Grøholt Else-Karin, Stigum Hein, Nordhagen Rannveig, Köhler Lennart
Norwegian Institute of Public Health, PO Box 4404 Nydalen, 0403 Oslo, Norway.
Eur J Public Health. 2003 Sep;13(3):195-201. doi: 10.1093/eurpub/13.3.195.
Antonowsky's concept of sense of coherence (SOC) has, during recent years, gained increased attention as a salutogenic model on the relationship between health and disease. However, only sparse information connecting child chronic health conditions to parental SOC is yet available. This article presents results from a cross-sectional study of about 10,000 children aged 2-17 years in the five Nordic countries in 1996. Factors associated with parental SOC were analysed, with focus on child chronic health conditions. Sense of coherence was measured according to a short and condensed three-item instrument based on Antonovsky's original 29-item instrument. Overall, about 23% of parents in Nordic countries had a poor sense of coherence, the lowest proportion found among Icelandic parents. Compared to the higher social classes, poor SOC was more common in the lower social classes. The association of child chronic health conditions with parental poor SOC was found to be disability specific. Parents of children with diabetes, epilepsy or psychiatric/nervous problems had approximately 2-5 higher odds of having poor SOC compared to parents of children without a specific diagnosis. The overall effect of having a child with chronic health conditions was, however, low, lower than the effect of the parents' own health complaints.
近年来，安托诺夫斯基的连贯感（SOC）概念作为一种关于健康与疾病关系的健康成因模型，受到了越来越多的关注。然而，关于儿童慢性健康状况与父母连贯感之间联系的信息仍然很少。本文展示了1996年对北欧五国约10000名2至17岁儿童进行的一项横断面研究的结果。分析了与父母连贯感相关的因素，重点是儿童慢性健康状况。连贯感是根据基于安托诺夫斯基最初的29项量表编制的一个简短的三项量表来测量的。总体而言，北欧国家约23%的父母连贯感较差，冰岛父母中这一比例最低。与较高社会阶层相比，连贯感差在较低社会阶层更为常见。研究发现，儿童慢性健康状况与父母连贯感差之间的关联具有疾病特异性。与未患特定疾病儿童的父母相比，患有糖尿病、癫痫或精神/神经问题儿童的父母连贯感差的几率大约高出2至5倍。然而，孩子患有慢性健康状况的总体影响较低，低于父母自身健康问题的影响。
