Egan Mark, Daly Michael, Delaney Liam
Behavioural Science Centre, Stirling Management School, Stirling University, FK94LA, United Kingdom.
Behavioural Science Centre, Stirling Management School, Stirling University, FK94LA, United Kingdom.
Soc Sci Med. 2015 Jan;124:11-7. doi: 10.1016/j.socscimed.2014.11.023. Epub 2014 Nov 13.
The effect of childhood mental health on later unemployment has not yet been established. In this article we assess whether childhood psychological distress places young people at high risk of subsequent unemployment and whether the presence of economic recession strengthens this relationship. This study was based on 19,217 individuals drawn from two nationally-representative British prospective cohort studies; the Longitudinal Study of Young People in England (LSYPE) and the National Child Development Study (NCDS). Both cohorts contain rich contemporaneous information detailing the participants' early life socioeconomic background, household characteristics, and physical health. In adjusted analyses in the LSYPE sample (N = 10,232) those who reported high levels of distress at age 14 were 2 percentage points more likely than those with low distress to be unemployed between ages 16 and 21. In adjusted analyses of the NCDS sample (N = 8985) children rated as having high distress levels by their teachers at age 7 and 11 were 3 percentage points more likely than those with low distress to be unemployed between ages 16 and 23. Our examination of the 1980 UK recession in the NCDS cohort found the difference in average unemployment level between those with high versus low distress rose from 2.6 pct points in the pre-recession period to 3.9 points in the post-recession period. These findings point to a previously neglected contribution of childhood mental health to youth unemployment, which may be particularly pronounced during times of economic recession. Our findings also suggest a further economic benefit to enhancing the provision of mental health services early in life.
儿童心理健康对日后失业的影响尚未明确。在本文中,我们评估儿童期心理困扰是否会使年轻人面临较高的后续失业风险,以及经济衰退的存在是否会强化这种关系。本研究基于从两项具有全国代表性的英国前瞻性队列研究中抽取的19217名个体;英格兰青年纵向研究(LSYPE)和全国儿童发展研究(NCDS)。两个队列都包含丰富的同期信息,详细说明了参与者早年的社会经济背景、家庭特征和身体健康状况。在对LSYPE样本(N = 10232)的调整分析中,报告14岁时困扰程度高的人在16至21岁之间失业的可能性比困扰程度低的人高2个百分点。在对NCDS样本(N = 8985)的调整分析中,7岁和11岁时被教师评为困扰程度高的儿童在16至23岁之间失业的可能性比困扰程度低的儿童高3个百分点。我们对NCDS队列中1980年英国经济衰退的研究发现,困扰程度高的人与困扰程度低的人之间的平均失业水平差异从衰退前的2.6个百分点上升到衰退后的3.9个百分点。这些发现表明儿童心理健康对青年失业的贡献此前被忽视了,这在经济衰退时期可能尤为明显。我们的研究结果还表明,在生命早期加强心理健康服务的提供会带来进一步的经济效益。