AI Article Synopsis

  • Only children are increasingly common in high-income countries, but their long-term health outcomes haven't been well-studied compared to their developmental outcomes.
  • Research using Swedish data from 1940-75 shows that only children tend to have lower height, fitness, and higher rates of overweight/obesity in adolescence, as well as increased mortality in later life compared to children with siblings.
  • The study finds that only children without half-siblings are generally healthier than those with half-siblings, indicating that parental disruption further impacts health disadvantages, even after considering parental attributes in the analysis.

Article Abstract

Only children (with no full biological siblings) are a growing subgroup in many high-income settings. Previous studies have largely focused on the short-term developmental outcomes of only children, but there is limited evidence on their health outcomes. Using Swedish population register data for cohorts born 1940-75, we compare the health of only children with that of children from multi-child sibling groups, taking into account birth order, family size, and presence of half-siblings. Only children showed lower height and fitness scores, were more likely to be overweight/obese in late adolescence, and experienced higher later-life mortality than those with one or two siblings. However, only children without half-siblings were consistently healthier than those with half-siblings, suggesting that parental disruption confers additional disadvantages. The health disadvantage was attenuated but not fully explained by adjustment for parental characteristics and after using within-family maternal cousin comparison designs.

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Source
http://dx.doi.org/10.1080/00324728.2021.2020886DOI Listing

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