Dataset Information

Association between limiting longstanding illness in mothers and their children: findings from the UK Millennium Cohort Study.

ABSTRACT:

Objective

To explore the association between maternal disability as measured by the presence of a limiting longstanding illness (LLI) 9 months postpartum and subsequent child health at the age of 7 years.

Design

Nationally representative prospective longitudinal study.

Setting

England, Scotland, Wales and Northern Ireland.

Participants

Secondary analysis of data on 11 807 mother-child pairs recruited to the UK Millennium Cohort Study. Baseline interviews with mothers were carried out in 2001-2002. When the children were 7 years old, the follow-up survey included questions about limiting longstanding health conditions in the child.

Primary outcome measure

Any longstanding condition that was reported to limit the children's activities in any way.

Results

Nearly 7% of all children were reported to have an LLI at the age of 7 years. The majority (88.1%, 95% CI 85.6% to 90.2%) of children whose mother was disabled did not have an LLI themselves. The children of disabled mothers, however, had higher odds of LLI (OR=1.9, 95% CI 1.5 to 2.5) independently of different maternal, pregnancy and birth characteristics and breast feeding duration. Inclusion of poverty measures in the model did not significantly affect the odds (OR=1.8, 95% CI 1.4 to 2.4), suggesting that maternal LLI around the time of birth increases the odds of child LLI at the age of 7 years independently of starting life in poverty.

Conclusions

There is a strong positive association between maternal and child LLI. Health professionals should work together with social care and other relevant service providers to identify the individual needs of disabled parents and provide adequate support throughout the pregnancy and after the child is born. Further research is important to clarify the exact nature of the associations for different types of maternal and child disability.

SUBMITTER: Sumilo D

PROVIDER: S-EPMC3856615 | biostudies-literature | 2013 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association between limiting longstanding illness in mothers and their children: findings from the UK Millennium Cohort Study.

Sumilo Dana D Kurinczuk Jennifer J JJ Redshaw Maggie E ME Gray Ron R

BMJ open 20131205 12

<h4>Objective</h4>To explore the association between maternal disability as measured by the presence of a limiting longstanding illness (LLI) 9 months postpartum and subsequent child health at the age of 7 years.<h4>Design</h4>Nationally representative prospective longitudinal study.<h4>Setting</h4>England, Scotland, Wales and Northern Ireland.<h4>Participants</h4>Secondary analysis of data on 11 807 mother-child pairs recruited to the UK Millennium Cohort Study. Baseline interviews with mothers ...[more]

PMID: 24319277

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Project description:ObjectivesTo examine predictors of partial and full measles, mumps and rubella (MMR) vaccination catch-up between 3 and 5 years.DesignSecondary data analysis of the nationally representative Millennium Cohort Study (MCS).SettingChildren born in the UK, 2000-2002.Participants751 MCS children who were unimmunised against MMR at age 3, with immunisation information at age 5.Main outcome measuresCatch-up status: unimmunised (received no MMR), partial catch-up (received one MMR) or full catch-up (received two MMRs).ResultsAt age 5, 60.3% (n=440) children remained unvaccinated, 16.1% (n=127) had partially and 23.6% (n=184) had fully caught-up. Children from families who did not speak English at home were five times as likely to partially catch-up than children living in homes where only English was spoken (risk ratio 4.68 (95% CI 3.63 to 6.03)). Full catch-up was also significantly more likely in those did not speak English at home (adjusted risk ratio 1.90 (1.08 to 3.32)). In addition, those from Pakistan/Bangladesh (2.40 (1.38 to 4.18)) or 'other' ethnicities (such as Chinese) (1.88 (1.08 to 3.29)) were more likely to fully catch-up than White British. Those living in socially rented (1.86 (1.34 to 2.56)) or 'Other' (2.52 (1.23 to 5.18)) accommodations were more likely to fully catch-up than home owners, and families were more likely to catch-up if they lived outside London (1.95 (1.32 to 2.89)). Full catch-up was less likely if parents reported medical reasons (0.43 (0.25 to 0.74)), a conscious decision (0.33 (0.23 to 0.48)), or 'other' reasons (0.46 (0.29 to 0.73)) for not immunising at age 3 (compared with 'practical' reasons).ConclusionsParents who partially or fully catch-up with MMR experience practical barriers and tend to come from disadvantaged or ethnic minority groups. Families who continue to reject MMR tend to have more advantaged backgrounds and make a conscious decision to not immunise early on. Health professionals should consider these findings in light of the characteristics of their local populations.

Dataset Information

Association between limiting longstanding illness in mothers and their children: findings from the UK Millennium Cohort Study.

Objective

Design

Setting

Participants

Primary outcome measure

Results

Conclusions

Publications

Association between limiting longstanding illness in mothers and their children: findings from the UK Millennium Cohort Study.

Similar Datasets

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