Currier D, Patton G, Sanci L, Sahabandu S, Spittal M, English D, Milner A, Pirkis J
Centre for Mental Health, The University of Melbourne.
Centre for Adolescent Health, Murdoch Childrens Research Institute.
Behav Med. 2021 Jan-Mar;47(1):31-39. doi: 10.1080/08964289.2019.1622504. Epub 2019 Jun 26.
Emerging adulthood is a neglected phase of the life course in health research. