The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis

Ruth McGovern; P. Bogowicz; N. Meader; E. Kaner; H. Alderson; D. Craig; E. Geijer‐Simpson; K. Jackson; C. Muir; D. Salonen; Debbie Smart; J. J. Newham

doi:10.1111/add.16127

The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis

Ruth McGovern^*, P. Bogowicz, N. Meader, E. Kaner, H. Alderson, D. Craig, E. Geijer‐Simpson, K. Jackson, C. Muir, D. Salonen, Debbie Smart, J. J. Newham

^*Corresponding author for this work

Psychology Department

Research output: Contribution to journal › Review article › peer-review

10 Citations (Scopus)

42 Downloads (Pure)

Abstract

Background and aim
There is substantial evidence showing an association between parental substance use and child substance use and/or mental health problems. Most research focuses upon maternal substance use, with the influence of fathers who use substance often being overlooked. We aimed to investigate the differential effects of maternal and paternal substance use upon children aged 0-18 years.

Method
We used systematic review methods to identify observational studies examining the association between either maternal or paternal substance use and child substance use and/or mental health problems. The odds ratio (OR) effect measure was used, for ease of computation. We used a random effects model with the inverse variance method to meta-analyse the findings from eligible studies.

Findings
We included 17 unique studies with a total of 47,374 child participants. Maternal and paternal substance use were both associated with increased odds of child any drug use (OR=2.09; 95% confidence interval (CI) [1.53, 2.86]; n=12,349 participants; three studies, and OR=2.86; 95% CI [1.25, 6.54]; n=5,692 participants; three studies, respectively), child alcohol problem use (OR=2.16; 95% CI [1.73, 2.71]; n=7,339 participants; four studies, and OR=1.70; 95% CI [1.36, 2.12]; n=14,219 participants; six studies), child externalising problems (OR=1.81; 95% CI [1.01, 3.22]; n=1,748 participants; three studies, and OR=1.60; 95% CI [1.18, 2.17]; n=2,508 participants; six studies), and child internalising problems (OR=1.60; 95% CI [1.25, 2.06]; n=1,748 participants; three studies, and OR=1.42; 95% CI [1.12, 1.81]; n=2,248 participants; five studies). Child any alcohol use was associated with maternal substance use only (OR=2.26; 95% CI [1.08, 4.70]; n=28,691 participants; five studies).

Conclusion
Both maternal and paternal substance use are associated with child substance use and mental health problems.

Original language	English
Pages (from-to)	804-818
Number of pages	15
Journal	Addiction
Volume	118
Issue number	5
Early online date	6 Jan 2023
DOIs	https://doi.org/10.1111/add.16127
Publication status	Published - 1 May 2023

Keywords

Psychiatry and Mental health
Medicine (miscellaneous)
externalizing problems
parental substance use
Child substance use
meta-analysis
internalizing problems
systematic review

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1111/add.16127Licence: CC BY

Addiction - 2023 - McGovern - The association between maternal and paternal substance use and child substance use Accepted author manuscript, 1.19 MB
Addiction - 2023 - McGovern - The association between maternal and paternal substance use and child substance use Final published version, 511 KBLicence: CC BY

Cite this

McGovern, R., Bogowicz, P., Meader, N., Kaner, E., Alderson, H., Craig, D., Geijer‐Simpson, E., Jackson, K., Muir, C., Salonen, D., Smart, D., & Newham, J. J. (2023). The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis. Addiction, 118(5), 804-818. https://doi.org/10.1111/add.16127

