通过青春期和成年期的心理健康发展轨迹:社会经济地位是否重要?
Christine Leonhard Birk Sørensen1, Oleguer Plana-Ripoll2,3, Ute Bültmann4
1Department of Occupational Medicine, Gødstrup Hospital, Herning, Denmark.
Epidemiology and psychiatric sciences
|June 20, 2025
概括
低社会经济地位 (SES) 与年轻人的心理健康结果较差有关. 主观社会地位 (SSS) 似乎是一个比传统的SES措施更强的脆弱性指标.
科学领域:
- 心理健康研究 心理健康研究
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 社会经济地位 (SES) 在整个生命周期中显著影响心理健康.
- 了解各种SES指标对心理健康的长期影响对于有针对性的干预至关重要.
研究的目的:
- 调查不同SES措施与从青春期到成年期的心理健康结果之间的关系.
- 分析与SES相关的抑郁症状的轨迹,并确定促成因素.
主要方法:
- 对1989年出生的个人进行了长度研究 (2004-2021年),收集了15岁,18岁,21岁,28岁和32岁的数据.
- 通过抑郁症状,精神障碍诊断和药物使用来评估心理健康,以及SES措施 (主观社会地位,收入,父母教育).
- 针对抑郁症状的雇员群体基础轨迹建模 (GBTM) 和几率比率的逻辑回归.
主要成果:
- 15岁时低SES与更高的抑郁症状,药物使用和整个年轻成年期精神障碍发病率相关.
- 确定了四种不同的抑郁症状轨迹:稳定低,稳定中等,下降和增加.
- 像女性性别,学校低主观社会地位 (SSS),欺凌和缺乏社会支持等因素与更高的不良心理健康轨迹的几率有关.
结论:
- 较低的社会地位始终预测心理健康结果较差,低的SSS是特别强烈的脆弱性指标.
- 主观的社会地位可以识别传统的SES措施错过的风险个体.
- 干预措施应针对低SES,低社会支持和其他确定的风险因素的个体,重点是增加对那些抑郁症状加剧的人的社会支持.
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