Experience of maternal and paternal adversities in childhood as determinants of self-harm in adolescence and young adulthood

Show full item record



Permalink

http://hdl.handle.net/10138/311665

Citation

Pitkänen , J , Remes , H , Aaltonen , M & Martikainen , P 2019 , ' Experience of maternal and paternal adversities in childhood as determinants of self-harm in adolescence and young adulthood ' , Journal of Epidemiology & Community Health , vol. 73 , no. 11 , pp. 1040–1046 . https://doi.org/10.1136/jech-2019-212689

Title: Experience of maternal and paternal adversities in childhood as determinants of self-harm in adolescence and young adulthood
Author: Pitkänen, Joonas; Remes, Hanna; Aaltonen, Mikko; Martikainen, Pekka
Other contributor: University of Helsinki, Demography
University of Helsinki, Demography
University of Helsinki, Institute of Criminology and Legal Policy
University of Helsinki, Helsinki Inequality Initiative (INEQ)







Date: 2019-11
Language: eng
Number of pages: 7
Belongs to series: Journal of Epidemiology & Community Health
ISSN: 0143-005X
DOI: https://doi.org/10.1136/jech-2019-212689
URI: http://hdl.handle.net/10138/311665
Abstract: Introduction Previous studies suggest that childhood experience of parental adversities increases the risk of subsequent offspring self-harm, but studies on distinct paternal and maternal characteristics are few and it remains unclear how these interact with childhood social position. The study aims to assess whether paternal and maternal adversities have different associations with offspring self-harm in adolescence and young adulthood. Interaction by offspring gender and childhood income are investigated, as well as cumulative effects of multiple adversities. Methods The study uses administrative register data on a 20% random sample of Finnish households with children aged 0–14 years in 2000. We follow children born in 1986–1998 (n=155 855) from their 13th birthday until 2011. Parental substance abuse, psychiatric disorders, criminality and hospitalisations due to interpersonal violence or self-harm are used to predict offspring self-harm with Cox proportional hazards models. Results The results show a clear increase in the risk of self-harm among those exposed to maternal or paternal adversities with HRs between 1.5 and 5.4 among boys and 1.7 and 3.9 among girls. The excess risks hold for every measure of maternal and paternal adversities after adjusting for childhood income and parental education. Evidence was found suggesting that low income, accumulation of adversity and female gender may exacerbate the consequences of adversities. Conclusions Our findings suggest that both parents’ adversities increase the risk of self-harm and that multiple experiences of parental adversities in childhood are especially harmful, regardless of parent gender. Higher levels of childhood income can protect from the negative consequences of adverse experiences.
Subject: 3142 Public health care science, environmental and occupational health
Childhood adversity
maternal and paternal adversity
SELF-HARM
ADOLESCENCE
YOUNG ADULTHOOD
GENDER DIFFERENCES
socioeconomic resources
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Pitkanen_et_al_JECH.pdf 494.9Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record