Family social environment in childhood and self-rated health in young adulthood
1 INSERM, U707, Research Group on the Social Determinants of Health and Healthcare, Paris 75012, France
2 Univ. Paris 06, UMR S 707, Paris 75012, France
3 Univ. Paris-Dauphine, DRM, CREPA (CNRS, UMR 7088), Paris 75016, France
4 Dept Epidemiology, Biostatistics & Occupational Health, International Research Infrastructure on Social inequalities in health (IRIS), McGill University, Montreal, QC, Canada
5 Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, USA
6 CNRS, UMR 8097, Centre Maurice Halbwachs, Paris 75014, France
7 Department of Public Health, AP-HP, Hôpital Saint Antoine, Paris 75012, France
BMC Public Health 2011, 11:949 doi:10.1186/1471-2458-11-949Published: 22 December 2011
Family social support, as a form of social capital, contributes to social health disparities at different age of life. In a life-course epidemiological perspective, the aims of our study were to examine the association between self-reported family social environment during childhood and self-reported health in young adulthood and to assess the role of family functioning during childhood as a potential mediating factor in explaining the association between family breakup in childhood and self-reported health in young adulthood.
We analyzed data from the first wave of the Health, Inequalities and Social Ruptures Survey (SIRS), a longitudinal health and socio-epidemiological survey of a random sample of 3000 households initiated in the Paris metropolitan area in 2005. Sample-weighted logistic regression analyses were performed to determine the association between the quality of family social environment in childhood and self-rated health (overall health, physical health and psychological well-being) in young adults (n = 1006). We used structural equation model to explore the mediating role of the quality of family functioning in childhood in the association between family breakup in childhood and self-rated health in young adulthood.
The multivariate results support an association between a negative family social environment in childhood and poor self-perceived health in adulthood. The association found between parental separation or divorce in childhood and poor self-perceived health in adulthood was mediated by parent-child relationships and by having witnessed interparental violence during childhood.
These results argue for interventions that enhance family cohesion, particularly after family disruptions during childhood, to promote health in young adulthood.