Li Mengying, Riis Jenna L, Ghazarian Sharon R, Johnson Sara B
*Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; †Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, MD; ‡Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
J Dev Behav Pediatr. 2017 Feb/Mar;38(2):99-108. doi: 10.1097/DBP.0000000000000380.
Self-regulation (SR) is a core aspect of child development with enduring effects on health and wellbeing across the lifespan. Early childhood poverty may shape SR development. This study examined the cross-sectional relationship among family income, family context, and SR in 5-year-old children.
A total of 140 five-year-old children and their mothers participated in the study. Children completed a battery of SR tasks; mothers completed questionnaires. Cognitive and emotional SR composite scores were generated based on a principal component analysis of the SR tasks. The SR scores were first regressed on family income (in 10 levels ranging from <5000 to 150,000+) adjusting for age, sex, and race of the child; family context variables were subsequently added to the models.
Controlling for age, sex, and race, each level increase in family income was associated with 0.04 SD increase in emotional SR (p = .32) and 0.08 SD increase in cognitive SR (p = .01). In fully adjusted models, exposure to household instability and experiencing 10 or more negative life events was associated with worse emotional SR; exposure to mother's depressive symptoms was associated with worse cognitive SR. Higher income buffered children's SR from some contextual risk factors. Family contextual variables explained 62% of the correlation between higher income and better cognitive SR scores.
Income-based cognitive SR disparities were associated with family contextual factors. Screening for family adversity in pediatric care and linking families to needed resources may protect children's developing SR capacities, with benefits to health and well-being.
自我调节(SR)是儿童发展的核心方面,对一生的健康和幸福都有持久影响。幼儿期贫困可能会影响SR的发展。本研究调查了5岁儿童家庭收入、家庭环境与SR之间的横断面关系。
共有140名5岁儿童及其母亲参与了该研究。儿童完成了一系列SR任务;母亲完成了问卷调查。基于SR任务的主成分分析得出认知和情绪SR综合得分。首先将SR得分对家庭收入(分为10个等级,从<5000到150,000+)进行回归分析,并对儿童的年龄、性别和种族进行校正;随后将家庭环境变量添加到模型中。
在控制了年龄、性别和种族后,家庭收入每增加一个等级,情绪SR增加0.04标准差(p = 0.32),认知SR增加0.08标准差(p = 0.01)。在完全校正的模型中,经历家庭不稳定和10次或更多负面生活事件与较差的情绪SR相关;母亲有抑郁症状与较差的认知SR相关。较高的收入缓冲了儿童SR免受一些环境风险因素的影响。家庭环境变量解释了较高收入与较好认知SR得分之间62%的相关性。
基于收入的认知SR差异与家庭环境因素有关。在儿科护理中筛查家庭逆境并将家庭与所需资源联系起来,可能会保护儿童正在发展的SR能力,对健康和幸福有益。