Hysing Mari, Petrie Keith J, Bøe Tormod, Sivertsen Børge
The Regional Centre for Child and Youth Mental Health and Child Welfare, Uni Research Health, Postboks 7810, 5020, Bergen, Norway.
Department of Psychological Medicine, University of Auckland, Auckland, 1142, New Zealand.
BMC Public Health. 2017 May 12;17(1):439. doi: 10.1186/s12889-017-4368-7.
Previous studies have proposed that having parents out of work may influence adolescent illness behaviour and school attendance. However, prior research investigating this question has been limited by retrospective reporting and case control studies. In a large epidemiological study we investigated whether parental work absence was associated with symptom complaints and increased school absenteeism in adolescents.
We analysed data from a large epidemiological study of 10,243 Norwegian adolescents aged 16-19. Participants completed survey at school, which included demographic data, parental work absence and current health complaints. An official registry provided school attendance data.
Parental work absence was significantly related to the number of adolescent symptom complaints as well as school absenteeism. Having a father out of work was associated with an increased likelihood of being in the highest quartile of symptom reporting by an odds-ratio of 2.2 and mother by 1.6 (compared to the lowest quartile). Similarly, parental work absenteeism was associated with an increased likelihood of being in the highest quartile for school absence by an odds-ratio of 1.9 for a father being out of work and 1.5 for a mother out of work. We found that the number of adolescent symptom complaints mediated the relationship between parental work absenteeism and school absenteeism.
We found that parental work absence was significantly associated with the number of adolescent symptom complaints and school absenteeism. The results suggest that parents may play a critical modelling role in the intergenerational transmission of illness and disability behaviour.
先前的研究表明，父母失业可能会影响青少年的疾病行为和上学出勤率。然而，此前针对这一问题的研究受到回顾性报告和病例对照研究的限制。在一项大型流行病学研究中，我们调查了父母失业是否与青少年的症状主诉及旷课率增加有关。
我们分析了一项针对10243名16至19岁挪威青少年的大型流行病学研究的数据。参与者在学校完成了调查，其中包括人口统计学数据、父母失业情况和当前的健康主诉。一个官方登记处提供了上学出勤数据。
父母失业与青少年的症状主诉数量以及旷课率显著相关。父亲失业与处于症状报告最高四分位数的可能性增加相关，优势比为2.2，母亲失业时优势比为1.6（与最低四分位数相比）。同样，父母失业与旷课处于最高四分位数的可能性增加相关，父亲失业时优势比为1.9，母亲失业时优势比为1.5。我们发现，青少年的症状主诉数量介导了父母失业与旷课之间的关系。
我们发现父母失业与青少年的症状主诉数量和旷课率显著相关。结果表明，父母可能在疾病和残疾行为的代际传递中发挥关键的榜样作用。
