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Early childhood hospitalization and problematic behaviors: A propensity score analysis

Toria B Flynn1, Priscilla M Goble1, Nicholas J Bishop1

  • 1Human Development & Family Sciences, Texas State University, San Marcos, TX, USA.

Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community
|May 18, 2022
PubMed

Insights

Children hospitalized in early childhood may face behavioral issues, especially if their families experience poverty. Family poverty, not child sex, influenced the link between hospitalization and externalizing behaviors.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Pediatric Health

Background:

  • Poverty and early childhood hospitalization are linked to behavioral problems.
  • The moderating roles of family poverty and child sex require further investigation.

Purpose of the Study:

  • To examine if family poverty and child sex moderate the association between early childhood hospitalization and behavioral issues.
  • To understand the impact of early life stressors on child development.

Main Methods:

  • Utilized data from 224 children in the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development.
  • Analyzed the relationship between early hospitalization, poverty status, child sex, and internalizing/externalizing behaviors.

Main Results:

  • No direct association was found between early hospitalization and problematic behaviors.
  • Family poverty significantly moderated the link between hospitalization and externalizing behaviors.
  • Child sex did not moderate this association.

Conclusions:

  • Early childhood hospitalization's impact on externalizing behaviors is influenced by family poverty.
  • Integrated healthcare and community support are crucial for families facing poverty and health challenges.

Keywords:
Propensity scorechild behaviorchild developmentchild healthpediatricspsychosocial functioning

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