Objective: Not all women experience the same changes in depression from pregnancy through the years following childbirth, but the patterns of prenatal and postnatal depression are underexplored. This study investigated the trajectories and associated predictors of depressive symptoms in women from pregnancy through the first 3 years postpartum.
Method: We followed 340 pregnant women from an antenatal clinic in Hong Kong, first at 20-24 weeks of gestation, then at 4 weeks after childbirth, and again at 3 years after childbirth.
Intimate partner violence (IPV) against pregnant women negatively impacts women's and infants' health. Yet inconsistent results have been found regarding whether pregnancy increases or decreases the risk of IPV. To answer this question, we systematically searched for studies that provided data on IPV against women before pregnancy, during pregnancy, and after childbirth.
View Article and Find Full Text PDFBackground: Previous research has well-documented that family functioning is an important predictor of individuals' physical and mental health. However, relatively little research has explored family functioning at the family and population levels, such as changes in family functioning across years and whether predictors of family functioning differ across different family structures. Understanding of the changes in family functioning across years and factors promoting family functioning will inform the development of preventive measures to enhance family health and resilience.
View Article and Find Full Text PDFBackground: There is evidence that child maltreatment is associated with shorter telomere length in early life.
Aims: This study aims to examine if child maltreatment is associated with telomere length in middle- and older-age adults.
Method: This was a retrospective cohort study of 141 748 UK Biobank participants aged 37-73 years at recruitment.
Background: Grandparents play an essential role in childrearing and fill the parenting gap for dual-earner Chinese families. Many Chinese grandparents engage heavily in childcare, which may increase the risk of child abuse.
Objective: This study aimed to examine grandparental use of psychological and physical aggression toward children and explore its associated risk factors.
Int J Environ Res Public Health
January 2023
Parenting stress is a key factor in predicting the quality of parent−child relationships and child development outcomes. Previous research tends to focus on examining individual factors contributing to parental stress, with minimal attention to other important contextual factors that may affect parenting. This study examines the issue from a broader ecological perspective by investigating social, cultural, and community factors associated with parental stress in a community sample of economically active fathers and mothers in Hong Kong.
View Article and Find Full Text PDFInt J Environ Res Public Health
January 2023
Background: The intersections between intimate partner violence (IPV) and child abuse and neglect (CAN) have received growing attention from the research community. However, there is limited research examining the risk factors for CAN among children of battered women who have experienced severe IPV and seek refuge in shelters.
Objective: In the current study, we examined the co-occurrence of IPV and CAN and the risk factors for CAN in a sample of battered women.
Int J Environ Res Public Health
December 2022
The violation of children's right to a safe home environment is a major public health problem in need of serious attention. Evidence has been limited about the family characteristics that go with the co-occurrence of harsh parenting and family conflict. By using a representative community sample of Hong Kong families, this study aims to examine the prevalence and risk factors of harsh parenting and family conflict.
View Article and Find Full Text PDFBackground: To meta-analyze the existing studies examining the association of childhood and adulthood victimization with inflammation and to explore the moderating variables that affect these relationships.
Methods: Relevant work published before 28th February 2021 was identified by searching five major databases. We analyzed the cross-sectional data extracted from cross-sectional and longitudinal studies using the random-effects model to estimate the correlation (r) as the pooled effect size and further conducted subgroup analyses and sensitivity analyses.
Int J Environ Res Public Health
November 2022
Intimate partner violence (IPV) against pregnant women adversely impacts women's and infants' health. This study aims to provide longitudinal evidence regarding how pregnant women's exposure to IPV changes over time. Additionally, we examine the risk and protective factors associated with these changes.
View Article and Find Full Text PDFInt J Environ Res Public Health
September 2022
The aims of this meta-analysis were to examine the association between childhood exposure to family violence and telomere length and the moderating variables that influence this association. Relevant works published on or before 1st September 2022 were identified through a search in five major databases in English and 19 articles (N = 18,977) finally met the inclusion criteria. A meta-analysis was conducted to compute the pooled effect size (correlation; ), and moderator analyses were performed using a random effects meta-analytic model.
View Article and Find Full Text PDFInt J Environ Res Public Health
August 2022
This article examines individuals' attitudes toward the involvement of grandparents in family issues in Hong Kong. While existing studies have largely focused on the nature and types of grandparents' involvement in childcare, it is worth conducting a quantitative investigation of the attitudes in the general population about grandparental involvement. Drawing on the 2011, 2013, 2015, and 2017 waves of the Family Surveys, the study examined the trend in attitudes toward grandparental involvement with 8932 HK residents.
