Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children

ObjectiveTo compare the emotional and behavioral characteristics of firstborn children during the pregnancy of a second child and only children of school-age in urban districts of Chongqing, China, and to explore the influencing factors of emotional and behavioral problems.MethodsWe recruited mother...

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Main Authors: Lulu Sheng, Bo Yang, Mary Story, Wenyi Wu, Xuan Xi, Yuanke Zhou, Yi Wen, Hong Wang, Qin Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.822761/full
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author Lulu Sheng
Bo Yang
Mary Story
Wenyi Wu
Xuan Xi
Yuanke Zhou
Yi Wen
Hong Wang
Qin Liu
author_facet Lulu Sheng
Bo Yang
Mary Story
Wenyi Wu
Xuan Xi
Yuanke Zhou
Yi Wen
Hong Wang
Qin Liu
author_sort Lulu Sheng
collection DOAJ
description ObjectiveTo compare the emotional and behavioral characteristics of firstborn children during the pregnancy of a second child and only children of school-age in urban districts of Chongqing, China, and to explore the influencing factors of emotional and behavioral problems.MethodsWe recruited mothers of firstborn children and only children from two hospitals and one primary school using purposive sampling. Questionnaires and the Parental Child Behavior Checklist (CBCL) were used to collect basic information, family socioeconomic status, family atmosphere and emotional and behavioral characteristics of their children in the survey.ResultsThe sample consisted of 1,155 children, including 477 firstborn children and 678 only children. The average scores of internalizing (4.47), externalizing (6.05), total problems (22.04), and six emotional and behavioral of firstborn children were significantly lower than those of only children (p < 0.05). When adjusted for children's demographic, socioeconomic and family relationship covariates, the scores of firstborn children internalizing problems (β = −1.423, p = 0.000), externalizing problems (β = −0.661, p = 0.048), and total problems (β = −4.387, p = 0.000) were also significantly lower than those of only children. All children with more difficult parenting and development temperament, greater family economic pressure, poorer relationships between mother and child, less harmonious family atmosphere and father's permissive parenting style had more internalizing problems, externalizing problems and total problems (p < 0.05). Boys had more externalizing problems (β = 1.939, 95% CI = 1.380–2.497) and total problems (β = 4.908, 95% CI = 3.045–6.772) than girls.ConclusionFirstborn children had fewer emotional and behavioral problems than their counterparts who were only children. This research helps to understand the social impact of the implementation of the two-child policy in multiple dimensions.
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spelling doaj.art-9c2b4c80a7a14df191045600b5317ff22022-12-22T00:41:31ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-03-011010.3389/fpubh.2022.822761822761Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only ChildrenLulu Sheng0Bo Yang1Mary Story2Wenyi Wu3Xuan Xi4Yuanke Zhou5Yi Wen6Hong Wang7Qin Liu8School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaDepartment of Family Medicine and Community Health and Duke Global Health Institute, Duke University, Durham, NC, United StatesSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaChongqing Health Center for Women and Children, Chongqing, ChinaSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaSchool of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing, ChinaObjectiveTo compare the emotional and behavioral characteristics of firstborn children during the pregnancy of a second child and only children of school-age in urban districts of Chongqing, China, and to explore the influencing factors of emotional and behavioral problems.MethodsWe recruited mothers of firstborn children and only children from two hospitals and one primary school using purposive sampling. Questionnaires and the Parental Child Behavior Checklist (CBCL) were used to collect basic information, family socioeconomic status, family atmosphere and emotional and behavioral characteristics of their children in the survey.ResultsThe sample consisted of 1,155 children, including 477 firstborn children and 678 only children. The average scores of internalizing (4.47), externalizing (6.05), total problems (22.04), and six emotional and behavioral of firstborn children were significantly lower than those of only children (p < 0.05). When adjusted for children's demographic, socioeconomic and family relationship covariates, the scores of firstborn children internalizing problems (β = −1.423, p = 0.000), externalizing problems (β = −0.661, p = 0.048), and total problems (β = −4.387, p = 0.000) were also significantly lower than those of only children. All children with more difficult parenting and development temperament, greater family economic pressure, poorer relationships between mother and child, less harmonious family atmosphere and father's permissive parenting style had more internalizing problems, externalizing problems and total problems (p < 0.05). Boys had more externalizing problems (β = 1.939, 95% CI = 1.380–2.497) and total problems (β = 4.908, 95% CI = 3.045–6.772) than girls.ConclusionFirstborn children had fewer emotional and behavioral problems than their counterparts who were only children. This research helps to understand the social impact of the implementation of the two-child policy in multiple dimensions.https://www.frontiersin.org/articles/10.3389/fpubh.2022.822761/fullfirstborn childrenonly childrenemotionalbehavioralrelated factors
spellingShingle Lulu Sheng
Bo Yang
Mary Story
Wenyi Wu
Xuan Xi
Yuanke Zhou
Yi Wen
Hong Wang
Qin Liu
Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
Frontiers in Public Health
firstborn children
only children
emotional
behavioral
related factors
title Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
title_full Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
title_fullStr Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
title_full_unstemmed Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
title_short Emotional and Behavioral Changes and Related Factors of Firstborn School-Aged Compared to Same Age Only Children
title_sort emotional and behavioral changes and related factors of firstborn school aged compared to same age only children
topic firstborn children
only children
emotional
behavioral
related factors
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.822761/full
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