For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
128
views
33
references
 Top references
cited by
8
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    4
    shares
      140
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      A prospective cohort study to investigate parental stress and child health in low-income Chinese families: protocol paper

      protocol

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          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.

          Related collections

          Most cited references33

          • Record: found
          • Abstract: found
          • Article: not found

          How Many Subjects Does It Take To Do A Regression Analysis.

          S Green (1991)
          Numerous rules-of-thumb have been suggested for determining the minimum number of subjects required to conduct multiple regression analyses. These rules-of-thumb are evaluated by comparing their results against those based on power analyses for tests of hypotheses of multiple and partial correlations. The results did not support the use of rules-of-thumb that simply specify some constant (e.g., 100 subjects) as the minimum number of subjects or a minimum ratio of number of subjects (N) to number of predictors (m). Some support was obtained for a rule-of-thumb that N ≥ 50 + 8 m for the multiple correlation and N ≥104 + m for the partial correlation. However, the rule-of-thumb for the multiple correlation yields values too large for N when m ≥ 7, and both rules-of-thumb assume all studies have a medium-size relationship between criterion and predictors. Accordingly, a slightly more complex rule-of thumb is introduced that estimates minimum sample size as function of effect size as well as the number of predictors. It is argued that researchers should use methods to determine sample size that incorporate effect size.
          Article 0 comments Cited 612 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Stress and child development: a review of the Family Stress Model.

            April S Masarik, Rand Conger (2017)
            In the present report, we provide an illustrative review of the Family Stress Model (FSM) framework [1] to understand how family stress influences children across development in physical, social-emotional, and cognitive domains. We note that the FSM as a theory has evolved through inspection of: (a) new explanatory pathways (mediators); (b) factors that moderate FSM pathways; and (c) joint tests of competing models. Also important, most researchers cited in this review used longitudinal designs to test the proposed causal ordering of FSM pathways, which replicated among a diverse set of families varied in structure, ethnic background, and geographic location. We encourage continued FSM scholarship with prevention and intervention efforts in mind.
            Article 0 comments Cited 195 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Parenting stress among caregivers of children with chronic illness: a systematic review.

              R Hazen, Melissa K Cousino (2013)
              To critically review, analyze, and synthesize the literature on parenting stress among caregivers of children with asthma, cancer, cystic fibrosis, diabetes, epilepsy, juvenile rheumatoid arthritis, and/or sickle cell disease. Method PsychInfo, MEDLINE, and Cumulative Index to Nursing and Allied Health Literature were searched according to inclusion criteria. Meta-analysis of 13 studies and qualitative analysis of 96 studies was conducted. Results Caregivers of children with chronic illness reported significantly greater general parenting stress than caregivers of healthy children (d = .40; p = ≤.0001). Qualitative analysis revealed that greater general parenting stress was associated with greater parental responsibility for treatment management and was unrelated to illness duration and severity across illness populations. Greater parenting stress was associated with poorer psychological adjustment in caregivers and children with chronic illness. Conclusion Parenting stress is an important target for future intervention. General and illness-specific measures of parenting stress should be used in future studies.
              Article 0 comments Cited 190 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): BMJ Open
                Journal ID (iso-abbrev): BMJ Open
                Journal ID (hwp): bmjopen
                Journal ID (publisher-id): bmjopen
                Title: BMJ Open
                Publisher: BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                ISSN (Electronic): 2044-6055
                Publication date Collection: 2018
                Publication date (Electronic): 22 February 2018
                Volume: 8
                Issue: 2
                Electronic Location Identifier: e018792
                Affiliations
                [1 ] departmentDepartment of Family Medicine and Primary Care , The University of Hong Kong , Hong Kong
                [2 ] departmentDepartment of Paediatrics and Adolescent Medicine , The University of Hong Kong , Hong Kong
                [3 ] departmentSchool of Nursing , Hong Kong Sanatorium & Hospital , Hong Kong
                Author notes
                [Correspondence to ] Dr Esther Yee Tak Yu; ytyu@ 123456hku.hk
                Author information
                http://orcid.org/0000-0003-3171-6792
                http://orcid.org/0000-0002-6895-6071
                Article
                Publisher ID: bmjopen-2017-018792
                DOI: 10.1136/bmjopen-2017-018792
                PMC ID: 5855257
                PubMed ID: 29472262
                SO-VID: 79068ed7-314f-4666-831d-bb512bf46060
                Copyright © © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
                License:

                This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

                History
                Date received : 21 July 2017
                Date accepted : 11 January 2018
                Funding
                Funded by: Health and Medical Research Fund of Hong Kong;
                Funded by: Kerry Group Kuok Foundation (Hong Kong) Limited;
                Categories
                Subject: Mental Health
                Subject: Protocol
                Subject: 1506
                Subject: 1712
                Custom metadata
                special-feature unlocked

                ScienceOpen disciplines: Medicine
                Keywords: parental stress,child health,health-related quality of life,bidirectional relationship,low-income families
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: parental stress, child health, health-related quality of life, bidirectional relationship, low-income families

                Comments

                Comment on this article

                scite_

                Similar content140

                See all similar

                Cited by8

                See all cited by

                Most referenced authors612

                See all reference authors