Aspects of positive parenting have previously been linked to better offspring health and well-being1,2, though often, individual outcomes have been examined separately. Examining multiple outcomes simultaneously, over multiple aspects of parenting, may provide a more holistic picture of the parenting–health dynamics3,4. Methodological limitations such as reverse causation—good childhood outcomes that make parenting easier—also remain a concern in many previous observational studies5. Here we examined the associations between multiple aspects of parenting (including parent–child relationship satisfaction concerning love, parental authoritativeness and family dinner frequency) and various subsequent offspring psychosocial, mental, behavioural and physical health and well-being outcomes. We analysed longitudinal data from the Growing Up Today Study 1 (N = 8,476, mean baseline age = 12.78 years) and Growing Up Today Study 2 (N = 5,453, mean baseline age = 17.75 years). Both parenting and health outcomes were based on offspring self-reports. The results suggest that greater relationship satisfaction was associated with greater emotional well-being, lower risk of mental illness, eating disorders, overweight or obesity and marijuana use. To a lesser extent, greater parental authoritativeness and regular family dinner were also associated with greater offspring emotional well-being, fewer depressive symptoms, lower risk of overeating and certain sexual behaviours. This study strengthens the evidence for a public health focus on improving parenting to promote population health and well-being.
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The data of the NHSII and the GUTS are not publicly available. Further information including the procedures to obtain and access data from the NHSII and the GUTS is described at https://www.nurseshealthstudy.org/researchers (email: email@example.com) and http://nhs2survey.org/gutswordpress/index.php/researchers/information-for-researchers/.
All statistical analyses were performed in SAS 9.4. The code used to generate the results presented in the manuscript are available from the corresponding author on reasonable request.
Davids, E. L., Roman, N. V. & Leach, L. The link between parenting approaches and health behavior: a systematic review. J. Hum. Behav. Soc. Environ. 27, 589–608 (2017).
Yap, M. B. H., Pilkington, P. D., Ryan, S. M. & Jorm, A. F. Parental factors associated with depression and anxiety in young people: a systematic review and meta-analysis. J. Affect. Disord. 156, 8–23 (2014).
VanderWeele, T. J. Outcome-wide epidemiology. Epidemiology 28, 399–402 (2017).
VanderWeele, T. J., Mathur, M. B. & Chen, Y. Outcome-wide longitudinal designs for causal inference: a new template for empirical studies. Preprint at arXiv http://arxiv.org/abs/1810.10164 (2019).
Ranson, K. E. & Urichuk, L. J. The effect of parent–child attachment relationships on child biopsychosocial outcomes: a review. Early Child Dev. Care 178, 129–152 (2008).
Becvar, R. J. & Becvar, D. S. Systems Theory and Family Therapy: A Primer 3rd edn (Rowman & Littlefield, 2017).
Rhee, K. Childhood overweight and the relationship between parent behaviors, parenting style, and family functioning. Ann. Am. Acad. Political Soc. Sci. 615, 11–37 (2008).
Haines, J. et al. Family functioning and quality of parent–adolescent relationship: cross-sectional associations with adolescent weight-related behaviors and weight status. Int. J. Behav. Nutr. Phys. Act. 13, 68 (2016).
Cerda, M. et al. Family ties: maternal–offspring attachment and young adult nonmedical prescription opioid use. Drug Alcohol Depend. 142, 231–238 (2014).
Holmes, J. John Bowlby and Attachment Theory 2nd edn (Routledge, 2014).
Larzelere, R. E., Morris, A. S. & Harrist, A. W. E. Authoritative Parenting: Synthesizing Nurturance and Discipline for Optimal Child Development (American Psychological Association, 2013).
Baumrind, D. Effects of authoritative parental control on child behavior. Child Dev. 37, 887–907 (1966).
Pinquart, M. Associations of parenting dimensions and styles with internalizing symptoms in children and adolescents: a meta-analysis. Marriage Fam. Rev. 53, 613–640 (2017).
