scholarly journals Poor family relationships in adolescence as a risk factor of in-patient somatic care across the life course: Findings from a 1953 cohort

2021 ◽  
pp. 100807
Author(s):  
Susanne Alm ◽  
Sara Brolin Låftman ◽  
Hannes Bohman
2020 ◽  
Vol 48 (7) ◽  
pp. 726-732
Author(s):  
Susanne Alm ◽  
Sara Brolin Låftman ◽  
Fredrik Sivertsson ◽  
Hannes Bohman

Background: Previous research has shown that poor family relations in childhood are associated with adverse mental health in adulthood. Yet, few studies have followed the offspring until late adulthood, and very few have had access to register-based data on hospitalisation due to psychiatric illness. The aim of this study was to examine the association between poor family relations in adolescence and the likelihood of in-patient psychiatric care across the life course up until age 55. Methods: Data were derived from the Stockholm Birth Cohort study, with information on 2638 individuals born in 1953. Information on family relations was based on interviews with the participants’ mothers in 1968. Information on in-patient psychiatric treatment was derived from administrative registers from 1969 to 2008. Binary logistic regression was used. Results: Poor family relations in adolescence were associated with an increased risk of later in-patient treatment for a psychiatric diagnosis, even when adjusting for other adverse conditions in childhood. Further analyses showed that poor family relations in adolescence were a statistically significant predictor of in-patient psychiatric care up until age 36–45, but that the strength of the association attenuated over time. Conclusions: Poor family relationships during upbringing can have serious negative mental-health consequences that persist into mid-adulthood. However, the effect of poor family relations seems to abate with age. The findings point to the importance of effective interventions in families experiencing poor relationships.


2018 ◽  
Vol 99 (3) ◽  
pp. 256-268 ◽  
Author(s):  
Nathan H. Perkins ◽  
Marcia Spira ◽  
Julie Erin Key

This article focuses on the persistence of physical and emotional sibling violence through the life course and its potential connection to elder abuse. Theories relevant to the linkage between sibling violence and elder abuse are presented and discussed. Highlighted is the need for future studies to examine the association between these forms of family violence in order for preventative and intervention mechanisms to be created and implemented. Implications for practice include the need to assess physical and emotional sibling violence as a potential risk factor for elder abuse.


Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Amanda R Markovitz ◽  
Eirin B Haug ◽  
Julie Horn ◽  
Abigail Fraser ◽  
Corrie Macdonald-Wallis ◽  
...  

Introduction: Preterm delivery (<37 weeks) predicts 2 to 3-fold greater risk of cardiovascular disease in mothers. Development of subclinical cardiovascular risk in these women prior to and following pregnancy is not well understood. Hypothesis: Women who deliver preterm have an adverse cardiovascular health profile even prior to pregnancy. Methods: Linked data from the population-based, longitudinal HUNT study (1984-2008) and the Medical Birth Registry of Norway (1967-2012) yielded clinical measurements and pregnancy outcomes for 23,179 parous women. Women had up to 3 measurements of body mass index, waist circumference, blood pressure, non-fasting lipids and glucose, and high-sensitivity C-reactive protein (hs-CRP) during a follow-up period between 20 years before first birth to 41 years after first birth. We used mixed effects linear spline models, adjusting for age, pre-pregnancy smoking, education, and time since last meal, to compare risk factor trajectories for women with preterm versus term/postterm first births. Results: Women with a preterm first birth (n=1,402, 6%) had significantly higher triglyceride (Figure 1 A) and glucose levels prior to pregnancy. They also experienced steeper increases in systolic and diastolic blood pressure, non-HDL cholesterol, triglycerides, and hs-CRP from first birth to age 50 compared to women who delivered at term/post-term (Figure 1 A,B). Measures of adiposity were similar throughout the life course. Conclusions: These results are consistent with the hypothesis that preterm birth is an early marker of cardiometabolic impairment. A history of preterm birth may predict high cardiovascular risk well before the development of traditional risk factors.


Author(s):  
G. Robin Gauthier

Family relationships and the emotional and instrumental exchanges embedded within them are among the most important sources of social support available to individuals throughout the life course. This chapter provides an overview of three approaches to family research that conceptualize families as networks. The basic idea throughout the chapter is that family structure is not a sufficient proxy for a person’s access to social support, but network approaches offer a potential solution. First, the chapter discusses approaches that render the language of families as systems into configurations of network structures, with a focus on how to measure the capacity for social support embedded within them. The discussion then turns to research that employs a more inclusive understanding of family, widening the definition of what “counts” as kin. The chapter ends with a discussion of a new approach to measuring family relationships rooted in a network theory of social roles.


