A multivariable analysis of childhood psychosocial behaviour and household functionality

Area of Science:

• Pediatric Health
• Social Determinants of Health
• Child Psychology

Background:

• Social determinants of health significantly impact population health outcomes.
• Understanding household social factors aids health promotion, particularly for children with psychosocial dysfunction.
• Parental perception of child behavior is influenced by the home environment.

Purpose of the Study:

• To investigate the association between parents' perceptions of their children's psychosocial behavior and their household's functionality.
• To identify how home environment impacts psychosocial well-being in children with chronic conditions.

Main Methods:

• Cohort study analyzing data from the Coordinated Health Care for Complex Kids program.
• Included 293 parents of urban, low-income children (aged 4-17) with chronic conditions.
• Utilized the Pediatric Symptom Checklist (PSC-17) for psychosocial behavior and the Confusion, Hubbub, and Order Scale for household functionality.

Main Results:

• A significant association was found between perceived psychosocial behavior and home environment functionality.
• Household functionality scores improved from baseline to reassessment.
• Positive Pediatric Symptom Checklist (PSC-17) screening results decreased by 11%, with reduced odds after interventions.

Conclusions:

• The link between psychosocial dysfunction and household functionality underscores the importance of family-centered care.
• Considering the home environment is crucial for health services targeting low-income children with chronic conditions.
• Addressing hidden factors influencing child mental health is essential for improving care and outcomes.