the enduring consequences of ACEs may be sex-specific, and have implications for the development of policies to mitigate ACEs and their harms.


Asunto(s)
Experiencias Adversas de la Infancia , Trastornos Relacionados con Sustancias , Niño , Adolescente , Femenino , Preescolar , Humanos , Masculino , Caracteres Sexuales , Abuso Físico , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/psicología
8.
Children (Basel) ; 9(12)2022 Dec 16.
Artículo en Inglés | MEDLINE | ID: mdl-36553419

RESUMEN

With much research into physical, cyber, and verbal bullying victimization, social bullying victimization is a type of victimization that can be hidden. Studies about Black father involvement have found involvement to be a buffer to adverse and risky behaviors of children, including different forms of victimization experienced by their daughters. This study examined one gap in the literature: the direct and potentially indirect associations between father involvement and father-child relationship quality on child reports of social bullying victimization among girls. The cross-sectional sample of 368 Black fathers and their daughters was sourced from the Fragile Families and Child Wellbeing study. Data from wave 5 were selected for the child (age 9) and father because social bullying victimization was first measured at this time point. Logistic regression analysis findings showed father involvement was associated with lower social bullying victimization. In addition, talking and sharing ideas quite well rather than extremely well with their fathers was associated with higher odds of social bullying victimization. Father-daughter relationship quality did not mediate the father involvement and social bullying victimization relationship. Findings provide additional support to include fathers, particularly Black fathers, in intervention/prevention efforts and the importance of increasing awareness and benefits of father involvement in subtle forms of victimization such as social bullying victimization among Black families.

9.
Child Abuse Negl ; 133: 105858, 2022 11.
Artículo en Inglés | MEDLINE | ID: mdl-36058065

RESUMEN

BACKGROUND: Child maltreatment reporting is critical for case investigation and service disposition. However, reporting discrepancies across informants is a challenge for child welfare services. METHODS: Using data from the Fragile Families and Child Wellbeing Study (n = 3150), the current study examined child-caregiver discrepancies in reporting the frequencies of psychological and physical maltreatment. Multivariate models were used to examine how caregivers' reports, children's reports, and discrepancies between the two were associated with child anxiety, depression, aggression, and delinquency. RESULTS: A quarter of the children reported psychological maltreatment at a higher (25.7 %) or lower (23.8 %) frequency than their caregivers' report, respectively; 8.4 % and 8.7 % of the children did so in physical maltreatment reports, respectively. Multivariate models showed that children's maltreatment reports were more closely associated with children's anxiety, depression, and delinquency than caregivers' reports, while caregivers' reports were more closely associated with children's aggression. After accounting for caregivers' reporting and other covariates, children who reported more frequent psychological maltreatment than their caregivers' report had a higher level of anxiety, depression, and delinquency (b = 0.17 to 0.25, p < 0.001), and the opposite was true (b = -0.36 to -0.13, p < 0.001). Similarly, children who reported more frequent physical maltreatment than their caregivers' report had a higher level of all negative outcomes (b = 0.04 to 0.44; p = 0.04 to <0.00), and the opposite was true for aggression (b = -0.08, p = 0.004). CONCLUSIONS: The findings suggest that in addition to other reporting barriers, children and caregivers may perceive maltreatment differently, and such discrepancies are related to children's wellbeing.


Asunto(s)
Cuidadores , Maltrato a los Niños , Cuidadores/psicología , Niño , Salud Infantil , Familia , Humanos , Notificación Obligatoria
10.
Matern Child Health J ; 26(10): 2070-2078, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-35934723

