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Cited by 40Child Welfare and AdoptionFamily Dynamics and RelationshipsChild Abuse and Trauma

Family well-being in grandparent- versus parent-headed households

Rapoport, Eli, Muthiah, Nallammai, Keim, Sarah A., Adesman, Andrew·2020·PEDIATRICS
DOI 10.1542/peds.2020-0115
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Abstract

BACKGROUND AND OBJECTIVES: Little is known about the 2% of US children being raised by their grandparents. We sought to characterize and compare grandparent- and parent-headed households with respect to adverse childhood experiences (ACEs), child temperament, attention-deficit/hyperactivity disorder (ADHD), and caregiver aggravation and coping. METHODS: Using a combined data set of children ages 3 to 17 from the 2016, 2017, and 2018 National Survey of Children’s Health, we applied survey regression procedures, adjusted for sociodemographic confounders, to compare grandparent- and parent-headed households on composite and single-item outcome measures of ACEs; ADHD; preschool inattention and restlessness; child temperament; and caregiver aggravation, coping, support, and interactions with children. RESULTS: Among 80 646 households (2407 grandparent-headed, 78 239 parent-headed), children in grandparent-headed households experienced more ACEs (β = 1.22, 95% confidence interval [CI]: 1.07 to 1.38). Preschool-aged and school-aged children in grandparent-headed households were more likely to have ADHD (adjusted odds ratio = 4.29, 95% CI: 2.22 to 8.28; adjusted odds ratio = 1.72, 95% CI: 1.34 to 2.20). School-aged children in these households had poorer temperament (βadj = .25, 95% CI: −0.63 to 1.14), and their caregivers experienced greater aggravation (βadj = .29, 95% CI: 0.08 to 0.49). However, these differences were not detected after excluding children with ADHD from the sample. No differences were noted between grandparent- and parent-headed households for caregiver coping, emotional support, or interactions with children. CONCLUSIONS: Despite caring for children with greater developmental problems and poorer temperaments, grandparent caregivers seem to cope with parenting about as well as parents.

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Authors
Rapoport, E., Muthiah, N., Keim, S. A., & Adesman, A.
Affiliations
  • Schneider Children's Hospital (US)
  • Nationwide Children's Hospital (US)
  • Donald & Barbara Zucker School of Medicine at Hofstra/Northwell (US)
ORCID
Venue
PEDIATRICS
Publisher
American Academy of Pediatrics (AAP)
Published
2020-09-01
Volume
146
Issue
3
ISSN
  • 0031-4005 (ISSN-L)
  • 1098-4275
DOI
10.1542/peds.2020-0115
OpenAlex
W3047108556
Cited by
40
References
41
Citations by year
2026: 3 · 2025: 7 · 2024: 6 · 2023: 5 · 2022: 11 · 2021: 8
FWCI
8.18
Type
journal article
Language
en
Open access
closed
Locations
  • PEDIATRICS (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Safety Research › Child Welfare and Adoption
  • Social Sciences › Demography › Family Dynamics and Relationships
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
Keywords
grandparent-headed households, adverse childhood experiences, attention deficit hyperactivity disorder, child temperament, caregiver coping, family well-being
MeSH terms
Grandparents, Adverse Childhood Experiences, Adaptation, Psychological, Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Child, Preschool, Cross-Sectional Studies, Educational Status, Family Health, Female, Health Status, Humans, Male, Parent-Child Relations, Parents, Psychomotor Agitation, Social Support, Temperament, Confidence Intervals, Odds Ratio, Parenting, Outcome Assessment, Health Care, Single-Parent Family

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