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[加泰罗尼亚儿童心理健康方面的社会经济不平等现象]

[Socio-economic inequalities in children's mental health in Catalonia].

作者信息

Rajmil L, López-Aguilà S, Mompart Penina A, Medina Bustos A, Rodríguez Sanz M, Brugulat Guiteras P

机构信息

Agència d'Avaluació de Tecnologia i Recerca Mèdiques, Barcelona, España.

出版信息

An Pediatr (Barc). 2010 Nov;73(5):233-40. doi: 10.1016/j.anpedi.2010.02.022. Epub 2010 May 26.

DOI:10.1016/j.anpedi.2010.02.022
PMID:20537972
Abstract

OBJECTIVES

To analyse socio-economic and health status factors associated with poor mental health in a representative sample of children 4 to 14 years old in Catalonia.

METHODS

The data comes from a subsample of the Catalan Health Interview Survey 2006 (CHIS) (n=1821). Proxy-respondents, mainly mothers, answered the Strengths and Difficulties Questionnaire (SDQ). The SDQ dimension scores and the Total difficulties score were analysed by socio-demographics and health status factors. Multivariate linear regression models were fitted to analyse the influence of socio-economic and health status factors on mental health.

RESULTS

In general, being in a disadvantaged family, single-parent families, a family whose mother had lower level of education, and those children reporting physical health problems, have been factors associated with worse child mental health in most of SDQ dimension scores. Factors associated with Total difficulties were, being a girl (beta coefficient: -1.6), from disadvantaged social classes (group IV-V: 1.6), at lower level of maternal education (mother's educational primary level or less: 1.2), being in a single-parent family (1.5), and reporting health problems (3 or more health problems: 3.9).

CONCLUSIONS

Children from disadvantaged families, and single-parent families are at higher risk of worse mental health than their counterparts in the advantaged groups. The study contributes to collecting information for monitoring and approaching mental health in children.

摘要

目的

分析加泰罗尼亚4至14岁儿童代表性样本中与心理健康不佳相关的社会经济和健康状况因素。

方法

数据来自2006年加泰罗尼亚健康访谈调查(CHIS)的一个子样本(n = 1821)。代理受访者主要是母亲,回答了优势与困难问卷(SDQ)。通过社会人口统计学和健康状况因素分析SDQ维度得分和总困难得分。采用多元线性回归模型分析社会经济和健康状况因素对心理健康的影响。

结果

总体而言,处于弱势家庭、单亲家庭、母亲教育水平较低的家庭以及那些报告有身体健康问题的儿童,在大多数SDQ维度得分中都与较差的儿童心理健康相关。与总困难相关的因素包括:是女孩(β系数:-1.6)、来自弱势社会阶层(第四 - 五组:1.6)、母亲教育水平较低(母亲的教育水平为小学及以下:1.2)、处于单亲家庭(1.5)以及报告有健康问题(3个或更多健康问题:3.9)。

结论

弱势家庭和单亲家庭的儿童比优势群体中的儿童心理健康状况更差的风险更高。该研究有助于收集信息以监测和关注儿童心理健康。

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