RESUMEN

OBJECTIVES: Negative perceptions of one's neighborhood are linked to poor mental and physical health. However, it is unclear how caregiver's neighborhood perception affects health outcomes in children. This study assessed the mediating effect of maternal wellbeing on the association between neighborhood perception and child wellbeing at different time points and overall. METHOD: A structural equation model (SEM) was used to evaluate whether maternal wellbeing mediates the influence of neighborhood perception on child wellbeing at different ages. The Fragile Families and Child Wellbeing Study data from years 3, 5, and 9 was analyzed. The delta method evaluated the mediation effect of maternal wellbeing, controlling for mothers' age. Direct and indirect effects of neighborhood perception at year 3 on child wellbeing at year 9 via maternal wellbeing at year 5 were analyzed via a longitudinal mediation with a two time points lag. RESULTS: Maternal wellbeing partially mediated the effect of neighborhood perception on child wellbeing at different ages. Longitudinal mediation analyses revealed that better neighborhood perception at year 3 improved maternal wellbeing at year 5 and child wellbeing at year 9; maternal wellbeing at year 5 partially mediated the effect of neighborhood perception at year 3 on child wellbeing at year 5. CONCLUSIONS FOR PRACTICE: Our findings suggest that it may be beneficial for mental health practitioners to discuss relationships between neighborhood environment and wellbeing with caregivers, with a focus on reframing negative self-perceptions. Future research should evaluate longitudinal relationships between changes in neighborhood infrastructure and corresponding wellbeing in caregivers and children.


Asunto(s)
Salud Infantil , Características de la Residencia , Niño , Femenino , Humanos , Madres/psicología , Responsabilidad Parental/psicología , Percepción
11.
SSM Popul Health ; 19: 101197, 2022 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36033351

RESUMEN

Background: Weight status has been linked to adverse childhood experiences. Existing research, however, is limited to unidimensional assessments of cumulative risk and does not account for the complex nature of adversity experienced by children in high-risk settings. We fill existing gaps by assessing how four subtypes of adversity across two primary dimensions of threat and deprivation-based adversity are associated with changes in body mass index (BMI) across child ages 3 through 15 years. Method: U.S. mothers and fathers (n = 2412) in the Fragile Families and Child Wellbeing Study were interviewed when children were born, and again at ages 1, 3, 5, 9, and 15 years. Independent variables include interpersonal (e.g., domestic violence), family (e.g., mental health), economic (e.g., housing insecurity), and community (e.g., witness/victim of violence) adversity from ages 1 through 9 years. Path analysis regressed changes in BMIz from ages 3 through 15 on past adversity exposures. Results: Increased interpersonal and community adversity subtypes from ages 3 to 5 were associated with decreased BMIz from ages 5-9 years. Increased economic adversity from age 3 to 5 was associated with increased BMIz from ages 5 to 9, adjusted for mother age, race, and education. Conclusion: Findings highlight the differential influence of past adversity type and timing on child BMI. Interpersonal and community adversity were associated with decreased BMIz, and economic adversity with increased BMIz. Differences in directionality of associations suggest research should capture multiple dimensions of adversity in early childhood and possible positive and negative trends in effects on child weight as children grow from early to mid-childhood.

12.
Arch Womens Ment Health ; 25(4): 763-770, 2022 08.
Artículo en Inglés | MEDLINE | ID: mdl-35538171

RESUMEN

This study aims to understand the direct and indirect effects of poverty trajectories on maternal depression trajectories mediated by material hardship trajectories. A latent growth mediation model was tested using a predominantly low-income and mostly unmarried sample of mothers from the Fragile Families and Child Wellbeing Study, a national birth cohort of racially diverse mothers (N = 3999). Measures included family poverty, material hardship, and maternal depression from 5 waves of data which tracked mothers starting 1 year after childbirth until the child reached 15 years of age. The results revealed that (1) family poverty was associated with material hardship and maternal depression, and material hardship was related to maternal depression at the trajectory level and the rate of change, with the exception of the relationships between the rate of change in family poverty and the rate of change in maternal depression; (2) material hardship mediated the relationship between family poverty and maternal depression at the initial trajectory levels, and the rate of change in material hardship fully mediated the relationship between the rate of change in poverty and the rate of change in maternal depression. This study provides further evidence that alleviating material hardship might be a promising avenue to reducing maternal depression.


