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三代同堂与欧洲国家儿童心理健康

Three-generation households and child mental health in European countries.

机构信息

Ecole des Hautes Etudes en Santé Publique, EA 4057 Université Paris Descartes, Paris, France.

Radboud University Nijmegen, Nijmegen, The Netherlands.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2019 Apr;54(4):427-436. doi: 10.1007/s00127-018-1640-9. Epub 2018 Dec 8.

Abstract

PURPOSE

To evaluate the associations between the presence of a grand parent at home that is three-generation household, with children mental health in diverse countries whether this situation is frequent or not.

METHODS

Data from the School Children Mental Health in Europe cross-sectional survey in six countries (n = 4582) were used to examine the association between three-generation households and child mental health across Europe. The parent and teacher Strengths and Difficulties Questionnaire was combined to assess child mental clinical problems.

RESULTS

Overall, 25.13% of European families live with at least one grandparent: 5.46% in Western and 29.70% in Eastern Europe. Controlling for key sociodemographic variables and for country of residence, the presence of a grandparent is associated with an increased risk for child mental health problems in the total sample (OR 1.37, p = 0.002). In two-parent homes, the effect of the presence of a grandparent is significant (OR 1.40, p = 0.026), while it is not in single-parent homes. In each country, the presence of a grandparent is a risk for either externalizing or internalizing problems.

CONCLUSIONS

Programs may be developed to educate elderly people to better respect their children's role as parents so having a grandparent in the home can become an asset for family members rather than a burden.

摘要

目的

评估祖孙三代同住(大家庭)与儿童心理健康之间的关联,不论这种情况是否常见,涉及多个国家。

方法

利用来自六个国家(n=4582)的“欧洲儿童心理健康学校调查”的横断面数据,考察欧洲三代同堂家庭与儿童心理健康之间的关系。采用父母和教师的长处和困难问卷来评估儿童的心理健康临床问题。

结果

总体而言,欧洲有 25.13%的家庭与至少一位祖辈同住:西欧为 5.46%,东欧为 29.70%。在控制了主要的社会人口变量和居住国家后,大家庭的存在与儿童心理健康问题的风险增加相关(OR 1.37,p=0.002)。在双亲家庭中,祖辈存在的影响显著(OR 1.40,p=0.026),而在单亲家庭中则不显著。在每个国家,祖辈的存在都是导致外化或内化问题的一个风险因素。

结论

可以制定一些方案来教育老年人,让他们更好地尊重子女作为父母的角色,以便让祖辈在家庭中能够成为家庭成员的资产,而不是负担。

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