View Article and Find Full Text PDFInt J Environ Res Public Health
May 2022
Work-life imbalance might lead to detrimental outcomes, including family dissatisfaction, poor performance in the workplace, and poor mental and physical health. This population-based study aims to explore the situation and trends in regard to work-life balance among working men and women in 2017, with a special focus on the stress experienced in work and personal lives. Descriptive analysis and multiphase regression are used to explore the associations of work-life imbalance with individual and family factors.
View Article and Find Full Text PDFBackground: Exposure to suboptimal intrauterine environment might induce structural and functional changes that can affect neonatal health. Telomere length as an important indicator of cellular health has been associated with increased risk for disease development.
Objectives: This study was aimed to examine the independent and combined effects of maternal, obstetric, and foetal factors on cord blood telomere length (TL).
Int J Environ Res Public Health
September 2021
Poverty is a decisive risk factor for poor health and well-being, and its negative consequences could be more severe and substantial among children. Understanding the factors associated with improvement in well-being is vital to design interventions. This is a prospective cohort study of 546 youth growing up in families in poverty in Hong Kong.
View Article and Find Full Text PDFGrowing evidence has shown that exposure to harsh parenting and child maltreatment elevate the risk of Internet addiction in adolescence. Yet, limited research has examined the mechanisms underlying this association. The present study was a cross-sectional school survey of 1204 adolescents (52.
View Article and Find Full Text PDFInt J Environ Res Public Health
December 2020
Despite emerging evidence of the effectiveness of a family-focused approach as an Internet addiction (IA) treatment modality for adolescents, little research has been done to explore family involvement in the treatment process from the clinician's perspective. This study employed a qualitative design to examine practitioners' views pertaining to the roles and challenges of family participation in IA intervention. In total, 10 practitioners working with adolescents with IA were interviewed.
View Article and Find Full Text PDFAlthough parenting interventions aiming to improve parental RF have been developed, there have been conflicting results in regard to intervention effectiveness. This meta-analytic review seeks to synthesize the available evidence that group-based parenting interventions improve parental RF, in order to provide conclusive evidence regarding their effectiveness. A systematic search was performed to retrieve relevant studies published before November 2019.
View Article and Find Full Text PDFRapid repeat pregnancy (RRP) often occurs in teenage and young mothers. Mothers with a history of RRP are more likely to experience high stress increasing their risk of child maltreatment. Despite these challenges, some mothers can continue to cope adaptively.
View Article and Find Full Text PDFDifferent types of violence tend to co-occur within a family where the members often share common family characteristics, a situation described as family polyvictimization. In response to the lack of a validated screening tool, this study developed and validated the Family Polyvictimization Screen (FPS), the first brief screening tool applicable to members of the same family with up to three generations. The FPS was designed to screen family polyvictimization by assessing and capturing different types of violence, including child abuse and neglect (CAN), intimate partner violence (IPV), and elder abuse.
View Article and Find Full Text PDFIntimate partner violence (IPV) against women negatively impacts infant health. However, its impact on infant's biology, in particular on telomere length (TL) is unknown. The aim of this study was to examine the association between IPV against women before childbirth and cord blood TL in their newborn.
View Article and Find Full Text PDFThere is inconsistent evidence on the association between prenatal substance exposure and child behavioral problems. Children affected by maternal substance misuse are vulnerable to physical abuse and neglect. Few studies have examined factors contributing to internalizing and externalizing problems in these children.
View Article and Find Full Text PDFInt J Environ Res Public Health
March 2019
Previous studies point to a link between parenting style and child maltreatment, but evidence from a Chinese context is lacking. We investigated the association between parenting style and child maltreatment in Hong Kong, and examined whether family socio-economic status and child gender moderate this relationship. Using stratified random sampling, 7585 children in Grade 1 to Grade 3 of 51 schools in Hong Kong were recruited and their parents were invited to complete the questionnaire.
View Article and Find Full Text PDFInt J Environ Res Public Health
March 2019
This study examined the health profile of children with different types of disabilities and explored the disability-specific associations with various types of health and functioning using a large nonclinical sample of children. A cross-sectional school survey was conducted during 2016 and 2017. A total of 4114 children (aged 6⁻18 years) receiving primary or secondary education, or their proxy, in Hong Kong participated in the study.
View Article and Find Full Text PDFThis study evaluated an expressive arts intervention program ("Colorful Life") for adolescents with addicted parents and parents with addiction in Hong Kong. Different evaluation strategies were employed. Objective outcome evaluation adopting a one group pretest-posttest design showed positive changes in adolescents' ( = 43) beliefs about addiction.
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