{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T15:13:11Z","timestamp":1759504391502,"version":"build-2065373602"},"reference-count":27,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/100007797","name":"Helsingin Yliopisto","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100007797","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Cities of Helsinki, Vantaa, and Espoo","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/501100004012","name":"Jane ja Aatos Erkon S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100004012","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002341","name":"Academy of Finland","doi-asserted-by":"publisher","award":["320162","325857","331400","338869"],"award-info":[{"award-number":["320162","325857","331400","338869"]}],"id":[{"id":"10.13039\/501100002341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000781","name":"European Research Council","doi-asserted-by":"publisher","award":["101019329"],"award-info":[{"award-number":["101019329"]}],"id":[{"id":"10.13039\/501100000781","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009047","name":"Strategic Research Council","doi-asserted-by":"crossref","award":["308247","345183","352543-352572"],"award-info":[{"award-number":["308247","345183","352543-352572"]}],"id":[{"id":"10.13039\/501100009047","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004189","name":"Max-Planck-Gesellschaft","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100004189","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2023,9,28]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Maternal mental illness appears to increase the risk of unintentional childhood injuries, which are a common cause of morbidity and mortality in early childhood. However, little is known about the variations in this association by type of injury and child\u2019s age, and studies on the effects of maternal somatic illness on children\u2019s injury risk are scarce.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We used Finnish total population register data from 2000 to 2017 to link 1\u2009369\u2009325 children to their biological mothers and followed them for maternal illness and childhood injuries until the children\u2019s sixth birthday. Cox regression models were used to examine the associations between maternal illness and children\u2019s injuries by type of illness (neurological, psychiatric and cancer), type of injury (transport injuries, falls, burns, drowning or suffocations, poisonings, exposure to inanimate and animate mechanical forces) and child\u2019s age (&lt;1 year-olds, 1\u20132 year-olds, 3\u20135 year-olds).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>After adjustment for family structure, maternal age at birth, maternal education, income, child\u2019s gender, native language and region of residence, children of unwell mothers showed a higher risk of injuries (HR: 1.21, 95% CI: 1.19 to 1.23). This association was clear for maternal neurological (HR: 1.31, 95% CI: 1.26 to 1.36) and psychiatric illnesses (HR: 1.20, 95% CI: 1.18 to 1.23) but inconsistent for cancer. Maternal illness predicted an increased risk of injury across all age groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Maternal mental and somatic illness may both increase children\u2019s injury risk. Adequate social and parenting support for families with maternal illness may reduce childhood injury.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech-2023-220960","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T13:21:27Z","timestamp":1697462487000},"page":"129-134","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Maternal psychiatric and somatic illness, and the risk of unintentional injuries in children: variation by type of maternal illness, type of injury and child age"],"prefix":"10.1136","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9861-3865","authenticated-orcid":false,"given":"Antti O","family":"Tanskanen","sequence":"first","affiliation":[{"name":"Population Research Institute, V\u00e4est\u00f6liitto, Helsinki, Finland"},{"name":"INVEST Research Center, University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8813-3980","authenticated-orcid":false,"given":"Niina","family":"Mets\u00e4-Simola","sequence":"additional","affiliation":[{"name":"Population Research Unit, University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lotta","family":"Volotinen","sequence":"additional","affiliation":[{"name":"Population Research Unit, University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirkka","family":"Danielsbacka","sequence":"additional","affiliation":[{"name":"Population Research Institute, V\u00e4est\u00f6liitto, Helsinki, Finland"},{"name":"INVEST Research Center, University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9374-1438","authenticated-orcid":false,"given":"Pekka","family":"Martikainen","sequence":"additional","affiliation":[{"name":"Population Research Unit, University of Helsinki, Helsinki, Finland"},{"name":"Max Planck - Institute for Demographic Research, Rostock, Germany"},{"name":"Max Planck - University of Helsinki Center for Social Inequalities in Population Health, University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9291-703X","authenticated-orcid":false,"given":"Hanna","family":"Remes","sequence":"additional","affiliation":[{"name":"Population Research Unit, University of Helsinki, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"2025100307435871000_78.2.129.1","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1037\/1091-7527.25.1.98","article-title":"Mental health support for children of parents with somatic illness: a review of the theory and intervention concepts","volume":"25","author":"Diareme","year":"2007","journal-title":"Fam Syst & Health"},{"key":"2025100307435871000_78.2.129.2","unstructured":"Finney JW , Miller KM . 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