儿童疾病和残疾的母亲心理健康溢出:一个动态的小组分析分析
1J.E. Cairnes School of Business and Economics, University of Galway, Galway, Ireland.
概括
孩子的慢性神经系统或精神健康状况显著增加了母亲的抑郁风险. 这些健康溢出影响在严重疾病和贫困家庭中更为明显,突出了以家庭为中心的护理的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 越来越多的人认识到个人疾病对家庭成员的健康溢出影响.
- 量化这些健康影响的挑战,特别是母亲的心理健康.
- 需要进行纵向研究,以了解儿童疾病对母亲的影响.
研究的目的:
- 纵向检查儿童疾病和残疾对母亲心理健康的溢出影响.
- 确定与母亲心理健康相关的特定儿童健康状况.
- 探索影响这些健康溢出影响的因素.
主要方法:
- 利用动态面板模型和系统通用时刻方法 (GMM).
- 分析了来自爱尔兰成长研究的纵向数据.
- 研究了儿童慢性疾病和残疾的7个子类别,考虑到严重程度和家庭贫困.
主要成果:
- 儿童慢性神经系统疾病和精神/行为障碍使母亲抑郁的概率分别增加10.8%和5.1%.
- 溢出效应与疾病/残疾严重程度密切相关.
- 由于严重的儿童疾病导致的母亲抑郁的风险在贫困家庭中更高.
结论:
- 健康溢出效应是特定于环境的,根据孩子的状况而有所不同.
- 强调需要在儿童健康服务的经济评估中包括护理人员的结果.
- 建议在临床试验中收集家庭成员的结果与患者的结果一起.
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