Multigenerational health-related turning points and impact on health and social outcomes: A systematic review.

IF 1.2 4区医学 Q3 FAMILY STUDIES

Families Systems & Health Pub Date : 2025-03-10 DOI:10.1037/fsh0000970

Rebecca J Mitchell, Shalini Wijekulasuriya, Gifty Varghese, Alicia Xerri, Reidar Lystad, Yvonne Zurynski, Reema Harrison, Jeffrey Braithwaite

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引用次数: 0

Abstract

Introduction: Some individuals over their life course will experience significant health-related events, such as a physical or mental illness, that can alter their life pathways or trajectories, known as "turning-point" events. This systematic review aimed to synthesize the evidence from population-based data collections for: (a) parent health-related turning point events and the impact of these events on offspring health and social outcomes; and (b) offspring health-related turning point events and the impact of these events on parent health and social outcomes.

Method: A review of four databases (MEDLINE, CINAHL, PsycINFO, and Scopus) from January 1, 2010 to February 23, 2023 was conducted. Abstracts and full-text articles were screened by four reviewers and critically appraised.

Results: Of 114 articles, 98 (86%) examined the effect of a parental health-related turning point on offspring, 11 (10%) examined the effect of an offspring turning point on parents, and five (4%) investigated bidirectional impacts of a turning point event. For parents and offspring, mental health disorders (50%), physical health (26%), and death (24%) were common turning point events examined. For parents and offspring, common health outcomes included mental disorders (n = 50), physical health (n = 11), substance use (n = 9), and death (n = 7), and common social outcomes included educational performance (n = 14), employment or income level (n = 7), and involvement of child protective services (n = 5).

Discussion: The ability to disentangle relationships between turning point events and adverse health and social outcomes is required, as is the development of strategies to disrupt intergenerational disadvantage. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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多代人健康相关转折点及其对健康和社会结果的影响：一项系统综述。

引言：一些人在一生中会经历重大的健康相关事件，如身体或精神疾病，这些事件会改变他们的生活路径或轨迹，被称为“转折点”事件。本系统综述旨在综合基于人群的数据收集的证据：(a)父母健康相关的转折点事件以及这些事件对后代健康和社会结果的影响；(b)后代健康转折点事件以及这些事件对父母健康和社会结果的影响。方法：对2010年1月1日至2023年2月23日的MEDLINE、CINAHL、PsycINFO、Scopus 4个数据库进行回顾性分析。摘要和全文文章由四名审稿人筛选和严格评价。结果：114篇文章中，98篇（86%）研究了父母健康相关转折点对后代的影响，11篇（10%）研究了后代转折点对父母的影响，5篇（4%）研究了转折点事件的双向影响。对于父母和后代来说，精神健康障碍（50%）、身体健康（26%）和死亡（24%）是常见的转折点事件。对于父母和子女，常见的健康结果包括精神障碍（n = 50）、身体健康（n = 11）、药物使用（n = 9）和死亡（n = 7），常见的社会结果包括教育成绩（n = 14）、就业或收入水平（n = 7）和儿童保护服务的参与（n = 5）。需要有能力理清转折点事件与不利的健康和社会后果之间的关系，也需要有能力制定打破代际不利状况的战略。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Families Systems & Health HEALTH CARE SCIENCES & SERVICES-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

1.50

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： Families, Systems, & Health publishes clinical research, training, and theoretical contributions in the areas of families and health, with particular focus on collaborative family healthcare.