Parent-child separation and cardiometabolic outcomes and risk factors in adulthood: A systematic review
Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposure...
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| Published in: | Psychoneuroendocrinology Vol. 152; p. 106084 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Ltd
01.06.2023
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| ISSN: | 0306-4530, 1873-3360, 1873-3360 |
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| Abstract | Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposures to parent-child separation and cardiometabolic outcomes in adulthood.
Following a registered protocol, online databases (Pubmed, PsycInfo, and Web of Science) were searched for relevant studies. Studies were included if they (a) defined the exposure before age 18 as institutionalization, foster care placement, parental incarceration, separation due to parents migrating for economic reasons, or asylum and war; and (b) quantified the association between parent-child separation and cardiometabolic events and diagnoses (e.g., coronary heart disease, diabetes) and risk factors (e.g., body mass index, fat distribution, serum-based metabolic markers, inflammatory markers in adulthood (≥ age 18). Studies lacking an unexposed comparison group were excluded. The risk for bias in each study was assessed with a modified Newcastle-Ottawa Scale.
Of the 1938 studies identified, 13 met our inclusion criteria. Two of the four studies examining associations between parent-child separation and cardiometabolic events and diagnoses found positive associations with coronary heart disease and diabetes. Amongst the 13 studies examining associations with any type of adult cardiometabolic risk factors, eight studies reported at least one positive association. Sub-analyses considering separate reasons for parent-child separation provided clearer insights: War evacuation was associated with hypertension and high blood pressure across four studies from the same cohort; out-of home care experiences largely evidenced null results across five different studies, and two studies on parental incarceration suggested positive associations with elevated inflammation, BMI and blood pressure.
The connections between parent-child separation and adult cardiometabolic outcomes and risk factors are currently inconsistent. The results may depend on the reason for separation, age of assessment, analytic differences and other psychosocial variables that are often unmeasured in this literature.
•Parent-child separation is associated with poor psychosocial functioning and health behaviors, but little is known which about cardiometabolic health.•Our review finds that the extant evidence show inconsistent associations between parent-child separation and adult cardiometabolic outcomes .•More high-quality research is needed to substantiate its effects on cardiometabolic health and mechanisms. |
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| AbstractList | Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposures to parent-child separation and cardiometabolic outcomes in adulthood.
Following a registered protocol, online databases (Pubmed, PsycInfo, and Web of Science) were searched for relevant studies. Studies were included if they (a) defined the exposure before age 18 as institutionalization, foster care placement, parental incarceration, separation due to parents migrating for economic reasons, or asylum and war; and (b) quantified the association between parent-child separation and cardiometabolic events and diagnoses (e.g., coronary heart disease, diabetes) and risk factors (e.g., body mass index, fat distribution, serum-based metabolic markers, inflammatory markers in adulthood (≥ age 18). Studies lacking an unexposed comparison group were excluded. The risk for bias in each study was assessed with a modified Newcastle-Ottawa Scale.
Of the 1938 studies identified, 13 met our inclusion criteria. Two of the four studies examining associations between parent-child separation and cardiometabolic events and diagnoses found positive associations with coronary heart disease and diabetes. Amongst the 13 studies examining associations with any type of adult cardiometabolic risk factors, eight studies reported at least one positive association. Sub-analyses considering separate reasons for parent-child separation provided clearer insights: War evacuation was associated with hypertension and high blood pressure across four studies from the same cohort; out-of home care experiences largely evidenced null results across five different studies, and two studies on parental incarceration suggested positive associations with elevated inflammation, BMI and blood pressure.
The connections between parent-child separation and adult cardiometabolic outcomes and risk factors are currently inconsistent. The results may depend on the reason for separation, age of assessment, analytic differences and other psychosocial variables that are often unmeasured in this literature.
