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家庭经济资源与青少年健康问题——青少年自身的经济资源重要吗?

The family's economic resources and adolescents' health complaints--do adolescents' own economic resources matter?

机构信息

Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden.

出版信息

Eur J Public Health. 2013 Feb;23(1):24-9. doi: 10.1093/eurpub/cks038. Epub 2012 Apr 28.

Abstract

BACKGROUND

The present study focuses on the relevance of economic resources to psychological and psychosomatic health complaints during adolescence. It explores the link between the family's and the adolescent's economic resources and investigates whether or not differences in health complaints by the family's financial situation can be explained by adolescents' own economic resources.

METHODS

Drawing on data from two Swedish surveys on living conditions during adolescence (in the age group 10-18 years) conducted in 2002-03, logistic regressions were used to assess the associations between adolescents' own and household economic resources on two measures of health complaints.

RESULTS

The association between family economic hardship (i.e. lack of cash margin) and adolescents' health complaints largely disappeared when controlling for adolescents' own economic resources. Three measures of own absolute and relative economic resources were used. Out of these, the ability (or not) to buy things that others have was connected with both psychological [Odds ratio (OR) 2.16, 95% confidence interval (95% CI) 1.6-2.9] and psychosomatic complaints (OR 1.67, 95% CI 1.3-2.1), irrespective of age and gender. The importance of lacking a personal cash margin or not being able to join friends seemed to differ between age groups and genders.

CONCLUSIONS

The importance of different aspects of economic resources seems to vary across age groups and gender. However, not being able to buy things that others have was clearly associated with health complaints irrespective of age and gender. Family economic hardship was associated with adolescents' health complaints, and this association was largely explained by adolescents' own economic resources.

摘要

背景

本研究关注经济资源与青少年时期心理和身心健康问题之间的相关性。探讨了家庭和青少年自身经济资源与健康问题之间的联系,并调查了家庭经济状况是否会导致青少年健康问题的差异,而这种差异是否可以用青少年自身的经济资源来解释。

方法

利用 2002-03 年进行的两项瑞典青少年生活条件调查(年龄在 10-18 岁之间)的数据,采用逻辑回归评估了青少年自身和家庭经济资源与两种健康问题之间的关系。

结果

当控制青少年自身经济资源时,家庭经济困难(即缺乏现金缓冲)与青少年健康问题之间的关联大大减弱。使用了三种衡量自身绝对和相对经济资源的方法。其中,有能力(或没有能力)购买他人拥有的东西与心理问题[比值比(OR)2.16,95%置信区间(95%CI)1.6-2.9]和身心问题(OR 1.67,95%CI 1.3-2.1)均有关联,而与年龄和性别无关。缺乏个人现金缓冲或无法与朋友交往的重要性似乎因年龄组和性别而异。

结论

经济资源的不同方面的重要性似乎因年龄组和性别而异。然而,无法购买他人拥有的东西显然与健康问题有关,而与年龄和性别无关。家庭经济困难与青少年的健康问题有关,而这种关联在很大程度上可以用青少年自身的经济资源来解释。

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