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加拿大移民儿童心理健康的预测因素:是选择、定居意外情况、文化,还是以上所有因素?

Predictors of immigrant children's mental health in Canada: selection, settlement contingencies, culture, or all of the above?

作者信息

Beiser Morton, Goodwill Alasdair M, Albanese Patrizia, McShane Kelly, Nowakowski Matilda

机构信息

Department of Psychology, Ryerson University, Toronto, Canada,

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2014 May;49(5):743-56. doi: 10.1007/s00127-013-0794-8. Epub 2013 Dec 7.

DOI:10.1007/s00127-013-0794-8
PMID:24318040
Abstract

BACKGROUND AND STUDY AIMS

A previous publication from the New Canadian Children and Youth Study, a national study of immigrant children and youth in Canada, showed a gradient of levels of emotional distress with children from Hong Kong (HK) at the most severe end, Filipino children at the least severe, and children from the People's Republic of China (PRC) in between. Based on the premise that country of origin can be regarded as an index for differing immigration trajectories, the current study examines the extent to which arrival characteristics, resettlement contingencies and cultural factors account for country of origin variations in immigrant children's mental health. Arrival characteristics included child's age at arrival, parental education, parental fluency in English or French, and assistance from family at arrival. Resettlement contingencies included parental mental health, intra-familial conflict, settlement stress, separations from parents and child's age when mother started working outside the home. Cultural factors included one-child family composition and parenting styles.

METHODS

A national survey of 2,031 families with at least one child between the ages of 4 and 6 or 11 and 13 from HK, the PRC and the Philippines was conducted with the Person Most Knowledgeable (PMK) in snowball-generated samples in 6 different cities across Canada. Predictors of the dependent variable, emotional problems (EP), were examined in a hierarchical block regression analysis. EP was regressed on ethnic and country of origin group in model 1; arrival characteristics were added in model 2; resettlement contingencies in model 3 and cultural factors in model 4.

RESULTS

The final set of predictor variables accounted for 19.3 % of the variance in EP scores among the younger cohort and 23.2 % in the older. Parental human and social capital variables accounted for only a small amount of the overall variance in EP, but there were statistically significant inverse relationships between EP and PMK fluency in English or French. Settlement contingencies accounted for a significant increase in the explanatory power of the regression equation, net of the effects of country of origin and selection characteristics. This block of variables also accounted for the Filipino mental health advantage. Levels of parent's depression and somatization, harsh parenting, intrafamilial conflict, and resettlement stress each varied directly with levels of children's EP. Cultural variables made a significant contribution to explaining the variance in EP scores. Harsh parenting was significantly associated with increased levels of EP in both age groups, and supportive parenting was a mental health protective factor for younger children.

CONCLUSIONS

Immigrant family human and social capital, according to which immigrants are selected for admission to Canada, play a relatively small role in determining children's mental health. These effects are overshadowed by resettlement contingencies and cultural influences. Concentrating on trying to find a formula to select the "right" immigrants while neglecting settlement and culture is likely to pay limited dividends for ensuring the mental health of children.

摘要

背景与研究目的

加拿大一项针对移民儿童和青少年的全国性研究——《加拿大新儿童与青少年研究》之前发表的一篇文章显示,在情绪困扰程度上存在梯度差异,来自香港的儿童情绪困扰最为严重,菲律宾儿童最轻,中国大陆儿童则介于两者之间。基于原籍国可被视为不同移民轨迹指标这一前提,本研究考察了移民儿童心理健康方面,抵达特征、重新安置情况及文化因素在多大程度上解释了原籍国差异。抵达特征包括儿童抵达时的年龄、父母教育程度、父母英语或法语流利程度以及抵达时家庭给予的帮助。重新安置情况包括父母心理健康状况、家庭内部冲突、安置压力、与父母分离以及母亲开始外出工作时孩子的年龄。文化因素包括独生子女家庭构成和育儿方式。

方法

在加拿大6个不同城市通过滚雪球抽样选取样本,对2031个家庭进行全国性调查,这些家庭至少有一个4至6岁或11至13岁的孩子,分别来自香港、中国大陆和菲律宾,调查对象为最了解情况的人(PMK)。在分层逐步回归分析中考察因变量情绪问题(EP)的预测因素。模型1中,将种族和原籍国组作为EP的回归变量;模型2中加入抵达特征;模型3中加入重新安置情况;模型4中加入文化因素。

结果

最终一组预测变量解释了较年幼儿童队列中EP得分方差的19.3%,较年长儿童队列中为23.2%。父母的人力和社会资本变量仅解释了EP总体方差的一小部分,但EP与PMK的英语或法语流利程度之间存在统计学上显著的负相关关系。扣除原籍国和选择特征的影响后,重新安置情况使回归方程的解释力显著增加。这组变量也解释了菲律宾儿童在心理健康方面的优势。父母的抑郁和躯体化水平、严厉育儿方式、家庭内部冲突以及安置压力均与儿童的EP水平直接相关。文化变量对解释EP得分方差有显著贡献。严厉育儿方式在两个年龄组中均与EP水平升高显著相关,而支持性育儿方式对年幼儿童是一种心理健康保护因素。

结论

根据移民进入加拿大的选择标准,移民家庭的人力和社会资本在决定儿童心理健康方面作用相对较小。这些影响被重新安置情况和文化影响所掩盖。在忽视安置和文化的情况下,专注于寻找挑选“合适”移民的公式,对于确保儿童心理健康可能收效甚微。

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