Reid Keshia M
Community Health Practice and Analysis, Division of Community Health Promotion, Florida Department of Health, Tallahassee, FL, USA,
Matern Child Health J. 2015 May;19(5):1071-7. doi: 10.1007/s10995-014-1607-8.
The purpose of this study was to examine how parents' emotional health relates to childhood mood and anxiety disorder among Florida children in the 2011-2012 National Survey of Children's Health. Analyses were restricted to 1,241 Florida children 6-17 years of age. Childhood mood and anxiety disorder was defined as a parent-reported diagnosis of current depression or anxiety. Parents' emotional health status was a composite measure of the lowest reported emotional health of any parent in the household. To assess the association between parents' emotional health and childhood mood and anxiety disorder, bivariate and multivariate logistic regression analyses were performed. Nearly 5 % of Florida children had a mood or anxiety disorder in 2011-2012. Children living with a parent in poor emotional health were significantly more likely to have a mood or anxiety disorder compared to children living with a parent in good emotional health (OR 5.01; 95 % CI 1.89, 13.29). After adjusting for covariates, this association remained substantial and significant (aOR 4.33; 95 % CI 1.49, 12.57). Findings presented here are consistent with national findings and emphasize the strong link between parents' emotional health status and childhood mood and anxiety disorders. To address the mental health of children in the state of Florida, Florida public health initiatives should consider family processes and child level characteristics.
本研究的目的是在2011 - 2012年全国儿童健康调查中,考察佛罗里达州儿童的父母情绪健康与儿童情绪及焦虑障碍之间的关系。分析仅限于1241名6 - 17岁的佛罗里达州儿童。儿童情绪及焦虑障碍被定义为家长报告的当前抑郁或焦虑诊断。父母的情绪健康状况是家庭中任何一位家长所报告的最低情绪健康水平的综合衡量指标。为评估父母情绪健康与儿童情绪及焦虑障碍之间的关联,进行了双变量和多变量逻辑回归分析。在2011 - 2012年,近5%的佛罗里达州儿童患有情绪或焦虑障碍。与父母情绪健康良好的儿童相比,与情绪健康不佳的父母生活在一起的儿童患情绪或焦虑障碍的可能性显著更高(比值比5.01;95%置信区间1.89, 13.29)。在对协变量进行调整后,这种关联仍然显著(调整后比值比4.33;95%置信区间1.49, 12.57)。此处呈现的研究结果与全国性研究结果一致,并强调了父母情绪健康状况与儿童情绪及焦虑障碍之间的紧密联系。为解决佛罗里达州儿童的心理健康问题,佛罗里达州的公共卫生倡议应考虑家庭因素和儿童层面的特征。