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SOCIAL SUPPORT AND PARENTING SKILLS 95 Association between family social support, parenting skills and children’s enrolment in psychosocial care The results of the univariable analyses show that children with medium or low family social support were more likely to enrol in psychosocial care, compared to children with high family social support (Table 2). Poor supervision and inconsistent disciplining were found to be positively associated with children’s psychosocial care enrolment. Positive parenting was not associated with care enrolment. When adjusting for the background characteristics, low family social support, poor supervision and inconsistent disciplining remained significantly positively associated with children’s psychosocial care enrolment. Table 2 Associations between family social support, parenting skills and psychosocial care enrolment: results of univariable and multivariable logistic regression analyses (N = 1706). Crude Adjusted ab OR (95% CI) P OR (95% CI) P Family social support (reference: high) Medium Low 1.50 3.50 (1.17-1.93) (2.65-4.61) <.001 .001 <.001 1.51 3.20 (1.15-1.98) (2.35-4.35) <.001 .003 <.001 Parenting skills Poor supervision (vs. good) 1.90 (1.42-2.55) <.001 1.52 (1.08-2.14) .017 Inconsistent disciplining (vs. consistent) 1.91 (1.44-2.53) <.001 1.52 (1.11-2.06) .009 Low positive parenting (vs. high) 1.06 (0.81-1.38) .690 0.88 (0.65-1.19) .400 a Adjusted for children’s age, gender, ethnicity, parental educational level and family composition b Nagelkerke R square=.20 c OR= Odds Ratio, CI= Confidence interval Children’s psychosocial problems as a moderator or mediator Non-significant interaction terms show that children’s psychosocial problems did not moderate the association between family social support, poor supervision, inconsistent disciplining and psychosocial care enrolment (Figure 1). Results of the mediation analyses show that children’s psychosocial problems did mediate the association between family social support, poor supervision, inconsistent disciplining and psychosocial care enrolment (Figure 2). The association between family social support and care enrolment was partially mediated. The association between poor supervision, inconsistent disciplining and care enrolment was completely mediated by children’s psychosocial problems. No moderator and mediator analyses were performed for positive parenting because it was not significantly associated with psychosocial care enrolment (Table 2).

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