Asunto(s)
Depresión , Pobreza , Depresión/epidemiología , Femenino , Humanos , Madres , Estados Unidos/epidemiología
13.
Front Pediatr ; 10: 813486, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35372155

RESUMEN

It has been well-established that development occurs in the context of a transactional framework, with bidirectional parent-child interactions influencing both proximal and distal outcomes. In particular, child vocabulary development is sensitive to parenting qualities including warmth, sensitivity, and control as well as parental stimulation including language input and access to learning enrichment activities. Similarly, these parenting qualities are influenced by and influence children's development of pro-social behaviors. Given the foundational role of both language and pro-social skills for academic achievement and the establishment of healthy relationships across the lifespan, a comprehensive understanding of the magnitude, stability, and reciprocity of such interactions across childhood has the potential to better inform early intervention and prevention practices and highlight risk and resilience factors. This study investigated the concurrent and successive transactional relationships between child pro-social behavior, child emergent language, and parenting qualities within a large, longitudinal sample. This study utilized Waves 3, 4, and 5 of the Fragile Families and Child Well Being Study (FFCWBS), corresponding to focal child age 3, 5, and 9 years, respectively. A series of Structural Equation Modeling (SEM) with full-information likelihood (FIML) estimation (n = 3,422) including child prosocial behavior, receptive vocabulary, and supportive parenting behaviors was tested and compared. Our findings indicate significant, positive associations over time between child pro-social behavior and receptive vocabulary, and parenting quality across all three stages of early child development. The steady decline in magnitude of these associations over time highlights the importance of synergistic parent-child interactions in toddlerhood as an early opportunity to propel these developmental outcomes and supportive parenting behaviors. Patterns of change in child pro-social behavior skills and parenting qualities remained positive and relatively stable, while observed growth in child receptive vocabulary skills increased in magnitude over time. Additional investigation of indirect effects specified the role of receptive vocabulary, as well as the bolstering role of prosocial behavior, in eliciting responsive parenting qualities over time.

14.
J Anxiety Disord ; 87: 102540, 2022 04.
Artículo en Inglés | MEDLINE | ID: mdl-35192977

RESUMEN

While research has investigated intimate partner violence (IPV) and food insecurity (FI) as independent experiences on mental health, research is lacking on the possible longitudinal associations of combined experiences of IPV and FI on maternal depression and generalized anxiety disorder (GAD). Using data from the Fragile Families and Child Wellbeing study (n = 1440), the current study examined the independent and combined associations of IPV and FI mothers experienced 3-5 years after their child's birth on depression and GAD at Year 15. Five mutually exclusive dichotomous variables were created based on IPV and FI experiences during Year 3 and Year 5. Depression and GAD were measured at Year 15 using the Composite International Diagnostic Interview-Short Form. According to the covariate-adjusted logistic regression models, exposure to IPV and FI, both concurrently and independently predicted greater depression at Year 15. Mothers in all IPV and FI categories had greater odds of having GAD at Year 15 compared to those with no exposure. Compared to the independent effect of IPV and FI, the combined effect of IPV and FI was highly associated with maternal GAD, but not depression. Using a trauma-informed approach to counseling in combination with food assistance programs might be an effective strategy in preventing mental health symptoms.


Asunto(s)
Depresión , Violencia de Pareja , Trastornos de Ansiedad , Depresión/psicología , Femenino , Inseguridad Alimentaria , Humanos , Violencia de Pareja/psicología , Salud Mental , Madres/psicología
15.
Soc Sci Med ; 291: 114464, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-34666277

RESUMEN

It is well-established that adolescents whose mothers are depressed are themselves more likely to experience internalizing symptoms (e.g., depressive and anxiety symptoms). Even as extensive work shows that internalizing symptoms are more prevalent among adolescent girls compared to boys, it is unclear if the maternal-offspring mental health relationship is gender-neutral or gender-specific: Does maternal depression act as an equalizing force for adolescents' risk of internalizing symptoms, or does it contribute to adolescent gender differences? This study analyzes whether adolescent gender moderates the association between maternal depression and adolescent internalizing symptoms using data from the Year-15 survey of the Fragile Families and Child Wellbeing Study, which follows a cohort of children born in large U.S. cities, primarily to unmarried parents. This sample of 2159 primary caregiver mothers and adolescent offspring (ages 14-18 years) has numerous social risk factors for internalizing symptoms, affording the opportunity to carefully assess the possibly gendered nature of mother-adolescent linkages. Adjusted ordinary least squares regression models showed that maternal depression is associated with significantly higher adolescent depressive and anxiety symptoms. However, the relationship between maternal depression and adolescent internalizing symptoms is substantially larger for daughters compared to sons. The gendered nature of these concurrent mother-adolescent symptoms highlights the need to consider the effect of gender on other risk processes within families. Moreover, the strong clustering of internalizing symptoms among mothers and daughters highlights the value of prevention and treatment efforts that attend to adult and adolescent mental health simultaneously.