Author(s):  
Cláudia Casimiro ◽  
Magda Nico

This chapter explores the use of technologies as objects and tools in family research. It first considers four main sociological objects that are involved in the interplay between family life and information and communication technologies (ICTs): intimate couple life, intergenerational relationships, transnational or migrant families, and the life course. It then discusses the positive and negative social effects of ICT usage in family life before describing a project based on the life course approach, with a family-centred methodology as the privileged unit of analysis, that utilised CAQDAS (computer assisted qualitative data analysis software) to investigate the processes of social mobility in Portugal over recent decades. The chapter shows that technologies can be envisaged both as an object of study (technology usage and its impact on family relationships in a life course perspective) and as an instrument (technology as a tool).


1998 ◽  
Vol 46 (2) ◽  
pp. 91-108 ◽  
Author(s):  
Jean E. Veevers ◽  
Barbara A. Mitchell

Drawing on the social exchange perspective, we examine: 1) the extent to which adult children who have returned to the parental home (“boomerang kids”) exchange several types of instrumental and affective support with their parents, and 2) whether there is symmetry or incongruence in perceptions of support among these family dyads. The data used for this study are drawn from interviews with one child and one parent from 218 families in which the child has recently returned home. Findings indicate that children receive more frequent instrumental and emotional (affective) support than parents receive, and that parents perceive that they receive considerably more emotional support than boomerang children acknowledge donating. Implications for family relationships over the life course and household living arrangements are considered.


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Yiyi Zhang ◽  
Eric Vittinghoff ◽  
Mark J Pletcher ◽  
Norrina B Allen ◽  
Adina Zeki Al Hazzouri ◽  
...  

Introduction: Cumulative exposure to cardiovascular disease (CVD) risk factors during young adulthood is associated with later life CVD risk. Few prospective cohort studies measured exposures in young adulthood. We sought to develop and validate a method to impute trajectories of CVD risk factors across the life course. Methods: 36,546 participants (55% women, 25% black, average exams 5.1/participant) from 6 studies (ARIC, CARDIA, CHS, Framingham Offspring, Health ABC, and MESA) were included. Demographics and CVD risk factors (BMI, smoking, BP, lipids, glucose, medications for BP, lipids and glucose) were collected at each exam and harmonized across cohorts. We multiply imputed complete risk factor trajectories from age 18 to 99 years for each participant using an extension of linear mixed modeling (for continuous variables) and interval-censored survival modeling (for categorical variables), taking into account the multilevel structure of data. For validation, we randomly selected 25% of all participants and deleted their observed data for exam age 20-35, 50-65, or 80-95 years. We then imputed risk factor values for deleted age periods and compared imputed values with directly observed values. Results: Imputed values were relatively consistent with observed values for BMI, SBP, LDL, and glucose, particularly in young and middle ages ( Figure ). The mean (standard deviation) of the difference between imputed vs. observed values for BMI, SBP, LDL, and glucose were 0.1 (2.7) kg/m 2 , 0.9 (16.3) mm Hg, -1.1 (30.2) mg/dL, and -0.6 (23.0) mg/dL. The prevalence of imputed smoking, diabetes, and medications were also consistent with observed data. Conclusions: We demonstrated a validated method for estimating CVD risk factor trajectories across the life course. This approach may advance understanding of potential impact of cumulative early risk factor exposures on later life CVD risk, and inform primary prevention strategies over the life course. Figure. Mean and prevalence of observed vs. imputed risk factors by age periods 2


2017 ◽  
Vol 1 (3) ◽  
Author(s):  
Patricia A Thomas ◽  
Hui Liu ◽  
Debra Umberson

Abstract Family relationships are enduring and consequential for well-being across the life course. We discuss several types of family relationships—marital, intergenerational, and sibling ties—that have an important influence on well-being. We highlight the quality of family relationships as well as diversity of family relationships in explaining their impact on well-being across the adult life course. We discuss directions for future research, such as better understanding the complexities of these relationships with greater attention to diverse family structures, unexpected benefits of relationship strain, and unique intersections of social statuses.


2021 ◽  
pp. 1-10
Author(s):  
John Bynner ◽  
Walter R. Heinz

Supplies a broad overview of the themes pursued through the different chapters. The overriding theme is structural and cultural change affecting contexts and pathways to adulthood in two European societies that differ in their institutional fabric - England and Germany. Change in family relationships and identity construction, transformations in education, labour markets, politics and media are highlighted. The life course perspective that informs the theoretical framework of the book is introduced. The impact on and over shadowing of all youth and family activity through the COVID-19 virus is also addressed as precursor to the main discussion in Chapter 8


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