•Parent-child separation is associated with poor psychosocial functioning and health behaviors, but little is known which about cardiometabolic health.•Our review finds that the extant evidence show inconsistent associations between parent-child separation and adult cardiometabolic outcomes .•More high-quality research is needed to substantiate its effects on cardiometabolic health and mechanisms. Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposures to parent-child separation and cardiometabolic outcomes in adulthood.BACKGROUNDParent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposures to parent-child separation and cardiometabolic outcomes in adulthood.Following a registered protocol, online databases (Pubmed, PsycInfo, and Web of Science) were searched for relevant studies. Studies were included if they (a) defined the exposure before age 18 as institutionalization, foster care placement, parental incarceration, separation due to parents migrating for economic reasons, or asylum and war; and (b) quantified the association between parent-child separation and cardiometabolic events and diagnoses (e.g., coronary heart disease, diabetes) and risk factors (e.g., body mass index, fat distribution, serum-based metabolic markers, inflammatory markers in adulthood (≥ age 18). Studies lacking an unexposed comparison group were excluded. The risk for bias in each study was assessed with a modified Newcastle-Ottawa Scale.METHODSFollowing a registered protocol, online databases (Pubmed, PsycInfo, and Web of Science) were searched for relevant studies. Studies were included if they (a) defined the exposure before age 18 as institutionalization, foster care placement, parental incarceration, separation due to parents migrating for economic reasons, or asylum and war; and (b) quantified the association between parent-child separation and cardiometabolic events and diagnoses (e.g., coronary heart disease, diabetes) and risk factors (e.g., body mass index, fat distribution, serum-based metabolic markers, inflammatory markers in adulthood (≥ age 18). Studies lacking an unexposed comparison group were excluded. The risk for bias in each study was assessed with a modified Newcastle-Ottawa Scale.Of the 1938 studies identified, 13 met our inclusion criteria. Two of the four studies examining associations between parent-child separation and cardiometabolic events and diagnoses found positive associations with coronary heart disease and diabetes. Amongst the 13 studies examining associations with any type of adult cardiometabolic risk factors, eight studies reported at least one positive association. Sub-analyses considering separate reasons for parent-child separation provided clearer insights: War evacuation was associated with hypertension and high blood pressure across four studies from the same cohort; out-of home care experiences largely evidenced null results across five different studies, and two studies on parental incarceration suggested positive associations with elevated inflammation, BMI and blood pressure.RESULTSOf the 1938 studies identified, 13 met our inclusion criteria. Two of the four studies examining associations between parent-child separation and cardiometabolic events and diagnoses found positive associations with coronary heart disease and diabetes. Amongst the 13 studies examining associations with any type of adult cardiometabolic risk factors, eight studies reported at least one positive association. Sub-analyses considering separate reasons for parent-child separation provided clearer insights: War evacuation was associated with hypertension and high blood pressure across four studies from the same cohort; out-of home care experiences largely evidenced null results across five different studies, and two studies on parental incarceration suggested positive associations with elevated inflammation, BMI and blood pressure.The connections between parent-child separation and adult cardiometabolic outcomes and risk factors are currently inconsistent. The results may depend on the reason for separation, age of assessment, analytic differences and other psychosocial variables that are often unmeasured in this literature.CONCLUSIONSThe connections between parent-child separation and adult cardiometabolic outcomes and risk factors are currently inconsistent. The results may depend on the reason for separation, age of assessment, analytic differences and other psychosocial variables that are often unmeasured in this literature. Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for cardiovascular health. This systematic review synthesized and evaluated the quality of the literature examining the association between exposures to parent-child separation and cardiometabolic outcomes in adulthood. Following a registered protocol, online databases (Pubmed, PsycInfo, and Web of Science) were searched for relevant studies. Studies were included if they (a) defined the exposure before age 18 as institutionalization, foster care placement, parental incarceration, separation due to parents migrating for economic reasons, or asylum and war; and (b) quantified the association between parent-child separation and cardiometabolic events and diagnoses (e.g., coronary heart disease, diabetes) and risk factors (e.g., body mass index, fat distribution, serum-based