MRC/CSO Social and Public Health Sciences Unit, Glasgow, UK.
J Epidemiol Community Health. 2012 Oct;66(10):942-50. doi: 10.1136/jech-2011-200316. Epub 2012 Feb 6.
The relationship between childhood residential mobility and health in the UK is not well established; however, research elsewhere suggests that frequent childhood moves may be associated with poorer health outcomes and behaviours. The aim of this paper was to compare people in the West of Scotland who were residentially stable in childhood with those who had moved in terms of a range of health measures.
A total of 850 respondents, followed-up for a period of 20 years, were included in this analysis. Childhood residential mobility was derived from the number of addresses lived at between birth and age 18. Multilevel regression was used to investigate the relationship between childhood residential mobility and health in late adolescence (age 18) and adulthood (age 36), accounting for socio-demographic characteristics and frequency of school moves. The authors examined physical health measures, overall health, psychological distress and health behaviours.
Twenty per cent of respondents remained stable during childhood, 59% moved one to two times and 21% moved at least three times. For most health measures (except physical health), there was an increased risk of poor health that remained elevated for frequent movers after adjustment for socio-demographic characteristics and school moves (but was only significant for illegal drug use).
Risk of poor health was elevated in adolescence and adulthood with increased residential mobility in childhood, after adjusting for socio-demographic characteristics and school moves. This was true for overall health, psychological distress and health behaviours, but physical health measures were not associated with childhood mobility.
英国儿童居住流动性与健康之间的关系尚未得到充分证实；然而，其他地方的研究表明，频繁的儿童迁居可能与较差的健康结果和行为有关。本文的目的是比较苏格兰西部在儿童时期居住稳定的人与迁居者在一系列健康指标方面的差异。
本分析共纳入了 850 名随访 20 年的受访者。儿童居住流动性是根据出生至 18 岁期间居住地址的数量得出的。采用多层次回归分析方法，考察了儿童居住流动性与青少年（18 岁）和成年（36 岁）时期健康之间的关系，同时考虑了社会人口特征和学校迁居频率。作者研究了身体健康指标、整体健康、心理困扰和健康行为。
20%的受访者在儿童时期保持稳定，59%的受访者迁居 1-2 次，21%的受访者迁居 3 次或以上。对于大多数健康指标（身体健康指标除外），迁居频繁的人健康状况较差的风险增加，调整社会人口特征和学校迁居频率后，这种风险仍然较高（但仅与非法药物使用显著相关）。
在调整了社会人口特征和学校迁居频率后，儿童时期居住流动性增加与青少年和成年时期的健康状况较差相关，这适用于整体健康、心理困扰和健康行为，但与儿童迁居无关的身体健康指标。
