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Social and familial determinants of health: Mediating effects of caregiver mental and physical health on children's mental health

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  • Quinn, Adam
  • Briggs, Harold E.
  • Miller, Keva M.
  • Orellana, E. Roberto

Abstract

Child welfare research suggests that a family's social support and stress levels impact both caregiver health and child well-being. Furthermore, studies indicate that caregiver mental and physical health affects the quality of caregiving practices, and may mediate the damaging effects of low social support and high family stress upon child mental health. Using a national sample of child welfare-involved children and their caregivers, this study examines whether caregiver mental and physical health mediates the impact of low social support and high family stress upon child mental health. Subjects were 3255 children and adolescents involved with Child Protective Services (CPS), from the second cohort of the National Survey on Child and Adolescent Well-Being (NSCAW II). Bivariate correlations and multiple regression analyses were used to examine the pathways between each predictor variable (i.e., low social support and high family stress), caregiver mental and physical health, and child internalizing and externalizing problems. A series of multiple regression analyses found that caregiver mental and physical health mediated the relationship between high family stress and increased child internalizing problems. In addition, caregiver mental health partially mediated the relationship between low social support and child internalizing and externalizing problems. Findings are discussed within the context of child welfare policy, practice, and future research.

Suggested Citation

  • Quinn, Adam & Briggs, Harold E. & Miller, Keva M. & Orellana, E. Roberto, 2014. "Social and familial determinants of health: Mediating effects of caregiver mental and physical health on children's mental health," Children and Youth Services Review, Elsevier, vol. 36(C), pages 163-169.
    • Handle: RePEc:eee:cysrev:v:36:y:2014:i:c:p:163-169
    DOI: 10.1016/j.childyouth.2013.11.016
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    References listed on IDEAS

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    1. Amery Wu & Bruno Zumbo, 2008. "Understanding and Using Mediators and Moderators," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 87(3), pages 367-392, July.
    2. Li, Fenfang & Godinet, Meripa T. & Arnsberger, Pam, 2011. "Protective factors among families with children at risk of maltreatment: Follow up to early school years," Children and Youth Services Review, Elsevier, vol. 33(1), pages 139-148, January.
    3. Zhang, Saijun & Anderson, Steven G., 2010. "Low-income single mothers' community violence exposure and aggressive parenting practices," Children and Youth Services Review, Elsevier, vol. 32(6), pages 889-895, June.
    4. Hilmers, A. & Hilmers, D.C. & Dave, J., 2012. "Neighborhood disparities in access to healthy foods and their effects on environmental justice," American Journal of Public Health, American Public Health Association, vol. 102(9), pages 1644-1654.
    5. Corso, P.S. & Edwards, V.J. & Fang, X. & Mercy, J.A., 2008. "Health-related quality of life among adults who experienced maltreatment during childhood," American Journal of Public Health, American Public Health Association, vol. 98(6), pages 1094-1100.
    6. Miller, Keva M. & Bank, Lewis, 2013. "Moderating effects of race on internalizing and externalizing behaviors among children of criminal justice and child welfare involved mothers," Children and Youth Services Review, Elsevier, vol. 35(3), pages 472-481.
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    2. Liu, Xiaoqian & Whetten, Kathryn & Prose, Neil S. & Eagle, David & Parnell, Heather E. & Amanya, Cyrilla & Vann, Vanroth & Dubie, Misganaw Eticha & Kaza, Venkata Gopala Krishna & Tzudir, Senti & Proes, 2020. "Enjoyment and meaning in daily activities among caregivers of orphaned and separated children in four countries," Children and Youth Services Review, Elsevier, vol. 116(C).
    3. Di Qi & Yichao Wu, 2020. "Family Income and Children’s Emotional Wellbeing: the Mediational Role of Parents’ Life Satisfaction and Emotional Wellbeing in China," IJERPH, MDPI, vol. 17(20), pages 1-13, October.
    4. Proeschold-Bell, Rae Jean & Molokwu, Nneka Jebose & Keyes, Corey L.M. & Sohail, Malik Muhammad & Eagle, David E. & Parnell, Heather E. & Kinghorn, Warren A. & Amanya, Cyrilla & Vann, Vanroth & Madan, , 2019. "Caring and thriving: An international qualitative study of caregivers of orphaned and vulnerable children and strategies to sustain positive mental health," Children and Youth Services Review, Elsevier, vol. 98(C), pages 143-153.

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