metabolic markers, inflammatory markers in adulthood (≥ age 18). Studies lacking an unexposed comparison group were excluded. The risk for bias in each study was assessed with a modified Newcastle-Ottawa Scale. Of the 1938 studies identified, 13 met our inclusion criteria. Two of the four studies examining associations between parent-child separation and cardiometabolic events and diagnoses found positive associations with coronary heart disease and diabetes. Amongst the 13 studies examining associations with any type of adult cardiometabolic risk factors, eight studies reported at least one positive association. Sub-analyses considering separate reasons for parent-child separation provided clearer insights: War evacuation was associated with hypertension and high blood pressure across four studies from the same cohort; out-of home care experiences largely evidenced null results across five different studies, and two studies on parental incarceration suggested positive associations with elevated inflammation, BMI and blood pressure. The connections between parent-child separation and adult cardiometabolic outcomes and risk factors are currently inconsistent. The results may depend on the reason for separation, age of assessment, analytic differences and other psychosocial variables that are often unmeasured in this literature. |
| ArticleNumber | 106084 |
| Author | Tang, Alva Pintro, Kedie Beyer, Logan Okuzono, Sakurako S. Slopen, Natalie Keen, Ryan Eckert, Natalie Mita, Carol Ertel, Karen A. Yazawa, Aki |
| AuthorAffiliation | 6 Countway Library of Medicine, Harvard Medical School 1 Department of Human Development and Quantitative Methods, University of Maryland, College Park 2 Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health 4 Harvard Medical School, Harvard University 5 Department of Community Health, Tufts University 7 Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan 3 Department of Biostatistics and Epidemiology, University of Massachusetts Amherst 8 Center on the Developing Child, Harvard University |
| AuthorAffiliation_xml | – name: 8 Center on the Developing Child, Harvard University – name: 1 Department of Human Development and Quantitative Methods, University of Maryland, College Park – name: 3 Department of Biostatistics and Epidemiology, University of Massachusetts Amherst – name: 5 Department of Community Health, Tufts University – name: 7 Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan – name: 2 Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health – name: 6 Countway Library of Medicine, Harvard Medical School – name: 4 Harvard Medical School, Harvard University |
| Author_xml | – sequence: 1 givenname: Alva orcidid: 0000-0003-2552-0419 surname: Tang fullname: Tang, Alva email: alvatang@utdallas.edu organization: Department of Psychology, University of Texas at Dallas, USA – sequence: 2 givenname: Karen A. surname: Ertel fullname: Ertel, Karen A. organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 3 givenname: Ryan surname: Keen fullname: Keen, Ryan organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 4 givenname: Logan surname: Beyer fullname: Beyer, Logan organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 5 givenname: Natalie surname: Eckert fullname: Eckert, Natalie organization: Department of Community Health, Tufts University, USA – sequence: 6 givenname: Carol surname: Mita fullname: Mita, Carol organization: Countway Library of Medicine, Harvard Medical School, USA – sequence: 7 givenname: Kedie surname: Pintro fullname: Pintro, Kedie organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 8 givenname: Sakurako S. surname: Okuzono fullname: Okuzono, Sakurako S. organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 9 givenname: Aki surname: Yazawa fullname: Yazawa, Aki organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA – sequence: 10 givenname: Natalie surname: Slopen fullname: Slopen, Natalie organization: Department of Social and Behavioral Sciences, Harvard T. H. Chan School of Public Health, USA |
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| Keywords | Metabolic disease War evacuation Childhood Cardiovascular disease Parental incarceration Parent-child separation Metabolic syndrome Foster care Temporary care |
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| Snippet | Parent-child separation has been associated with negative mental health across childhood and adulthood, yet little is known about the long-term impacts for... |
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| SubjectTerms | Adolescent Adult Biomarkers Cardiometabolic Risk Factors Cardiovascular disease Child Childhood Diabetes Mellitus Family Separation Foster care Humans Hypertension Metabolic disease Metabolic syndrome Parent-Child Relations Parent-child separation Parental incarceration Parents - psychology Risk Factors Temporary care War evacuation |
| Title | Parent-child separation and cardiometabolic outcomes and risk factors in adulthood: A systematic review |
| URI | https://www.clinicalkey.com/#!/content/1-s2.0-S0306453023000628 https://dx.doi.org/10.1016/j.psyneuen.2023.106084 https://www.ncbi.nlm.nih.gov/pubmed/36996574 https://www.proquest.com/docview/2793986450 https://pubmed.ncbi.nlm.nih.gov/PMC10565792 |
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