Division of Maternal and Child Health, Kentucky Department for Public Health, 275 East Main Street, Frankfort, KY 40601, USA.
Matern Child Health J. 2012 Dec;16 Suppl 2:287-97. doi: 10.1007/s10995-012-1187-4.
This study examines the associations among parental active involvement and healthy role modeling behavior with social behavior among children in Kentucky and the nation. Data from the 2007 National Survey of Children's Health was used, limited to children 6-17 years old. The dependent variable was a composite measure of problematic social behavior. Independent variables included parental involvement, parental healthy role modeling, and demographic variables. Chi square tests of independence were completed for bivariate analyses and multivariable logistic regression models were developed for Kentucky and the nation. The prevalence of problematic social behaviors in children was 10.4 % in Kentucky and 8.8 % in the nation. The parents of children in Kentucky who often exhibited problematic social behavior reported poor parent-child communication (50.4 %), not coping well with parenthood (56.5 %), parental aggravation (48.3 %), and less emotional help with parenting (9.1 %). The factor with the largest magnitude of association in Kentucky (adjusted odds ratio [AOR] = 6.2; 95 % confidence interval [CI]: 1.6, 24.5) and the nation (AOR = 4.8; 95 % CI: 3.3, 7.0) was observed for whether or not the parent communicated well with the child. Additional factors associated with problematic social behavior among children in Kentucky were living in a single parent, mother-led household, and having a parent with fair or poor mental health. Public health programs that target factors addressing the parent-child dyad, parent-child communication, and model healthy relationships may reduce the occurrence of problematic social behavior in 6-17-year-old children in Kentucky.
本研究考察了肯塔基州和全国儿童父母积极参与和健康榜样行为与儿童社会行为之间的关联。本研究使用了 2007 年全国儿童健康调查的数据,仅限于 6-17 岁的儿童。因变量是一种有问题的社会行为的综合衡量标准。自变量包括父母参与、父母健康榜样行为和人口统计学变量。进行了独立性卡方检验进行双变量分析,并为肯塔基州和全国开发了多变量逻辑回归模型。肯塔基州有问题的社会行为儿童的患病率为 10.4%,全国为 8.8%。肯塔基州有问题的社会行为儿童的父母报告亲子沟通不良(50.4%)、父母育儿能力差(56.5%)、父母激怒(48.3%)和育儿时情感支持较少(9.1%)。肯塔基州(调整后的优势比 [AOR] = 6.2;95%置信区间 [CI]:1.6,24.5)和全国(AOR = 4.8;95% CI:3.3,7.0)关联程度最大的因素是父母与孩子沟通的好坏。肯塔基州与儿童有问题的社会行为相关的其他因素包括单亲、母亲主导的家庭,以及父母心理健康状况一般或较差。针对解决亲子二元关系、亲子沟通和树立健康关系的因素的公共卫生计划,可能会减少肯塔基州 6-17 岁儿童有问题的社会行为的发生。