Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study

Objectives We have previously developed the Child Healthy Living Practices in Family (CHLPF) Index and found that the CHLPF Index was concurrently associated with the health of children at age 3. In this follow-up study, we aimed to examine whether healthy living practices in family at age 3 predict...

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Main Authors: Yi-Fan Li, Yi-Ching Lin
Format: Article
Language:English
Published: BMJ Publishing Group 2020-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/7/e033613.full
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author Yi-Fan Li
Yi-Ching Lin
author_facet Yi-Fan Li
Yi-Ching Lin
author_sort Yi-Fan Li
collection DOAJ
description Objectives We have previously developed the Child Healthy Living Practices in Family (CHLPF) Index and found that the CHLPF Index was concurrently associated with the health of children at age 3. In this follow-up study, we aimed to examine whether healthy living practices in family at age 3 predicted health of children at school age.Design and setting Data came from the Taiwan Birth Cohort Study designed to assess the development and health of 24 200 children born in 2005.Participants A total of 18 553 cohort members whose mothers or primary caregivers had completed 6-month, 3-year, 5-year and 8-year surveys were included for analysis, representing a response rate of 87.3%.Outcome measures A multiple logistic regression model was used to test the relationship between mother-rated children’s health at age 8 and the CHLPF Index level, after controlling for sex, birth outcomes, family structure, parental education, residential area, family income and mother-rated child’s health at age 3.Results The percentage of mother-rated good health at age 8 was 79.7%. Compared with the low CHLPF level, the adjusted OR of mother-rated good health was 1.38 (95% CI 1.19 to 1.60), 1.21 (95% CI 1.10 to 1.35) and 1.17 (95% CI 1.07 to 1.29), respectively, for high, high–low and mid-low CHLPF levels. Moreover, the prevalence of mother-rated good health at age 8 with high-level CHLPF Index in the low-income group was similar to that of the high-income group (83.72% vs 84.18%); the prevalence with low-level CHLPF Index in the low-income group was much lower than that of the high-income group (70.21% vs 78.98%).Conclusions Our study underscores that high level of healthy living practices in early childhood is positively associated with good health at school age, particularly for children from disadvantaged families.
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spelling doaj-art-d13bfd3b712c4fa6a1a137a2df46b1f22025-08-20T02:38:32ZengBMJ Publishing GroupBMJ Open2044-60552020-07-0110710.1136/bmjopen-2019-033613Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort StudyYi-Fan Li0Yi-Ching Lin11 Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, ChinaDepartment of Early Childhood and Family Education, National Taipei University of Education, Taipei, TaiwanObjectives We have previously developed the Child Healthy Living Practices in Family (CHLPF) Index and found that the CHLPF Index was concurrently associated with the health of children at age 3. In this follow-up study, we aimed to examine whether healthy living practices in family at age 3 predicted health of children at school age.Design and setting Data came from the Taiwan Birth Cohort Study designed to assess the development and health of 24 200 children born in 2005.Participants A total of 18 553 cohort members whose mothers or primary caregivers had completed 6-month, 3-year, 5-year and 8-year surveys were included for analysis, representing a response rate of 87.3%.Outcome measures A multiple logistic regression model was used to test the relationship between mother-rated children’s health at age 8 and the CHLPF Index level, after controlling for sex, birth outcomes, family structure, parental education, residential area, family income and mother-rated child’s health at age 3.Results The percentage of mother-rated good health at age 8 was 79.7%. Compared with the low CHLPF level, the adjusted OR of mother-rated good health was 1.38 (95% CI 1.19 to 1.60), 1.21 (95% CI 1.10 to 1.35) and 1.17 (95% CI 1.07 to 1.29), respectively, for high, high–low and mid-low CHLPF levels. Moreover, the prevalence of mother-rated good health at age 8 with high-level CHLPF Index in the low-income group was similar to that of the high-income group (83.72% vs 84.18%); the prevalence with low-level CHLPF Index in the low-income group was much lower than that of the high-income group (70.21% vs 78.98%).Conclusions Our study underscores that high level of healthy living practices in early childhood is positively associated with good health at school age, particularly for children from disadvantaged families.https://bmjopen.bmj.com/content/10/7/e033613.full
spellingShingle Yi-Fan Li
Yi-Ching Lin
Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
BMJ Open
title Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
title_full Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
title_fullStr Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
title_full_unstemmed Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
title_short Healthy living practices in families and child health: 5-year follow-up of Taiwan Birth Cohort Study
title_sort healthy living practices in families and child health 5 year follow up of taiwan birth cohort study
url https://bmjopen.bmj.com/content/10/7/e033613.full
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