Exploring Family Typologies and Health Outcomes in a Dutch Primary Care Population of Children Living in Urban Cities in the Netherlands: A Latent Class Analysis
2025
Samantha F. F. Groenestein | Matty R. Crone | Evelien M. Dubbeldeman | Stijntje Lottman | Jessica C. Kiefte-de Jong | Jet Bussemaker | Suzan van der Pas
This study examined social and physical environmental exposures, health, and healthcare utilization among children aged 0&ndash:12 in urban areas. A population-based cross-sectional design was used, incorporating general practitioners&rsquo: data (2018&ndash:2019, n = 14,547), and societal and environmental data. Latent class analysis identified three distinct classes based on child and family demographics: &lsquo:Dutch-origin two-parent household&rsquo: (n = 7267), &lsquo:households with diverse countries of origin&rsquo: (n = 4313), and &lsquo:single-parent household&rsquo: (n = 2967). Binary and multinomial logistic regression examined associations with environmental factors and child health outcomes. Children from the Dutch-origin class most often had favorable family demographics, neighborhood conditions, and health outcomes. Children from the diverse countries of origin class most often faced adverse neighborhood conditions, had higher rates of physical or somatic health conditions, and higher healthcare costs. Children from the single-parent class more often had less favorable family demographics, a higher likelihood of mental health problems, more frequent general practitioner visits, and were often in contact with youth care. This study highlights how child and family demographics and social and neighborhood conditions impact child health and healthcare utilization. Future approaches should focus on strategies to build and strengthen family and community resilience and adopt family-centered, context-sensitive interventions.
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