Lien Lars, Haavet Ole Rikard, Thoresen Magne, Heyerdahl Sonja, Bjertness Espen
Institute for General Practice and Public Health, University of Oslo, Norway.
Acta Paediatr. 2007 Feb;96(2):301-6. doi: 10.1111/j.1651-2227.2007.00084.x.
To study the association between mental health problems, negative life events, perceived pressure at school and the frequency of acute infectious illnesses in an adolescent population, and to explore whether the association differs by sex and immigration status.
A cross-sectional study involving all tenth grade pupils in Oslo in 2000 and 2001. Of 8316 eligible pupils, 7346 participated in the study, giving a participation rate of 88%. Twenty-four percent of participants were first- or second-generation immigrants.
Mental health problems and negative life events were associated with the number of acute infections in a population-based setting, even after adjustment for possible confounding factors. For girls with an immigrant background, internalised mental health problems and own serious illness or injury had the strongest association with acute infections. For adolescents with a non-immigrant background, experiencing sexual violence had the strongest association, and for native-born boys the strongest association with acute infections was externalised mental health problems. Smoking was the cofactor with the strongest association to acute infections.
There is a relationship between acute infection, mental health problems and negative life events among adolescents in a multicultural population-based setting.
研究青少年人群中心理健康问题、负面生活事件、学校感知压力与急性传染病发病频率之间的关联,并探讨这种关联是否因性别和移民身份而异。
一项横断面研究,纳入了2000年和2001年奥斯陆所有十年级学生。在8316名符合条件的学生中,7346名参与了研究,参与率为88%。24%的参与者为第一代或第二代移民。
在基于人群的研究中,即使对可能的混杂因素进行调整后,心理健康问题和负面生活事件仍与急性感染的数量相关。对于有移民背景的女孩,内化心理健康问题以及自身患重病或受伤与急性感染的关联最强。对于无移民背景的青少年,遭受性暴力与急性感染的关联最强,而对于本土出生的男孩,外化心理健康问题与急性感染的关联最强。吸烟是与急性感染关联最强的辅助因素。
在基于多元文化人群的研究中,青少年的急性感染、心理健康问题和负面生活事件之间存在关联。