| Summary: | Abstract The proportion of single-parent families has increased in the last few decades world-wide, mostly due to high divorce rates. Also in Finland growing numbers of children spend part of their childhood in single-parent families. The aim of this study was to investigate in a longitudinal perspective, the possible long-term effects of the childhood family structure on psychological, physical and criminal outcomes of an offspring during adulthood. A large, prospectively collected general population birth cohort (n= 11 017), the Northern Finland 1966 Birth Cohort, was used as a study population. This database provided the information on childhood family structure of cohort members with additional information of sociodemographic factors of the family and of the child. Information concerning physical and psychiatric illnesses were gathered from the Finnish Hospital Discharge Register (FHDR). Death certificates and the information from national crime registers were also obtained. Females with a single-parent family background were more commonly hospital-treated (61.3% vs. 56.7%) for any physical condition than females with a two-parent family background. For males such difference in overall physical illness was not found. Both females and males from single-parent families had more commonly been hospital-treated for some diagnoses in the ICD-category of “injury and poisoning” than had other cohort members. Furthermore, females from single-parent families had also more commonly been treated due to pregnancy-related conditions such as induced abortions. During the follow-up time (16 to 28 years of age) 117 (90 males, 27 females) cohort members had died. Males with single-parent family background exhibited an increased mortality risk, especially due to suicides (OR=2.5, 95% CI 1.1–5.8, adjusted for psychiatric hospital diagnosis, parental social class). Criminality was more common among both males and females from single-parent families compared with other cohort members. The results showed that the risk of violent ...
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