{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:34Z","timestamp":1747183294454,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2014","0843"],"award-info":[{"award-number":["2014","0843"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004063","name":"Knut och Alice Wallenbergs Stiftelse","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004063","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to describe parental concerns about child health and behaviour and their sociodemographic predictors in 3\u2010year\u2010olds, in relation to the national guidelines of well\u2010baby clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study included parents of 33\u2009526 children in Stockholm who had completed a questionnaire prior to a routine visit to a well\u2010baby clinic at age 3\u2009years. Multivariate regression was used to analyse predictors for concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Child behaviour problems, defined as defiance and problem with adherence to daily routines, were the most common parental concerns (36.4%), with poor social skills and relations being second (21.8%). Regarding development, 9.6% had concerns about speech and 4.7% about motor development. Screen use (9.5%) and being underweight (6.3%) were other common parental concerns, while lifestyle concerns regarding physical activity and overweight were rare. Parents raised about twice as many concerns for first\u2010born children compared with younger siblings. Child behaviour and developmental concerns were more frequent in families where the mother had primary education only and attended a well\u2010baby clinic with a high Care Need Index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Parents' concerns reflected the national guidelines about child development and behaviour, but not its emphasis on a healthy lifestyle.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.17233","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T12:43:23Z","timestamp":1713271403000},"page":"1860-1867","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Child behaviour is a main concern for parents of 3\u2010year\u2010olds"],"prefix":"10.1111","volume":"113","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-2058","authenticated-orcid":false,"given":"Anders","family":"Hjern","sequence":"first","affiliation":[{"name":"Regional Unit for the Well\u2010baby Clinics Sachs Children's Hospital  Stockholm Sweden"},{"name":"Department of Medicine, Clinical Epidemiology Karolinska Institutet  Stockholm Sweden"},{"name":"Centre for Health Equity Studies Stockholm University\/Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anncharlotte","family":"Lindfors","sequence":"additional","affiliation":[{"name":"Regional Unit for the Well\u2010baby Clinics Sachs Children's Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6594-2291","authenticated-orcid":false,"given":"Anna","family":"Sarkadi","sequence":"additional","affiliation":[{"name":"Department of Public Health and Caring Sciences, CHAP Uppsala University  Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kersti","family":"Bergqvist","sequence":"additional","affiliation":[{"name":"Regional Unit for the Well\u2010baby Clinics Sachs Children's Hospital  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malin","family":"Bergstr\u00f6m","sequence":"additional","affiliation":[{"name":"Regional Unit for the Well\u2010baby Clinics Sachs Children's Hospital  Stockholm Sweden"},{"name":"Department of Medicine, Clinical Epidemiology Karolinska Institutet  Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2011.02344.x"},{"volume-title":"V\u00e4gledning f\u00f6r Barnh\u00e4lsov\u00e5rden [Guidelines for Child Health Care]","year":"2014","author":"The National Board of Health and Welfare","key":"e_1_2_11_3_1"},{"volume-title":"Barnh\u00e4lsovetenskap Lund","year":"2013","author":"K\u00f6hler L","key":"e_1_2_11_4_1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-3-21"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/imhj.20015"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03392409"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10566-014-9281-y"},{"key":"e_1_2_11_9_1","unstructured":"SBU [Swedish agency for health technology assessment and assessment of social services].Program f\u00f6r att f\u00f6rebygga psykisk oh\u00e4lsa hos barn: en systematisk \u00f6versikt och utv\u00e4rdering av medicinska h\u00e4lsoekonomiska sociala och etiska aspekter [Supporting good mental health in children and adolescents]. Stockholm: SBU.2021SBU Utv\u00e4rderar 339.https:\/\/www.sbu.se\/339"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-016-0178-0"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0265589"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11121-018-0929-y"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1139\/h2012-070"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/joim.13547"},{"volume-title":"Guidelines on Physical Activity, Sedentary Behaviour and Sleep for Children under 5\u2009Years of Age","year":"2019","author":"World Health Organization","key":"e_1_2_11_15_1"},{"key":"e_1_2_11_16_1","unstructured":"Swedish Paediatric Society.Svenska Barnl\u00e4karef\u00f6reningens rekommendationer g\u00e4llande digitala medier f\u00f6r barn 0\u20135 \u00e5r. [Guidelines for screen use for children 0\u20135\u2009years by the Swedish Paediatric Society].https:\/\/www.barnlakarforeningen.se\/wp\u2010content\/uploads\/2023\/11\/Barnlakarforeningen_rekommendationer_vardnadshavare_Okt2023\u2010HA.pdf"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.02.008"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbe2.322"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.evolhumbehav.2008.12.001"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.03.009"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjdp.12180"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.16094"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.17233","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T06:40:03Z","timestamp":1720680003000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.17233"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,16]]},"references-count":21,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/apa.17233"],"URL":"https:\/\/doi.org\/10.1111\/apa.17233","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"type":"print","value":"0803-5253"},{"type":"electronic","value":"1651-2227"}],"subject":[],"published":{"date-parts":[[2024,4,16]]},"assertion":[{"value":"2024-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-03-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}