1 Douglas Mental Health University Institute, McGill University, Montreal, Quebec.
2 Department of Psychiatry, McGill University, Montreal, Quebec.
Can J Psychiatry. 2019 May;64(5):338-344. doi: 10.1177/0706743718815899. Epub 2018 Dec 30.
Recent studies suggest that youth who have a mental health problem are more likely to be NEET-not in education, employment, or training-but findings remain mixed, and evidence from Canada is limited. We examined this association across a range of mental and substance disorders in a representative sample of Canadian youth.
Data were from the 2012 Canadian Community Health Survey-Mental Health ( n = 5622; ages 15-29). The survey identified past-year mental (depression, bipolar, generalized anxiety) and substance (alcohol, cannabis, other drugs) disorders from a structured interview and included questions on suicidal ideation. We classified as NEET respondents who were not in school or employed in the past week. Logistic regression models tested the associations between mental and substance disorders and NEET status, adjusted for sociodemographic, health, and geographic variables.
About 10% of youth were NEET. Being NEET was associated with past-year depression (odds ratio [OR] = 1.67; 95% confidence interval [CI], 1.06 to 2.63); bipolar (OR = 2.31; 95% CI, 0.98 to 5.45), generalized anxiety (OR = 2.65; 95% CI, 1.37 to 5.12), and drug use (OR = 3.22; 95% CI, 1.33 to 7.76) disorders; and suicidal ideation (OR = 1.75; 95% CI, 0.99 to 3.09) but was not associated with alcohol (OR = 1.03; 95% CI, 0.63 to 1.69) or cannabis (OR = 0.97; 95% CI, 0.47 to 2.00) disorders.
Poor mental health was associated with being NEET in Canadian youth. Efforts targeting NEET should include provisions for mental health. Moreover, youth mental health initiatives should consider educational and employment outcomes. Further longitudinal and intervention studies are warranted.
最近的研究表明，患有心理健康问题的年轻人更有可能成为 NEET（即未在接受教育、就业或培训），但研究结果仍存在差异，且加拿大的证据有限。我们在加拿大青年的代表性样本中研究了一系列精神和物质障碍与这一关联。
数据来自 2012 年加拿大社区健康调查-心理健康（n=5622；年龄 15-29 岁）。该调查使用结构化访谈从过去一年的精神（抑郁、双相、广泛性焦虑）和物质（酒精、大麻、其他药物）障碍中识别受访者，并包括自杀意念的问题。我们将过去一周未上学或未就业的受访者归类为 NEET。逻辑回归模型检验了精神和物质障碍与 NEET 状态之间的关联，调整了社会人口统计学、健康和地理变量。
约 10%的年轻人是 NEET。过去一年患有抑郁症（比值比[OR] = 1.67；95%置信区间[CI]，1.06 至 2.63）、双相障碍（OR = 2.31；95% CI，0.98 至 5.45）、广泛性焦虑症（OR = 2.65；95% CI，1.37 至 5.12）和药物使用障碍（OR = 3.22；95% CI，1.33 至 7.76）以及有自杀意念（OR = 1.75；95% CI，0.99 至 3.09）与 NEET 状态相关，但与酒精（OR = 1.03；95% CI，0.63 至 1.69）或大麻（OR = 0.97；95% CI，0.47 至 2.00）使用障碍无关。
在加拿大青年中，较差的心理健康状况与成为 NEET 相关。针对 NEET 的努力应包括对心理健康的关注。此外，青年心理健康计划应考虑教育和就业成果。需要进一步的纵向和干预研究。
