暴露于家庭贫困和青少年心理健康问题的时间
Y Koyama1,2, A Isumi3, T Fujiwara1
1Department of Public Health, Institute of Science Tokyo, Tokyo, Japan.
Epidemiology and psychiatric sciences
|March 26, 2025
概括
儿童贫困与青少年心理健康问题,如抑郁症和低自尊有关. 该研究发现,童年期间的任何时候的贫困都会影响心理健康,这表明累积效应而不是特定的时间.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 青少年心理健康问题是一个日益关注的长期健康影响.
- 家庭贫困是已知的风险因素,但暴露时间的影响仍未得到充分研究.
研究的目的:
- 调查儿童家庭贫困与青少年心理健康之间的纵向关联.
- 检查贫困暴露的时间是否影响青春期的心理健康结果.
主要方法:
- 利用了从一至八年级的基于日本人口的纵向队列 (N=5,671) 的数据.
- 根据收入,支付困难和物质剥夺来定义家庭贫困.
- 使用家长和自我报告来评估青少年心理健康,以内化/外化问题,抑郁和自尊.
- 采用结构嵌套平均值建模的g-估计来控制时间变化的混因素.
主要成果:
- 暴露于任何年级的家庭贫困与青春期抑郁症状增加和自尊心降低有关.
- 贫困暴露也与更高的内部化和外部化问题的比率有关.
- 虽然较早暴露时效应显得更强烈,但根据贫困暴露的时间没有发现统计学上显著的差异.
结论:
- 这项研究没有支持时间假设;相反,研究结果表明,整个童年时期的贫困暴露对青少年心理健康的累积影响.
- 针对儿童时期任何时候都处于贫困状态的家庭的干预措施可能有效地减轻不良心理健康结果.
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