@article{df196a67585440148c178ed188a2d9c6,

title = "The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis",

abstract = "Background and aimThere is substantial evidence showing an association between parental substance use and child substance use and/or mental health problems. Most research focuses upon maternal substance use, with the influence of fathers who use substance often being overlooked. We aimed to investigate the differential effects of maternal and paternal substance use upon children aged 0-18 years.MethodWe used systematic review methods to identify observational studies examining the association between either maternal or paternal substance use and child substance use and/or mental health problems. The odds ratio (OR) effect measure was used, for ease of computation. We used a random effects model with the inverse variance method to meta-analyse the findings from eligible studies.FindingsWe included 17 unique studies with a total of 47,374 child participants. Maternal and paternal substance use were both associated with increased odds of child any drug use (OR=2.09; 95% confidence interval (CI) [1.53, 2.86]; n=12,349 participants; three studies, and OR=2.86; 95% CI [1.25, 6.54]; n=5,692 participants; three studies, respectively), child alcohol problem use (OR=2.16; 95% CI [1.73, 2.71]; n=7,339 participants; four studies, and OR=1.70; 95% CI [1.36, 2.12]; n=14,219 participants; six studies), child externalising problems (OR=1.81; 95% CI [1.01, 3.22]; n=1,748 participants; three studies, and OR=1.60; 95% CI [1.18, 2.17]; n=2,508 participants; six studies), and child internalising problems (OR=1.60; 95% CI [1.25, 2.06]; n=1,748 participants; three studies, and OR=1.42; 95% CI [1.12, 1.81]; n=2,248 participants; five studies). Child any alcohol use was associated with maternal substance use only (OR=2.26; 95% CI [1.08, 4.70]; n=28,691 participants; five studies).ConclusionBoth maternal and paternal substance use are associated with child substance use and mental health problems.",

keywords = "Psychiatry and Mental health, Medicine (miscellaneous), externalizing problems, parental substance use, Child substance use, meta-analysis, internalizing problems, systematic review",

author = "Ruth McGovern and P. Bogowicz and N. Meader and E. Kaner and H. Alderson and D. Craig and E. Geijer‐Simpson and K. Jackson and C. Muir and D. Salonen and Debbie Smart and Newham, {J. J.}",

note = "Funding Information: R.Mc.G. has been funded to undertake this systematic review by the National Institute for Health Research (NIHR) personal fellowships (NIHR PDF‐2014‐07‐045). E.K. is in receipt of support from NIHR Senior Investigator Award and is the Director of the NIHR Applied Research Collaboration, North East and North Cumbria. At the time of conducting the review, D.S. was supported by the NIHR HEE/NIHR ICA Programme Pre‐doctoral Clinical Academic Fellowship (NIHR301146). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors thank Lachlan Fotheringham for assistance with coding. Publisher Copyright: {\textcopyright} 2023 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.",

year = "2023",

month = may,

day = "1",

doi = "10.1111/add.16127",

language = "English",

volume = "118",

pages = "804--818",

journal = "Addiction",

issn = "0965-2140",

publisher = "Blackwell Publishing",

number = "5",

}

McGovern, R, Bogowicz, P, Meader, N, Kaner, E, Alderson, H, Craig, D, Geijer‐Simpson, E, Jackson, K, Muir, C, Salonen, D, Smart, D & Newham, JJ 2023, 'The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis', Addiction, vol. 118, no. 5, pp. 804-818. https://doi.org/10.1111/add.16127

TY - JOUR

T1 - The association between maternal and paternal substance use and child substance use, internalising and externalising problems

T2 - a systematic review and meta‐analysis

AU - McGovern, Ruth

AU - Bogowicz, P.

AU - Meader, N.

AU - Kaner, E.

AU - Alderson, H.

AU - Craig, D.

AU - Geijer‐Simpson, E.

AU - Jackson, K.

AU - Muir, C.

AU - Salonen, D.

AU - Smart, Debbie

AU - Newham, J. J.

N1 - Funding Information: R.Mc.G. has been funded to undertake this systematic review by the National Institute for Health Research (NIHR) personal fellowships (NIHR PDF‐2014‐07‐045). E.K. is in receipt of support from NIHR Senior Investigator Award and is the Director of the NIHR Applied Research Collaboration, North East and North Cumbria. At the time of conducting the review, D.S. was supported by the NIHR HEE/NIHR ICA Programme Pre‐doctoral Clinical Academic Fellowship (NIHR301146). The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors thank Lachlan Fotheringham for assistance with coding. Publisher Copyright: © 2023 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction.

