Child behaviour is a main concern for parents of 3-year-olds
Anders Hjern1,2,3, Anncharlotte Lindfors1, Anna Sarkadi4
1Regional Unit for the Well-baby Clinics, Sachs Children's Hospital, Stockholm, Sweden.
Insights
Parental concerns for 3-year-olds often involve child behavior and development, not lifestyle. First-born children and those with mothers having primary education were more frequently associated with these concerns.
Area of Science:
- Pediatrics
- Child Development
- Public Health
Background:
- Parental concerns are crucial for child health monitoring.
- Well-baby clinics provide routine health assessments for young children.
- Understanding parental concerns helps align healthcare services with family needs.
Purpose of the Study:
- To identify common parental concerns regarding child health and behavior in 3-year-olds.
- To explore sociodemographic predictors of these concerns.
- To compare parental concerns with national well-baby clinic guidelines.
Main Methods:
- Survey of 33,526 parents of 3-year-olds in Stockholm.
- Questionnaire administered before routine well-baby clinic visits.
- Multivariate regression analysis to identify predictors of parental concerns.
Main Results:
- Child behavior problems (defiance, adherence) were the most frequent concern (36.4%).
- Developmental concerns (speech, motor skills) and screen use were also notable.
- Concerns were higher for first-borns and in families with lower maternal education.
Conclusions:
- Parental concerns align with national guidelines on child behavior and development.
- National guidelines may not fully address parental concerns related to healthy lifestyles.
- Further research can refine well-baby clinic services based on parental feedback.
Aim:
The aim of this study was to describe parental concerns about child health and behaviour and their sociodemographic predictors in 3-year-olds, in relation to the national guidelines of well-baby clinics.
Methods:
The study included parents of 33 526 children in Stockholm who had completed a questionnaire prior to a routine visit to a well-baby clinic at age 3 years. Multivariate regression was used to analyse predictors for concerns.
Results:
Child behaviour problems, defined as defiance and problem with adherence to daily routines, were the most common parental concerns (36.4%), with poor social skills and relations being second (21.8%). Regarding development, 9.6% had concerns about speech and 4.7% about motor development. Screen use (9.5%) and being underweight (6.3%) were other common parental concerns, while lifestyle concerns regarding physical activity and overweight were rare. Parents raised about twice as many concerns for first-born children compared with younger siblings. Child behaviour and developmental concerns were more frequent in families where the mother had primary education only and attended a well-baby clinic with a high Care Need Index.
Conclusion:
Parents' concerns reflected the national guidelines about child development and behaviour, but not its emphasis on a healthy lifestyle.
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