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残疾青少年的心理健康:社会条件的影响。

The mental health of young people with disabilities: impact of social conditions.

机构信息

Australian Family and Disability Studies Research Collaboration, Faculty of Health Sciences, University of Sydney, P.O. Box 170, Lidcombe, NSW, 1825, Australia.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2011 Jan;46(1):1-10. doi: 10.1007/s00127-009-0161-y. Epub 2009 Nov 6.

DOI:10.1007/s00127-009-0161-y
PMID:19894012
Abstract

BACKGROUND

Young people with disabilities have poorer mental health than their non-disabled peers. However, people with disabilities are more likely than others to experience financial hardship and low social support, both of which have been linked with poor mental health outcomes. This article explores the extent to which the relatively poor mental health of young people with disabilities is related to the social conditions in which they live.

METHODS

Secondary analysis was performed on Wave 6 (2006) of the survey of Household Income and Labour Dynamics in Australia (HILDA). This nationally representative sample included 3,392 young Australians, aged 15-29, of whom 475 reported having a long-term health condition, impairment or disability.

RESULTS

Young people with disabilities reported poorer mental health than their non-disabled peers. However, this relationship was moderated by both social adversity and social support, with minimal differences in mental health observed between the groups under conditions of high social support and low financial hardship.

DISCUSSION

The results suggest that disability represents a potential adversity that may be exacerbated or ameliorated by the effects of wealth/financial hardship and social support.

CONCLUSION

It may be possible to improve the mental health of disabled people by addressing their social exclusion.

摘要

背景

残疾年轻人的心理健康状况不如非残疾同龄人。然而,与其他人相比,残疾人更有可能经历经济困难和社会支持不足,这两者都与心理健康状况不佳有关。本文探讨了残疾年轻人心理健康状况较差与他们所处的社会环境之间的关系。

方法

对澳大利亚家庭收入和劳动力动态调查(HILDA)的第六波(2006 年)数据进行了二次分析。该全国代表性样本包括 3392 名年龄在 15-29 岁的澳大利亚年轻人,其中 475 人报告患有长期健康状况、损伤或残疾。

结果

残疾年轻人的心理健康状况不如非残疾同龄人。然而,这种关系受到社会逆境和社会支持的调节,在高社会支持和低经济困难条件下,两组之间的心理健康差异很小。

讨论

结果表明,残疾可能代表一种潜在的逆境,这种逆境可能会因财富/经济困难和社会支持的影响而加剧或减轻。

结论

通过解决残疾人群体的社会排斥问题,可能改善残疾人的心理健康状况。

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