Print Email Facebook Twitter Services use by children and parents in multiproblem families Title Services use by children and parents in multiproblem families Author Pannebakker, N.M. Kocken, P.L. Theunissen, M.H.C. van Mourik, K. Crone, M.R. Numans, M.E. Reijneveld, S.A. Publication year 2018 Abstract Background Multiproblem families are multi-users of psychosocial and health care services, but little is known about factors associated with their care utilization in the general population. The aim of this study was to assess which factors were associated with the overall and psychosocial care use of two members—i.e., child and parent—of each multiproblem family. Methods During well-child visits or psychosocial care, we identified 354 children and their parents who had problems in several life domains (response 69.1%). We used multivariate stepwise backward logistic regression analyses to identify the factors related to their use of overall and psychosocial care. Results A child's overall care use was associated with greater social support from family and friends (odds ratio, OR, 95% confidence interval, CI; OR = 1.05, CI = 1.01–1.08) compared to less perceived social support; and with more psychosocial problems in the child (OR = 1.84, CI = 1.04–3.24). Child's psychosocial care use was more likely among older children (OR = 1.94, CI = 1.20–3.15); greater social support by family and friend (OR = 1.03, CI = 1.00–1.06); more psychosocial problems (OR = 1.75, CI = 1.04–2.97); and when there were more parenting concerns (OR = 1.19, CI = 1.06–1.33). Parental overall and psychosocial care use was more likely when the family experienced a higher number of life events (OR = 1.27, CI = 1.17–1.38, and OR = 1.39, CI = 1.25–1.55). Conclusions Care use in multiproblem families is related to family factors as well as psychosocial problems. It may be possible to use these family risk factors to identify such families early, whose intensive care use is possibly explained by the relationship with inadequate use of social support. © 2017 Subject LifeCH - Child HealthELSS - Earth, Life and Social SciencesHealthy for LifeHealthHealthy LivingAccess to careHealth seeking behaviorMultiproblem familiesSocial support To reference this document use: http://resolver.tudelft.nl/uuid:d9d7b8b2-1529-4aa3-8b79-7d61112d6566 DOI https://doi.org/10.1016/j.childyouth.2017.12.003 TNO identifier 782930 ISSN 0190-7409 Source Children and Youth Services Review, 84, 222-228 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.