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A prospective cohort study to investigate parental stress and child health in low-income Chinese families: protocol paper.
Wong, Rosa Sze Man; Yu, Esther Yee Tak; Guo, Vivian Yawei; Wan, Eric Yuk-Fai; Chin, Weng-Yee; Wong, Carlos King Ho; Fung, Colman Siu Cheung; Tung, Keith Tsz Suen; Wong, Wilfred Hing-Sang; Ip, Patrick; Tiwari, Agnes Fung Yee; Lam, Cindy Lo Kuen.
Afiliação
  • Wong RSM; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Yu EYT; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Guo VY; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Wan EY; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Chin WY; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Wong CKH; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Fung CSC; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
  • Tung KTS; Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong.
  • Wong WH; Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong.
  • Ip P; Department of Paediatrics and Adolescent Medicine, The University of Hong Kong, Hong Kong.
  • Tiwari AFY; School of Nursing, Hong Kong Sanatorium & Hospital, Hong Kong.
  • Lam CLK; Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
BMJ Open ; 8(2): e018792, 2018 02 22.
Article em En | MEDLINE | ID: mdl-29472262
INTRODUCTION: Chronic stress has adverse effects on health. Adults and children from low-income families are subject to multiple sources of stress. Existing literature about economic hardship mostly focuses on either adults or children but not both. Moreover, there is limited knowledge on the relationship between parental generalised stress and child health problems. This study aims to explore the bidirectional relationship between parental stress and child health in Chinese low-income families and to identify other modifiable factors influencing this relationship. METHODS AND ANALYSIS: This prospective cohort study will sample 254 low-income parent-child pairs and follow them up for 24 months with assessments at three time points (baseline, 12 and 24 months) on parental stress, health-related quality of life (HRQOL) and child health and behaviour using both subjective measures and objective physiological parameters. This study will collect data using standardised measures on HRQOL and behaviours of children as well as on HRQOL, mental health and stress levels of parents along with physiological tests of allostatic load and telomere length. The mediating or moderating effect of family harmony, parenting style and neighbourhood conditions will also be assessed. Data will be analysed using latent growth modelling and cross-lagged path analysis modelling to examine the bidirectional effect of parental stress and child health over time. Mediation and moderation analysis will also be conducted to examine the mechanism by which the variables relate. ETHICS AND DISSEMINATION: This study was approved by the institutional review board of the University of Hong Kong-the Hospital Authority Hong Kong West Cluster, reference no: UW 16-415. The study findings will be disseminated through peer-reviewed publications and international conferences. TRIAL REGISTRATION NUMBER: NCT03185273; Pre-results.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Male País/Região como assunto: Asia Idioma: En Ano de publicação: 2018 Tipo de documento: Article