Erhart M, Hölling H, Bettge S, Ravens-Sieberer U, Schlack R
Robert Koch-Institut, Berlin, BRD.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):800-9. doi: 10.1007/s00103-007-0243-5.
Along with the salutogenetic approach in health sciences, the quest for factors exerting a protective effect on mental development and health has increasingly gained importance, complementing the study of risk factors. A total of 6,691 children and adolescents aged 11 to 17 years answered questionnaires on personal, social and family resources as part of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Children with low socioeconomic status (SES) more frequently show deficits in their personal, social and family resources. Similarly, in children with migration background a higher percentage with poorly developed personal and social protective factors is found. Older children report less family resources but more social resources than younger children; in comparison to boys, girls have more social but less personal resources at their disposal. Clear connections are observed between protective factors and health-related risk-taking behaviour. Deficits in personal and family resources are associated with an increased risk for smoking. Although an increased percentage of smoking and alcohol consuming children and adolescents is found to be associated with well-developed social resources, the risk for drug experiences is not increased. The results prove the necessity to build up protective factors as a preventative measure. Especially in children and adolescents with weak protective factors, an increased risk of mental health problems can be expected in the presence of stressful events.
随着健康科学中健康生成方法的出现,对精神发育和健康具有保护作用的因素的探索日益重要,这对风险因素的研究起到了补充作用。作为德国儿童和青少年健康访谈与检查调查(KiGGS)的一部分,共有6691名11至17岁的儿童和青少年回答了关于个人、社会和家庭资源的问卷。社会经济地位(SES)较低的儿童在个人、社会和家庭资源方面更常表现出不足。同样,在有移民背景的儿童中,发现个人和社会保护因素发展较差的比例更高。年龄较大的儿童报告的家庭资源较少,但社会资源比年龄较小的儿童更多;与男孩相比,女孩可支配的社会资源更多,但个人资源更少。在保护因素与健康相关的冒险行为之间观察到明显的联系。个人和家庭资源的不足与吸烟风险增加有关。虽然发现吸烟和饮酒的儿童及青少年比例增加与发达的社会资源有关,但吸毒经历的风险并未增加。结果证明有必要建立保护因素作为预防措施。特别是在保护因素薄弱的儿童和青少年中,在存在压力事件的情况下,心理健康问题的风险可能会增加。