PY - 2023/5/1

Y1 - 2023/5/1

N2 - Background and aimThere is substantial evidence showing an association between parental substance use and child substance use and/or mental health problems. Most research focuses upon maternal substance use, with the influence of fathers who use substance often being overlooked. We aimed to investigate the differential effects of maternal and paternal substance use upon children aged 0-18 years.MethodWe used systematic review methods to identify observational studies examining the association between either maternal or paternal substance use and child substance use and/or mental health problems. The odds ratio (OR) effect measure was used, for ease of computation. We used a random effects model with the inverse variance method to meta-analyse the findings from eligible studies.FindingsWe included 17 unique studies with a total of 47,374 child participants. Maternal and paternal substance use were both associated with increased odds of child any drug use (OR=2.09; 95% confidence interval (CI) [1.53, 2.86]; n=12,349 participants; three studies, and OR=2.86; 95% CI [1.25, 6.54]; n=5,692 participants; three studies, respectively), child alcohol problem use (OR=2.16; 95% CI [1.73, 2.71]; n=7,339 participants; four studies, and OR=1.70; 95% CI [1.36, 2.12]; n=14,219 participants; six studies), child externalising problems (OR=1.81; 95% CI [1.01, 3.22]; n=1,748 participants; three studies, and OR=1.60; 95% CI [1.18, 2.17]; n=2,508 participants; six studies), and child internalising problems (OR=1.60; 95% CI [1.25, 2.06]; n=1,748 participants; three studies, and OR=1.42; 95% CI [1.12, 1.81]; n=2,248 participants; five studies). Child any alcohol use was associated with maternal substance use only (OR=2.26; 95% CI [1.08, 4.70]; n=28,691 participants; five studies).ConclusionBoth maternal and paternal substance use are associated with child substance use and mental health problems.

AB - Background and aimThere is substantial evidence showing an association between parental substance use and child substance use and/or mental health problems. Most research focuses upon maternal substance use, with the influence of fathers who use substance often being overlooked. We aimed to investigate the differential effects of maternal and paternal substance use upon children aged 0-18 years.MethodWe used systematic review methods to identify observational studies examining the association between either maternal or paternal substance use and child substance use and/or mental health problems. The odds ratio (OR) effect measure was used, for ease of computation. We used a random effects model with the inverse variance method to meta-analyse the findings from eligible studies.FindingsWe included 17 unique studies with a total of 47,374 child participants. Maternal and paternal substance use were both associated with increased odds of child any drug use (OR=2.09; 95% confidence interval (CI) [1.53, 2.86]; n=12,349 participants; three studies, and OR=2.86; 95% CI [1.25, 6.54]; n=5,692 participants; three studies, respectively), child alcohol problem use (OR=2.16; 95% CI [1.73, 2.71]; n=7,339 participants; four studies, and OR=1.70; 95% CI [1.36, 2.12]; n=14,219 participants; six studies), child externalising problems (OR=1.81; 95% CI [1.01, 3.22]; n=1,748 participants; three studies, and OR=1.60; 95% CI [1.18, 2.17]; n=2,508 participants; six studies), and child internalising problems (OR=1.60; 95% CI [1.25, 2.06]; n=1,748 participants; three studies, and OR=1.42; 95% CI [1.12, 1.81]; n=2,248 participants; five studies). Child any alcohol use was associated with maternal substance use only (OR=2.26; 95% CI [1.08, 4.70]; n=28,691 participants; five studies).ConclusionBoth maternal and paternal substance use are associated with child substance use and mental health problems.

KW - Psychiatry and Mental health

KW - Medicine (miscellaneous)

KW - externalizing problems

KW - parental substance use

KW - Child substance use

KW - meta-analysis

KW - internalizing problems

KW - systematic review

UR - http://www.scopus.com/inward/record.url?scp=85147387710&partnerID=8YFLogxK

U2 - 10.1111/add.16127

DO - 10.1111/add.16127

M3 - Review article

SN - 0965-2140

VL - 118

SP - 804

EP - 818

JO - Addiction

JF - Addiction

IS - 5

ER -

The association between maternal and paternal substance use and child substance use, internalising and externalising problems: a systematic review and meta‐analysis

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this