Bannink Rienke, Pearce Anna, Hope Steven
Department of Public Health, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
Department of Population, Policy and Practice, UCL Institute of Child Health, London, UK.
Arch Dis Child. 2016 Oct;101(10):917-21. doi: 10.1136/archdischild-2015-309651. Epub 2016 Mar 8.
Self-esteem and life satisfaction are important aspects of positive mental health in young people, and both are socially distributed. However, the majority of evidence is based on socioeconomic characteristics of the family. As children enter adolescence and gain independence, perceptions of their own social position are likely to influence mental health.
Using data on 11-year-olds from the UK Millennium Cohort Study, we investigated associations of both family income and young adolescents' perception of their social position with self-esteem and life satisfaction. We hypothesised that there would be differences in the impact of perceived social position on positive mental health when investigating the full scale scoring distribution or the bottom of the distribution. Therefore, we estimated proportional odds for having greater positive mental health (across the distribution of scores) and ORs for poor outcomes (lowest 10% scores).
The likelihood of greater self-esteem and life satisfaction increased with income; similarly, the risk of having poor self-esteem and life satisfaction increased as income decreased. Young adolescents who perceived their family as poorer than their friends (instead of about the same) were less likely to have greater self-esteem and life satisfaction and were more likely to have poor outcomes. Young adolescents who perceived their family as richer were more likely to have poor self-esteem, but were not less likely to have greater self-esteem. For life satisfaction, young adolescents who perceived their families as richer were less likely to have greater and more likely to have poor life satisfaction.
Policies to redistribute income in families with children are likely to benefit the mental health of young people. However, it is also important to consider the impact of social comparison on young people's mental health as they enter adolescence.
自尊和生活满意度是年轻人积极心理健康的重要方面,且二者都存在社会分布差异。然而,大多数证据是基于家庭的社会经济特征。随着儿童进入青春期并获得独立,他们对自身社会地位的认知可能会影响心理健康。
利用英国千禧世代研究中11岁儿童的数据,我们调查了家庭收入以及青少年对自身社会地位的认知与自尊和生活满意度之间的关联。我们假设,在研究全量表得分分布或分布底部时,感知到的社会地位对积极心理健康的影响会存在差异。因此,我们估计了拥有更高积极心理健康水平(在得分分布范围内)的比例优势以及不良结果(得分最低的10%)的比值比。
自尊和生活满意度更高的可能性随收入增加而上升;同样,自尊和生活满意度较低的风险也随收入降低而增加。那些认为自己家庭比朋友家更贫困(而非差不多)的青少年,拥有更高自尊和生活满意度的可能性较小,出现不良结果的可能性更大。那些认为自己家庭更富裕的青少年更有可能自尊较低,但拥有更高自尊的可能性并不小。对于生活满意度而言,那些认为自己家庭更富裕的青少年拥有更高生活满意度的可能性较小,且更有可能生活满意度较低。
在有孩子的家庭中重新分配收入的政策可能有利于年轻人的心理健康。然而,在青少年进入青春期时,考虑社会比较对他们心理健康的影响也很重要。