Pinquart, M. Associations of parenting dimensions and styles with externalizing problems of children and adolescents: an updated meta-analysis. Dev. Psychol. 53, 873–932 (2017).
Pinquart, M. Associations of parenting styles and dimensions with academic achievement in children and adolescents: a meta-analysis. Educ. Psychol. Rev. 28, 475–493 (2016).
Fulkerson, J. A., Larson, N., Horning, M. & Neumark-Sztainer, D. A review of associations between family or shared meal frequency and dietary and weight status outcomes across the lifespan. J. Nutr. Educ. Behav. 46, 2–19 (2014).
Harrison, M. E. et al. Systematic review of the effects of family meal frequency on psychosocial outcomes in youth. Can. Fam. Physician 61, e96–e106 (2015).
Goldfarb, S. S., Tarver, W. L., Locher, J. L., Preskitt, J. & Sen, B. A systematic review of the association between family meals and adolescent risk outcomes. J. Adolesc. 44, 134–149 (2015).
Walton, K. et al. Secular trends in family dinner frequency among adolescents. BMC Res. Notes 9, 35 (2016).
Sen, B. The relationship between frequency of family dinner and adolescent problem behaviors after adjusting for other family characteristics. J. Adolesc. 33, 187–196 (2010).
VanderWeele, T. J. On the promotion of human flourishing. Proc. Natl Acad. Sci. USA 114, 8148–8156 (2017).
Ding, P. & VanderWeele, T. J. Sensitivity analysis without assumptions. Epidemiology 27, 368–377 (2016).
VanderWeele, T. J. & Ding, P. Sensitivity analysis in observational research: introducing the E-value. Ann. Intern. Med. 167, 268–274 (2017).
Mathur, M. B., Ding, P., Riddell, C. A. & VanderWeele, T. J. Web site and R package for computing E-values. Epidemiology 29, e45–e47 (2018).
Kubzansky, L. D. et al. Positive psychological well-being and cardiovascular disease: JACC health promotion series. J. Am. Coll. Cardiol. 72, 1382–1396 (2018).
Hammons, A. J. & Fiese, B. H. Is frequency of shared family meals related to the nutritional health of children and adolescents?. Pediatrics 127, e1565–e1574 (2011).
Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J. & Merikangas, K. R. Prevalence and correlates of eating disorders in adolescents: results from the national comorbidity survey replication adolescent supplement. Arch. Gen. Psychiatry 68, 714–723 (2011).
Miller, I. W., Ryan, C. E., Keitner, G. I., Bishop, D. S. & Epstein, N. B. The McMaster approach to families: theory, assessment, treatment and research. J. Fam. Ther. 22, 168–189 (2000).
Slinner, H. & Steinhauer, P. Family assessment measure and process model of family functioning. J. Fam. Ther. 22, 190–210 (2000).
Borawski, E. A., Ievers-Landis, C. E., Lovegreen, L. D. & Trapl, E. S. Parental monitoring, negotiated unsupervised time, and parental trust: the role of perceived parenting practices in adolescent health risk behaviors. J. Adolesc. Health 33, 60–70 (2003).
Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General (US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2012).
Pinto, R., Correia, L. & Maia, Â. Assessing the reliability of retrospective reports of adverse childhood experiences among adolescents with documented childhood maltreatment. J. Fam. Violence 29, 431–438 (2014).
Patten, S. B. et al. Retrospective and prospectively assessed childhood adversity in association with major depression, alcohol consumption and painful conditions. Epidemiol. Psychiatr. Sci. 24, 158–165 (2015).
Field, A. E. et al. Overweight, weight concerns, and bulimic behaviors among girls and boys. J. Am. Acad. Child Adolesc. Psychiatry 38, 754–760 (1999).
Sanders, M. R., Kirby, J. N., Tellegen, C. L. & Day, J. J. The Triple P-Positive Parenting Program: a systematic review and meta-analysis of a multi-level system of parenting support. Clin. Psychol. Rev. 34, 337–357 (2014).
Sandler, I. N., Schoenfelder, E. N., Wolchik, S. A. & MacKinnon, D. P. Long-term impact of prevention programs to promote effective parenting: lasting effects but uncertain processes. Annu. Rev. Psychol. 62, 299–329 (2011).
Sandler, I., Ingram, A., Wolchik, S., Tein, J. Y. & Winslow, E. Long‐term effects of parenting‐focused preventive interventions to promote resilience of children and adolescents. Child Dev. Perspect. 9, 164–171 (2015).
Yap, M. B. H. et al. Parents in prevention: a meta-analysis of randomized controlled trials of parenting interventions to prevent internalizing problems in children from birth to age 18. Clin. Psychol. Rev. 50, 138–158 (2016).
Preventing Violence through the Development of Safe, Stable and Nurturing Relationships between Children and Their Parents and Caregivers. Series of Briefings on Violence Prevention: the Evidence (WHO, 2009).
Helping Parents in Developing Countries Improve Adolescents’ Health (WHO, 2007).
Chu, J. T., Farruggia, S. P., Sanders, M. R. & Ralph, A. Towards a public health approach to parenting programmes for parents of adolescents. J. Public Health (Oxf.) 34, i41–i47 (2012).
Sterne, J. A. et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ 338, b2393 (2009).
Moons, K. G., Donders, R. A., Stijnen, T. & Harrell, F. E. Jr. Using the outcome for imputation of missing predictor values was preferred. J. Clin. Epidemiol. 59, 1092–1101 (2006).
Groenwold, R. H., Donders, A. R. T., Roes, K. C., Harrell, F. E. Jr & Moons, K. G. Dealing with missing outcome data in randomized trials and observational studies. Am. J. Epidemiol. 175, 210–217 (2011).
Jaccard, J., Dittus, P. J. & Gordon, V. V. Maternal correlates of adolescent sexual and contraceptive behavior. Fam. Plann. Perspect. 28, 159–185 (1996).
Kubzansky, L., Winning, A. & Kawachi, I. in Social Epidemiology: New Perspectives on Social Determinants of Global Population Health (eds Berkman, L. F. et al.) 320–364 (Oxford Univ. Press, 2014).
Bun, J. R., Louiselle, P. A., Misukanis, T. M. & Mueller, R. A. Effects of parental authoritarianism and authoritativeness on self-esteem. Personal. Soc. Psychol. Bull. 14, 271–282 (1988).
Rasmussen, A. R. et al. Validity of self-assessment of pubertal maturation. Pediatrics 135, 86–93 (2015).
Giatti, L., Camelo Ldo, V., Rodrigues, J. F. & Barreto, S. M. Reliability of the MacArthur scale of subjective social status—Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). BMC Public Health 12, 1096 (2012).
Pan, A. et al. Bidirectional association between depression and type 2 diabetes mellitus in women. Arch. Intern. Med. 170, 1884–1891 (2010).
Andresen, E. M., Malmgren, J. A., Carter, W. B. & Patrick, D. L. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am. J. Prev. Med. 10, 77–84 (1994).
Blakesley, R. E. et al. Comparisons of methods for multiple hypothesis testing in neuropsychological research. Neuropsychology 23, 255–264 (2009).
This study was supported by funding from the Templeton Foundation (grant no. 52125 and no. 61075) and the US National Institutes of Health (grant CA222147) awarded to T.J.V. The National Institutes of Health supports the NHSII (grant UM1CA176726) and the GUTS1 and GUTS2 (grants R01HD066963, R01DA033974 and 2R01OH0098003CDC). The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. We thank the Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School for their support in conducting this study.
The authors declare no competing interests.
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Chen, Y., Haines, J., Charlton, B.M. et al. Positive parenting improves multiple aspects of health and well-being in young adulthood. Nat Hum Behav 3, 684–691 (2019). https://doi.org/10.1038/s41562-019-0602-x
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