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贫困动态与父母心理健康:英国儿童心理健康的决定因素

Poverty dynamics and parental mental health: Determinants of childhood mental health in the UK.

作者信息

Fitzsimons Emla, Goodman Alissa, Kelly Elaine, Smith James P

机构信息

UCL Institute of Education, 20 Bedford Way, London, UK; Institute for Fiscal Studies, 7 Ridgmount Street, London, UK.

Institute for Fiscal Studies, 7 Ridgmount Street, London, UK.

出版信息

Soc Sci Med. 2017 Feb;175:43-51. doi: 10.1016/j.socscimed.2016.12.040. Epub 2016 Dec 28.

Abstract

Using data from the British Millennium Cohort Study (MCS), an ongoing longitudinal study of a cohort of 18,827 children born in the UK in 2000-2001, we investigate important correlates of mental health issues during childhood. MCS respondents were sampled at birth, at age 9 months, and then when they were 3, 5, 7 and 11 years old. Each sweep contains detailed information on the family's SES, parenting activities, developmental indicators, parental relationship status, and indicators of parental mental health. The Strengths and Difficulties Questionnaire (SDQ) and the related Rutter scale were used to identify behavioral and emotional problems in children. In this paper, childhood problems are separated into four domains: hyperactivity, emotional symptoms, conduct problems, and peer problems. We focus on two aspects of this relationship at ages 5 and 11-the role of temporary and persistent poverty and the role of temporary and persistent mental health problems of mothers and fathers. At ages 11 and 5, without other controls in the model, persistent and transitory poverty have strong estimated associations with all four domains, with somewhat stronger estimated effects for persistent poverty. After a set of controls are added, we document that both persistent levels of poverty and transitions into poverty are strongly associated with levels of and transitions into childhood mental health problems. Similarly, sustained levels and transitions into mothers' mental health problems are strongly associated with levels and transitions into children's mental health problems. This is much less so for fathers.

摘要

利用英国千禧世代研究(MCS)的数据,我们对童年时期心理健康问题的重要相关因素展开调查。MCS是一项针对2000 - 2001年在英国出生的18827名儿童进行的持续纵向研究。MCS的受访者在出生时、9个月大时,以及3岁、5岁、7岁和11岁时接受抽样调查。每次调查都包含有关家庭社会经济地位(SES)、育儿活动、发育指标、父母关系状况以及父母心理健康指标的详细信息。优势与困难问卷(SDQ)及相关的拉特量表被用于识别儿童的行为和情绪问题。在本文中,童年问题被分为四个领域:多动、情绪症状、品行问题和同伴问题。我们关注5岁和11岁时这种关系的两个方面——临时和持续贫困的作用以及父母临时和持续心理健康问题的作用。在11岁和5岁时,在模型中没有其他控制变量的情况下,持续和短暂贫困与所有四个领域都有很强的估计关联,持续贫困的估计影响略强。添加一组控制变量后,我们发现贫困的持续水平和陷入贫困的转变都与童年心理健康问题的水平和转变密切相关。同样,母亲心理健康问题的持续水平和转变与儿童心理健康问题的水平和转变也密切相关。父亲的情况则远非如此。

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