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Maternal depression and primary healthcare use for children:a population-based cohort study in Denmark
- Source :
- Lyngsøe, B K, Rytter, D, Munk-Olsen, T, Vestergaard, C H, Christensen, K S & Bech, B H 2019, ' Maternal depression and primary healthcare use for children : a population-based cohort study in Denmark ', British Journal of General Practice, vol. 69, no. 680, pp. E182-E189 . https://doi.org/10.3399/bjgp18X700733, Br J Gen Pract
- Publication Year :
- 2019
-
Abstract
- BackgroundDepression is a common mental illness worldwide. The offspring of a mother with depression has higher risk of developing mental and physical illness.AimThis study aimed to investigate the association between the timing of maternal depression and the use of primary health care for the offspring.Design and settingA population-based birth cohort study in Danish primary care using Danish national registers.MethodAll Danish children born between 1 January 2000 and 31 December 2013 (n = 869 140 children) were included in the study. The primary outcome was number and type of annual contacts with the GP. The secondary outcome was specific services used by the GP to assess inflammatory and infectious disease in the children. Exposure was maternal depression of four categories: non-depressed, recent, previous, and past depression. The association was expressed as adjusted incidence rate ratios (IRR) with 95% confidence intervals (CI).ResultsMaternal depression was associated with a higher use of primary health care for all three categories of depression. The strongest association was found for children of a mother with recent depression; they had 16% more contacts than children of a non-depressed mother (adjusted IRR = 1.16, 95% CI = 1.15 to 1.17), and 19–24% more positive infectious-related tests were found in this group.ConclusionExposure to maternal depression was associated with a significantly higher use of primary health care for the offspring for all exposure categories. These findings reveal that healthcare use is higher for the offspring exposed to maternal depression, even several years after expected remission. The higher ratio of positive tests indicates that exposed children are ill with infectious disease more often.
- Subjects :
- Adult
Male
Offspring
Denmark
General Practice
Population
Primary health care
Mothers
Medical Overuse
Infections
Cohort Studies
Danish
03 medical and health sciences
0302 clinical medicine
Child of Impaired Parents
Risk Factors
Humans
Medicine
Letters
030212 general & internal medicine
education
Child
Depression (differential diagnoses)
education.field_of_study
Depression
business.industry
Depressive disorder
030503 health policy & services
Mental illness
medicine.disease
Confidence interval
language.human_language
Infectious disease (medical specialty)
language
Female
0305 other medical science
Family Practice
business
General practice
Demography
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Lyngsøe, B K, Rytter, D, Munk-Olsen, T, Vestergaard, C H, Christensen, K S & Bech, B H 2019, ' Maternal depression and primary healthcare use for children : a population-based cohort study in Denmark ', British Journal of General Practice, vol. 69, no. 680, pp. E182-E189 . https://doi.org/10.3399/bjgp18X700733, Br J Gen Pract
- Accession number :
- edsair.doi.dedup.....0f66899a5013280acd86c8cce857cedd