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Predictors of parenting difficulties at the 18-month health checkups: A retrospective study using administrative data

Moe Amano1, Hiroshige Matsumoto1, Chikako Honda1

  • 1Department of Community Health Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Hongo, Tokyo, Japan.

Public Health Nursing (Boston, Mass.)
|December 28, 2023
PubMed

Insights

Predictors of parenting difficulties at 18 months were identified using infant health checkup data. Factors like maternal health and child growth abnormalities at earlier checkups indicated future parenting challenges.

Area of Science:

  • Public Health
  • Pediatrics
  • Developmental Psychology

Background:

  • Parenting difficulties can emerge during infancy and impact child development.
  • Early identification of at-risk caregivers is crucial for timely intervention.
  • Infant health checkups offer opportunities to assess caregiver-child dynamics.

Purpose of the Study:

  • To identify predictors of parenting difficulties at 18 months postpartum.
  • To analyze data from infant health checkups at 4, 6-7, and 9-10 months.
  • To focus on caregivers without initial difficulties at 4 months.

Main Methods:

  • Retrospective study using data from 555 caregiver-child dyads in Tokyo.
  • Excluded infants with low birthweight, preterm birth, multiple births, and caregivers with 4-month difficulties.
  • Analyzed caregiver, child-rearing, and child factors using logistic regression.

Main Results:

  • 8.6% of caregivers reported parenting difficulties at 18 months.
  • Significant predictors included maternal physical condition (4 months), male infant sex, abnormal child growth (4 months), low height percentile (6-10 months), and abnormal exam results (6-7 months).

Conclusions:

  • Public health nurses can use identified factors to screen for and support caregivers at risk of parenting difficulties.
  • Early detection can aid in preventing child abuse.
  • Intervention strategies should consider maternal health and child growth parameters.
Abstract

Keywords:
infant healthmaternal-child health servicesparentingpublic health nursingretrospective studies

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