Asunto(s)
Depresión , Relaciones Madre-Hijo , Adolescente , Ansiedad/epidemiología , Depresión/epidemiología , Femenino , Humanos , Masculino , Madres , Núcleo Familiar
16.
J Affect Disord ; 295: 33-39, 2021 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-34391960

RESUMEN

BACKGROUND: Evidence is lacking for the longitudinal bidirectional relationship between maternal depression and child anxiety/depressive symptoms through pre-school to adolescence and regarding parenting stress as having a mediating effect on this association. METHODS: We performed a secondary analysis of data from the Fragile Families and Child Well-being Study (n = 1,446 child-mother dyads in 20 main U.S. cities) collected at baseline, Year-5 (T1), Year-9 (T2) and Year-15 (T3) (from 1998 to 2017). Maternal depression, child anxiety/depressive symptoms and parenting stress were assessed at three time points (T1-T3). The associations were evaluated using autoregressive cross-lagged panel models. RESULTS: Cross-lagged models indicated that 1) maternal depression significantly predicted subsequent higher child anxiety/depressive symptoms across all time points, and 2) greater child anxiety/depressive symptoms significantly predicted subsequent maternal depression across all time points. Furthermore, T1 maternal depression was indirectly associated with T3 child anxiety/depressive symptoms via T2 parenting stress [b = 0.010 (SE=0.004), p = 0.017]. However, T2 parenting stress did not significantly mediate the association between T1 child anxiety/depressive symptoms and T3 maternal depression [b = 0.004 (SE=0.004), p = 0.256]. LIMITATIONS: The FFCWS oversampled unmarried parents and had a higher proportion of socio-economically disadvantaged racial and ethnic minority families, limiting the generalizability of findings. CONCLUSIONS: Maternal depression is indirectly linked to child anxiety/depressive symptoms via parenting stress.


Asunto(s)
Depresión , Responsabilidad Parental , Adolescente , Ansiedad , Depresión/epidemiología , Etnicidad , Femenino , Humanos , Estudios Longitudinales , Grupos Minoritarios , Madres
17.
J Affect Disord ; 290: 31-39, 2021 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-33991944

RESUMEN

BACKGROUND: Household material hardships could have a negative impact on maternal mental health. Understanding mechanisms by which material hardship trajectories affect maternal depression and anxiety could aid health care professionals and researchers to design better interventions to improve mental health outcomes among mothers. METHODS: The study identified family-level mechanisms by which material hardship trajectories affect maternal depression and anxiety using Fragile Families and Child Wellbeing Study data (n = 1,645). Latent growth mixture modelling was used to identify latent classes of material hardship trajectories at Years-1, -3, and -5. Parenting stress and couple relationship quality was measured at Year-9. The outcome measures included maternal depression and generalized anxiety disorder (GAD) at Year-15 based on the Composite International Diagnostic Interview - Short Form. RESULTS: Parenting stress mediated the association between low-increasing hardship (b = 0.020, 95% confidence interval (CI):0.003, 0.043) and maternal depression. Parenting stress also mediated the association between high-increasing hardship (b = 0.043, 95% CI:0.004, 0.092), high decreasing hardship (b = 0.034, 95% CI=0.001, 0.072), and low-increasing (b = 0.034, 95% CI:0.007, 0.066) and maternal GAD. In all models, current material hardship was directly related to maternal depression (b = 0.188, 95% CI:0.134, 0.242) and GAD (b = 0.174, 95% CI:0.091, 0.239). LIMITATIONS: Study results need to be interpreted with caution as the FFCWS oversampled non-marital births as part of the original study design. CONCLUSIONS: While current material hardship appears to be more related to maternal mental health, prior material hardship experiences contribute to greater parenting stress which places mothers at risk for experiencing depression and GAD later on.


