Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach
Social-emotional problems occurring early in life can place children at future risk of adverse health, social and economic outcomes. Determinants of social-emotional problems are multi-layered and originate from different contexts surrounding children, though few studies consider them simultaneously...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
|
| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827323000101 |
| _version_ | 1811164923882897408 |
|---|---|
| author | Masoud Vaezghasemi Thomas Vogt Marie Lindkvist Anni-Maria Pulkki-Brännström Linda Richter Sundberg Lisbeth Lundahl Sven-Arne Silfverdal Inna Feldman Anneli Ivarsson |
| author_facet | Masoud Vaezghasemi Thomas Vogt Marie Lindkvist Anni-Maria Pulkki-Brännström Linda Richter Sundberg Lisbeth Lundahl Sven-Arne Silfverdal Inna Feldman Anneli Ivarsson |
| author_sort | Masoud Vaezghasemi |
| collection | DOAJ |
| description | Social-emotional problems occurring early in life can place children at future risk of adverse health, social and economic outcomes. Determinants of social-emotional problems are multi-layered and originate from different contexts surrounding children, though few studies consider them simultaneously. We adopted a holistic approach by using Bronfenbrenner's process-person-context-time model as a structuring device. We aimed to assess what characteristics of families and children from pregnancy, over birth, and up to 3 years of age are associated with social-emotional problems in boys and girls. This study used regional data from the Salut Programme, a universal health promotion programme implemented in Antenatal and Child Health Care, and data from national Swedish registers. The study population included 6033 3-year-olds and their parents during the period 2010–2018. Distinct logistic regression models for boys and girls were used to assess associations between the family social context, parents' lifestyle, parent's mental health, children's birth characteristics, and indicators of proximal processes (the independent variables); and children's social-emotional problems as measured by the parent-completed Ages and Stages Questionnaire: Social-Emotional between 33 and 41 months of age (the outcome). Overall, a less favourable family social context, detrimental lifestyle of the parents during pregnancy, and parents' mental illness from pregnancy onwards were associated with higher odds of social-emotional problems in 3-year-olds. Higher screentime and infrequent shared book-reading were associated with higher odds of social-emotional problems. The multifaceted determinants of children's social-emotional problems imply that many diverse targets for intervention exist. Additionally, this study suggests that Bronfenbrenner's process-person-context-time theoretical framework could be relevant for public health research and policy. |
| first_indexed | 2024-04-10T15:30:14Z |
| format | Article |
| id | doaj.art-6fdcaf0c0463496c8c5354fdb29dec06 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-10T15:30:14Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-6fdcaf0c0463496c8c5354fdb29dec062023-02-14T04:07:03ZengElsevierSSM: Population Health2352-82732023-03-0121101345Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approachMasoud Vaezghasemi0Thomas Vogt1Marie Lindkvist2Anni-Maria Pulkki-Brännström3Linda Richter Sundberg4Lisbeth Lundahl5Sven-Arne Silfverdal6Inna Feldman7Anneli Ivarsson8Department of Epidemiology and Global Health, Umeå University, 901 87, Umeå, Sweden; Corresponding author. Norrlands universitetssjukhus Epidemiologi och Global Hälsa, Umeå University, B, Målpunkt P, Försörjningsvägen 7 B, 90185, Umeå, Sweden.Department of Epidemiology and Global Health, Umeå University, 901 87, Umeå, SwedenDepartment of Epidemiology and Global Health, Umeå University, 901 87, Umeå, SwedenDepartment of Epidemiology and Global Health, Umeå University, 901 87, Umeå, SwedenDepartment of Epidemiology and Global Health, Umeå University, 901 87, Umeå, SwedenDepartment of Applied Educational Science, Umeå University, 901 87, Umeå, SwedenDepartment of Clinical Science, Pediatrics, Umeå University, 901 87, Umeå, SwedenDepartment of Public Health and Caring Sciences, Uppsala University, 751 22, Uppsala, SwedenDepartment of Epidemiology and Global Health, Umeå University, 901 87, Umeå, SwedenSocial-emotional problems occurring early in life can place children at future risk of adverse health, social and economic outcomes. Determinants of social-emotional problems are multi-layered and originate from different contexts surrounding children, though few studies consider them simultaneously. We adopted a holistic approach by using Bronfenbrenner's process-person-context-time model as a structuring device. We aimed to assess what characteristics of families and children from pregnancy, over birth, and up to 3 years of age are associated with social-emotional problems in boys and girls. This study used regional data from the Salut Programme, a universal health promotion programme implemented in Antenatal and Child Health Care, and data from national Swedish registers. The study population included 6033 3-year-olds and their parents during the period 2010–2018. Distinct logistic regression models for boys and girls were used to assess associations between the family social context, parents' lifestyle, parent's mental health, children's birth characteristics, and indicators of proximal processes (the independent variables); and children's social-emotional problems as measured by the parent-completed Ages and Stages Questionnaire: Social-Emotional between 33 and 41 months of age (the outcome). Overall, a less favourable family social context, detrimental lifestyle of the parents during pregnancy, and parents' mental illness from pregnancy onwards were associated with higher odds of social-emotional problems in 3-year-olds. Higher screentime and infrequent shared book-reading were associated with higher odds of social-emotional problems. The multifaceted determinants of children's social-emotional problems imply that many diverse targets for intervention exist. Additionally, this study suggests that Bronfenbrenner's process-person-context-time theoretical framework could be relevant for public health research and policy.http://www.sciencedirect.com/science/article/pii/S2352827323000101Social-emotional healthMental healthPreschool childrenEcological systems theorySweden |
| spellingShingle | Masoud Vaezghasemi Thomas Vogt Marie Lindkvist Anni-Maria Pulkki-Brännström Linda Richter Sundberg Lisbeth Lundahl Sven-Arne Silfverdal Inna Feldman Anneli Ivarsson Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach SSM: Population Health Social-emotional health Mental health Preschool children Ecological systems theory Sweden |
| title | Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach |
| title_full | Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach |
| title_fullStr | Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach |
| title_full_unstemmed | Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach |
| title_short | Multifaceted determinants of social-emotional problems in preschool children in Sweden: An ecological systems theory approach |
| title_sort | multifaceted determinants of social emotional problems in preschool children in sweden an ecological systems theory approach |
| topic | Social-emotional health Mental health Preschool children Ecological systems theory Sweden |
| url | http://www.sciencedirect.com/science/article/pii/S2352827323000101 |
| work_keys_str_mv | AT masoudvaezghasemi multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT thomasvogt multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT marielindkvist multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT annimariapulkkibrannstrom multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT lindarichtersundberg multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT lisbethlundahl multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT svenarnesilfverdal multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT innafeldman multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach AT anneliivarsson multifaceteddeterminantsofsocialemotionalproblemsinpreschoolchildreninswedenanecologicalsystemstheoryapproach |