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Influences of health and environmental deprivation on family relationships among children with chronic disease.

Publication ,  Journal Article
Cox, ED; Palta, M; Lasarev, M; Binder, AT; Connolly, JR; Flynn, KE
Published in: Qual Life Res
May 2021

PURPOSE: Families play a key role in managing chronic illness. Among chronically ill children, we describe the Patient-Reported Outcomes Measurement Information System (PROMIS) Family Relationships measure over time and its associations with sociodemographics, environmental deprivation, and health. METHODS: Parents of children aged 8-18 years with asthma (n = 171), type 1 diabetes (n = 199), or sickle cell disease (n = 135), recruited in pediatric clinics and emergency departments (ED), completed demographic surveys. Every six months for up to three years, children completed PROMIS Family Relationships, Anxiety, and Depressive Symptoms short forms (T-scores; mean 50, SD = 10), and a 5-level health status item. Linear mixed models were fit to estimate associations. RESULTS: Older baseline age was associated with weaker family relationships. For example, for each 3-year higher baseline age, relationships were 3 points weaker for males (- 3.0; 95%CI - 5.7 to - .0.2) and females (- 3.1; 95%CI - 6.0 to - 0.3) with asthma recruited in the ED. For each 1-unit higher mean overall health, relationships were 4.6 points (95%CI 3.2-6.1) stronger for children with diabetes and about 2 points stronger for children with asthma (2.3; 0.7-3.9) and sickle cell disease (2.1; 0.3-3.9). Family relationships were 0.3-0.5 points weaker for each 1-unit increment in mean anxiety or depressive symptoms across all three diseases. Relationships were not significantly associated with environmental deprivation and generally stable over time. CONCLUSIONS: Family relationships were weaker among older children and generally stable over time, yet fluctuated with physical and mental health. Monitoring PROMIS Family Relationships scores may facilitate referrals for chronically ill children who need support.

Duke Scholars

Published In

Qual Life Res

DOI

EISSN

1573-2649

Publication Date

May 2021

Volume

30

Issue

5

Start / End Page

1337 / 1346

Location

Netherlands

Related Subject Headings

  • Quality of Life
  • Male
  • Humans
  • Health Status
  • Health Policy & Services
  • Female
  • Family Relations
  • Environmental Health
  • Chronic Disease
  • Child
 

Citation

APA
Chicago
ICMJE
MLA
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Cox, E. D., Palta, M., Lasarev, M., Binder, A. T., Connolly, J. R., & Flynn, K. E. (2021). Influences of health and environmental deprivation on family relationships among children with chronic disease. Qual Life Res, 30(5), 1337–1346. https://doi.org/10.1007/s11136-020-02737-6
Cox, Elizabeth D., Mari Palta, Michael Lasarev, Alex T. Binder, Jenny R. Connolly, and Kathryn E. Flynn. “Influences of health and environmental deprivation on family relationships among children with chronic disease.Qual Life Res 30, no. 5 (May 2021): 1337–46. https://doi.org/10.1007/s11136-020-02737-6.
Cox ED, Palta M, Lasarev M, Binder AT, Connolly JR, Flynn KE. Influences of health and environmental deprivation on family relationships among children with chronic disease. Qual Life Res. 2021 May;30(5):1337–46.
Cox, Elizabeth D., et al. “Influences of health and environmental deprivation on family relationships among children with chronic disease.Qual Life Res, vol. 30, no. 5, May 2021, pp. 1337–46. Pubmed, doi:10.1007/s11136-020-02737-6.
Cox ED, Palta M, Lasarev M, Binder AT, Connolly JR, Flynn KE. Influences of health and environmental deprivation on family relationships among children with chronic disease. Qual Life Res. 2021 May;30(5):1337–1346.
Journal cover image

Published In

Qual Life Res

DOI

EISSN

1573-2649

Publication Date

May 2021

Volume

30

Issue

5

Start / End Page

1337 / 1346

Location

Netherlands

Related Subject Headings

  • Quality of Life
  • Male
  • Humans
  • Health Status
  • Health Policy & Services
  • Female
  • Family Relations
  • Environmental Health
  • Chronic Disease
  • Child