The OHC penalty in the UK: maternal experience and child development

Emla Fitzsimons1, Sam Parsons1, Ingrid Schoon1

  • 1University College London, UK.

We examine the extent to which experience of out-of-home residential care (OHC) during childhood (ages 0-16) relates to development in the 'next generation'. Specifically, we ask whether maternal experience of OHC during her own childhood is associated with the behavioural, emotional and cognitive development of her child (age 3), drawing on data collected for the UK Millennium Cohort Study. Comparing the children of OHC experienced mothers with those whose mothers had not spent time in care, we observe stark raw differences between their early development, with children of OHC mothers performing worse across all domains examined - cognitive (language and school readiness), behavioural and emotional adjustment. Using regression analyses, we show that while the disadvantages in cognitive (language) and emotional adjustment among children of OHC experienced mothers are explained by differences in the child's family demographic characteristics and socio-economic status (SES), the associations between maternal OHC experience and behavioural problems and school readiness remain. Behavioural differences are mediated by aspects of parenting behaviours and the parent-child relationship; school readiness differences are only fully attenuated once maternal health and wellbeing measures are further accounted for. This article highlights the importance of extending support for those with OHC experience into adult life, particularly for those who become parents, and for particular attention to be given to initiatives that nurture parent-child relationships to help break the intergenerational transmission of disadvantage.

Related Concept Videos

Oogenesis02:07

Oogenesis

In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
63.4K
Primary Healthcare Services01:30

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Parental Care00:55

Parental Care

Many animals exhibit parental care behavior, including feeding, grooming, and protecting young offspring. Parental care is universal in mammals and birds, which often have young that are born relatively helpless. Several species of insects and fish, as well as some amphibians, also care for their young.
11.5K
International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
953
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
869