Ecole des Hautes Etudes en Santé Publique, EA 4057 Université Paris Descartes, Paris, France.
Radboud University Nijmegen, Nijmegen, The Netherlands.
Soc Psychiatry Psychiatr Epidemiol. 2019 Apr;54(4):427-436. doi: 10.1007/s00127-018-1640-9. Epub 2018 Dec 8.
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.
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.
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.
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.
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。
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。
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。
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。