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一项关于从青少年早期到成年初期基于家庭社会经济地位的抑郁症状不平等现象的调查。

An investigation of family SES-based inequalities in depressive symptoms from early adolescence to emerging adulthood.

作者信息

Wickrama K A S, Noh Samuel, Elder Glen H

机构信息

Department of Human Development And Family Studies Iowa State University, United States.

出版信息

Adv Life Course Res. 2009 Dec;14(3). doi: 10.1016/j.alcr.2010.04.001.

Abstract

Using the life course cumulative advantage/disadvantage (CAD) perspective, this study examines the influence of early family SES on trajectories of depressive symptoms spanning from early adolescence to early adulthood, as well as variations in SES-based inequality in depressive symptoms trajectories over this period. This study looks at direct influences of family SES and SES-age interactions (exposure-dependent CAD mechanisms), as well as indirect influences through SES-linked youth experiences (path-dependent CAD mechanisms) to explain variations in SES-based inequality. Data was derived from the Add Health study- a national longitudinal survey of 14,000 adolescents. Results showed large and significant effects of early family SES and associated factors on depressive symptoms in early adolescence, but diminishing effects in middle and late adolescence, supporting the hypothesis of equalization in adolescent health across levels of SES. Disparities in depression reemerged as adolescents entered adulthood, supporting the view that SES-based health equalization is only a temporary process. These findings also strengthen the concept of life course CAD processes, stemming from family characteristics, coming into play later in life. Early family SES was directly and indirectly related to a set of transition-related risks and challenges during emerging adulthood, to which young adults from families of higher SES responded more effectively than those of lower SES. This paper discusses theoretical and methodological implications of the findings.

摘要

本研究运用生命历程累积优势/劣势(CAD)视角,考察早期家庭社会经济地位(SES)对从青少年早期到成年早期抑郁症状轨迹的影响,以及在此期间基于SES的抑郁症状轨迹不平等的变化。本研究着眼于家庭SES的直接影响以及SES与年龄的相互作用(暴露依赖型CAD机制),还有通过与SES相关的青少年经历产生的间接影响(路径依赖型CAD机制),以解释基于SES的不平等的变化。数据来源于“青少年健康纵向研究”(Add Health研究)——一项对14000名青少年的全国性纵向调查。结果显示,早期家庭SES及相关因素对青少年早期的抑郁症状有巨大且显著的影响,但在青少年中期和晚期影响逐渐减弱,这支持了SES各水平间青少年健康趋于平等的假设。随着青少年进入成年期,抑郁症的差异再度出现,这支持了基于SES的健康平等只是一个暂时过程的观点。这些发现还强化了生命历程CAD过程的概念,即源于家庭特征的影响在生命后期发挥作用。早期家庭SES与成年初期一系列与过渡相关的风险和挑战直接或间接相关,SES较高家庭的年轻人比SES较低家庭的年轻人对这些风险和挑战应对得更有效。本文讨论了这些发现的理论和方法学意义。

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