代际移民状况改变了替代高中学生中心理困扰和物质使用之间的关联
Cameron K Ormiston1, James R Pike2, Melanie D Sabado-Liwag3
1Division of Intramural Research, National Institute on Minority Health and Health Disparities, Rockville, Maryland; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.
概括
代际移民状况影响了替代高中 (AHS) 学生的心理健康和物质使用 (SU) 之间的联系. 与第三代学生相比,第一代和第二代学生显示精神健康和SU之间的联系更强烈.
科学领域:
- 青少年健康 青少年健康
- 心理健康研究 心理健康研究
- 教育社会学教育的社会学
背景情况:
- 替代高中 (AHS) 服务于需要个性化教育和灵活时间的学生.
- 与传统学校同龄人相比,AHS学生的物质使用 (SU) 和创伤水平更高.
- 世代移民 (GenIm) 状态可能会影响AHS学生的心理健康和SU动态.
研究的目的:
- 调查GenIm状态是否会改变AHS学生的心理健康和SU之间的关联.
- 分析了3年来来自1060名南加州AHS学生的纵向数据.
- 了解各种AHS学生群体中SU和心理健康结果的差异.
主要方法:
- 利用抑郁焦虑压力表子表来评估心理健康.
- 定义的GenIm地位:第一 (外国出生的),第二 (美国出生的,外国出生的父母),第三 (美国出生的,美国出生的父母).
- 采用多层次,负二项式,潜增长曲线模型来分析时间变化的关联和GenIm状态的效果修改.
主要成果:
- 心理健康 (抑郁,焦虑,压力) 和SU之间的关联在第一和第二代学生中相比第三代学生要强得多.
- 增加的压力水平与所有GenIm组的电子烟使用率更高相关,在效果大小上有显著差异.
- 具体发病率比率 (IRR) 表明,第一代和第二代学生中与压力相关的物质使用风险增加.
结论:
- 心理健康挑战与第一代和第二代AHS学生的物质使用更为密切相关.
- 针对性干预对于AHS学生的子组来说至关重要,以解决心理健康和SU差异.
- 解决替代学校和传统学校之间的系统不平等问题对于改善长期的学校教育轨迹至关重要.
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