Asunto(s)
Depresión , Responsabilidad Parental , Ansiedad , Niño , Depresión/epidemiología , Femenino , Estado de Salud , Humanos , Madres , Estrés Psicológico/epidemiología
18.
Public Health Nutr ; 24(16): 5506-5513, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-33517950

RESUMEN

OBJECTIVE: To determine the temporal directionality of the association between food insecurity and maternal depression. DESIGN: Food insecurity was measured at two time points using the eighteen-item USDA Food Security Scale. Maternal depression was measured at two time points using the fifteen-item Composite International Diagnostic Interview-Short Form. Two structural equation models were utilised to evaluate the impact of food insecurity on maternal depression (model 1) and the impact of maternal depression on food insecurity (model 2). Both models controlled for socio-demographic and parenting characteristics and child behaviour problems, along with prior measures of the dependent variable and concurrent measures of the independent variable. SETTING: Fragile Families and Child Wellbeing (FFCW) study, twenty cities across the USA. PARTICIPANTS: 4897 mothers who participated in two waves of the FFCW study. RESULTS: On average, 17 % (time 1) and 15 % (time 2) of mothers experienced food insecurity and 21 % (time 1) and 17 % (time 2) of mothers experienced depression over time. Maternal depression at time 1 was associated with 53 % increased odds (OR = 1·53; B = 0·43; P < 0·001) of food insecurity at time 2, controlling for time 1 food insecurity, concurrent depression and covariates. Food insecurity at time 1 was associated with 36 % increased odds (OR = 1·36; B = 0·31; P < 0·001) of maternal depression at time 2, controlling for time 1 depression, concurrent food insecurity and covariates. CONCLUSIONS: We found a bidirectional relationship between food insecurity and maternal depression. A holistic approach that combines food assistance and mental health services may be an efficacious approach to reducing both depressive symptoms and food insecurity among low-income mothers.


Asunto(s)
Depresión , Inseguridad Alimentaria , Niño , Depresión/epidemiología , Femenino , Abastecimiento de Alimentos , Humanos , Madres , Responsabilidad Parental , Pobreza
19.
Prev Sci ; 22(4): 523-533, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-33439439

RESUMEN

Gun violence is a uniquely prevalent issue in the USA that disproportionately affects disadvantaged families already at risk of health disparities. Despite the traumatic nature of witnessing gun violence, we have little knowledge of whether exposure to local gun violence is associated with higher risks of depression among mothers, whose symptoms of depression are likely to have spillover effects for kin. We examined the association between exposure to gun violence in mothers' neighborhoods and their experiences of depression using longitudinal Fragile Families and Child Wellbeing Study data (n = 4587) in tandem with lagged outcome and fixed effect models. We find that mothers who witness at least one shooting in their neighborhoods or local communities exhibit more symptoms of depression and are 32-60% more likely to meet criteria for depression than mothers who do not witness a shooting. We also find that witnessing a shooting is associated with increases in parental aggravation, which is partially mediated by maternal depression. Given this and other previously documented spillover effects of mothers' mental health on children and family members, these findings have important implications for mothers' wellbeing and their kin. Further, we observe substantial racial and socioeconomic disparities in exposure to gun violence, suggesting that gun violence may heighten health disparities and drawing attention to the importance of providing mental health resources in communities that are most affected by gun violence.


Asunto(s)
Depresión , Exposición a la Violencia , Violencia con Armas , Madres/psicología , Depresión/epidemiología , Femenino , Humanos , Salud Mental
20.
Annu Rev Dev Psychol ; 3(1): 187-206, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35721627

RESUMEN

We describe the promise of the Fragile Families and Child Wellbeing Study (FFCWS) for developmental researchers. FFCWS is a birth cohort study of 4,898 children born in 1998-2000 in large US cities. This prospective national study collected data on children and parents at birth and during infancy (age 1), toddlerhood (age 3), early childhood (age 5), middle childhood (age 9), adolescence (age 15), and, in progress, young adulthood (age 22). Though FFCWS was created to understand the lives of unmarried parent families, its comprehensive data on parents, children, and contexts can be used to explore many other developmental questions. We identify six opportunities for developmentalists: (a) analyzing developmental trajectories, identifying the importance of the timing of exposures for later development, (c) documenting bidirectional influences on development, (d) understanding development in context, (e) identifying biological moderators and mechanisms, and ( f ) using an urban-born cohort that is large, diverse, and prospective.

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