Abstract

Parental mental illness has been associated with a number of consequences for the health and use of healthcare services of the child. However, most research has focused on maternal depression. Research examining the impact of paternal mental vulnerability (MV) as well as different degrees of MV are needed to plan interventions. Therefore, the aim of this study was to examine the association between different categories of individual and combined parental MV and the child’s use of healthcare services the first year of life.A population-based birth cohort study was conducted including all Danish children born from 2000-2016 using the Danish national registers. Exposure was parental MV of three categories according to the degree of MV: Group 1 “minor MV” with mental related contacts to primary healthcare and/or prescribed psychopharmaceuticals, group 2 “moderate MV” and group 3 “severe MV” both with contacts to psychiatric hospital. Outcome was contacts to GP the first year of life expressed as incidence-rate ratios (IRR) using Poission’s regression analyses.The analyses included 952,709 children. 21\% of the mothers and 11\% of the fathers were in the MV groups. Parental MV (any parent, any MV-group) was associated with an increased risk of GP contacts daytime and out-of-hour contacts. If both parents were classified as group 1 MV, IRR were 1.21 (CI95 1.20-1.22). IRR were 1.18 (1.17-1.18) resp. IRR 1.05 (1.04-1.06) if only the mother resp. father were in MV group 1. The same pattern were seen for out-of-hour contacts; IRR 1.28 (1.26-1.31) for both parents in group 1 and IRR 1.19 (1.18-1.20) resp. IRR 1.09 (1.08-1.11) for the mother resp. father.Maternal and paternal MV were associated with an increased risk of GP contacts daytime and out-of-hour contacts although maternal MV had the highest risk. Even minor MV had an impact on healthcare contacts and the risk increased further if both parents were classified as minor MV.Both maternal and paternal mental vulnerability has an impact on the child’s healthcare contacts.Our results indicate the need for a focus also on minor mental vulnerability in the planning of interventions.
Original languageEnglish
JournalEuropean Journal of Public Health
Volume29
Issue numberSuppl. 4
Pages (from-to)366
ISSN1101-1262
DOIs
Publication statusPublished - 1 Nov 2019
Event12th European Public Health Conference Building bridges for solidarity and public health - Marseille, France
Duration: 20 Nov 201923 Nov 2019
Conference number: 12

Conference

Conference12th European Public Health Conference Building bridges for solidarity and public health
Number12
CountryFrance
CityMarseille
Period20/11/201923/11/2019

Bibliographical note

ckz187.183

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