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Acri M, Chun Y, Yin S, Msw, Fang C, Joe S, McKay M. Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders. Community Ment Health J 2022; 58:1513-1521. [PMID: 35362804 DOI: 10.1007/s10597-022-00966-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 03/15/2022] [Indexed: 01/27/2023]
Abstract
Awareness and interest in involving male caregivers in child mental health treatment has grown, especially for youth with disruptive behavior disorders like oppositional defiant disorder (ODD). The purpose of this study was to examine the relationship between male caregiver involvement and treatment engagement for child ODD. Children (n = 122) ages 7-11 and their caregivers participated in the 4 Rs 2 Ss Strengthening Families Program for child-onset ODD. Families were compared based on male caregiver presence. Families with a male caregiver were significantly more resourced with respect to income, educational status, and food security. Additionally, they were over three times less likely to drop out of the program than those without a male caregiver. The presence of a male caregiver was associated with increased resources and higher rates of engagement in services than single, female-headed families. Future research is needed to discern the underlying mechanisms of this association.
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Affiliation(s)
- Mary Acri
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA.
| | - Yung Chun
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Shuya Yin
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Msw
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Cao Fang
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Sean Joe
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Mary McKay
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
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Fismen AS, Smith ORF, Helleve A, Haug E, Chatelan A, Kelly C, Dzielska A, Nardone P, Melkumova M, Ercan O, Kopcakova J, Lazzeri G, Klepp KI, Samdal O. Cross-national variation in the association between family structure and overweight and obesity: Findings from the Health Behaviour in School-aged children (HBSC) study. SSM Popul Health 2022; 19:101127. [PMID: 35677220 PMCID: PMC9168136 DOI: 10.1016/j.ssmph.2022.101127] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2022] [Revised: 05/04/2022] [Accepted: 05/11/2022] [Indexed: 11/25/2022] Open
Abstract
Background Trends of increased complexity in family structure have developed alongside increasing prevalence of overweight and obesity. This study examines cross-national variations in the likelihood of living with overweight and obesity among adolescents living with one parent versus two parents, as well as the influence of living with stepparents, grandparents and siblings. Furthermore, the study explores how these associations relate to age, gender and individual-level socioeconomic status (SES) and country-level SES. We hypothesised that adolescents living in one-parent versus two-parents families, were more likely to live with overweight and obesity. Methods The study is based on nationally representative data from 41 countries participating in the 2013/14 Health Behaviors in School-Aged Children study (n = 211.798). Multilevel logistic regression analysis was used to examine the associations between family structure and overweight and obesity by age, gender, SES, and geographic region, among adolescents aged 11, 13 and 15 years. Results Living with one versus two parent(s) was associated with a higher likelihood of overweight and obesity (ORadj.1.13, 95%CI 1.08,1.17). Age, gender, individual-level SES, and living with grandparents were also associated with a higher likelihood of overweight and obesity, whereas living with siblings was associated with a lower likelihood of overweight and obesity. The effect of family structure varied also by age and gender with no significant associations found between living with one parent and overweight and obesity in the 15-year-old age group. Some cross-national variation was observed, and this was partly explained by country-level SES. The effect of family structure increased by a factor 1.08 per one-unit change in country-level SES (OR 1.08, 95%CI1.03, 1.12). Conclusion The study indicates that living in a one-parent family, as well as living together with grandparents, are associated with overweight and obesity among adolescents, particularly in the Nordic European region. Existing welfare policies may be insufficient to eliminate inequalities related to family structure differences.
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Affiliation(s)
- Anne-Siri Fismen
- Department of Health Promotion, Centre for Evaluation of Public Health Measures, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway
| | - Otto Robert Frans Smith
- Department of Health Promotion, Centre for Evaluation of Public Health Measures, Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway
| | - Arnfinn Helleve
- Centre for Evaluation of Public Health Measures, Norwegian Institute of Public Health, Oslo, Norway
| | - Ellen Haug
- Department of Health Promotion and Development, University of Bergen, 5020, Bergen, Norway
- Department of Teacher Education, NLA University College, 5012, Bergen, Norway
| | - Angeline Chatelan
- School of Public Health, Université libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium
| | - Colette Kelly
- Health Promotion Research Centre, National University of Ireland Galway, Ireland
| | - Anna Dzielska
- Department of Child and Adolescent Health, Institute of mother and Child, Warsaw, Poland
| | - Paola Nardone
- National Centre for Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy
| | - Marina Melkumova
- Arabkir Medical Centre-Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Oya Ercan
- Department of Pediatrics, Istanbul University-Cerrahpasa, Turkey
| | - Jaroslava Kopcakova
- Department of Health Psychology and Research Methodology, Faculty of Medicine, P. J. Safarik University in Kosice, 040 01, Kosice, Slovakia
| | - Giacomo Lazzeri
- Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - Knut-Inge Klepp
- Division of Mental and Physical Health, Norwegian Institute of Public Health and Department of Nutrition, University of Oslo Oslo, Norway
| | - Oddrun Samdal
- Department of Health Promotion and Development, University of Bergen, 5020, Bergen, Norway
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