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1.5代、第二代移民儿童及外国领养儿童中的情绪与行为障碍

Emotional and Behavioral Disorders in 1.5th Generation, 2nd Generation Immigrant Children, and Foreign Adoptees.

作者信息

Tan Tony Xing

机构信息

Department of Educational and Psychological Studies, College of Education, University of South Florida, 4202 E. Fowler Ave., Tampa, FL, 33620, USA.

出版信息

J Immigr Minor Health. 2016 Oct;18(5):957-965. doi: 10.1007/s10903-016-0388-0.

Abstract

Existing theories (e.g., acculturative stress theory) cannot adequately explain why mental disorders in immigrants are less prevalent than in non-immigrants. In this paper, the culture-gene co-evolutionary theory of mental disorders was utilized to generate a novel hypothesis that connection to heritage culture reduces the risk for mental disorders in immigrant children. Four groups of children aged 2-17 years were identified from the 2007 United States National Survey of Children's Health: 1.5th generation immigrant children (n = 1378), 2nd generation immigrant children (n = 4194), foreign adoptees (n = 270), and non-immigrant children (n = 54,877). The 1.5th generation immigrant children's connection to their heritage culture is stronger than or similar to the 2nd generation immigrants, while the foreign adoptees have little connection to their birth culture. Controlling for age, sex, family type and SES, the odds for having ADD/ADHD, Conduct Disorder, Anxiety Disorder, and Depression diagnosis were the lowest for the 1.5th generation immigrant children, followed by the 2nd generation immigrant children and the foreign adoptees. The foreign adoptees and non-adopted children were similar in the odds of having these disorders. Connection to heritage culture might be the underlying mechanism that explained recent immigrants' lower rates of mental disorders.

摘要

现有理论(如文化适应应激理论)无法充分解释为何移民中的精神障碍患病率低于非移民。在本文中,精神障碍的文化 - 基因共同进化理论被用于提出一个新假设,即与传统文化的联系会降低移民儿童患精神障碍的风险。从2007年美国全国儿童健康调查中确定了四组2至17岁的儿童:1. 1.5代移民儿童(n = 1378),2. 第二代移民儿童(n = 4194),3. 外国领养儿童(n = 270),以及4. 非移民儿童(n = 54877)。1.5代移民儿童与他们传统文化的联系比第二代移民更强或相似,而外国领养儿童与他们出生时的文化几乎没有联系。在控制了年龄、性别、家庭类型和社会经济地位后,1.5代移民儿童被诊断患有注意力缺陷多动障碍(ADD/ADHD)、品行障碍、焦虑症和抑郁症的几率最低,其次是第二代移民儿童和外国领养儿童。外国领养儿童和非领养儿童患这些疾病的几率相似。与传统文化的联系可能是解释近期移民精神障碍患病率较低的潜在机制。

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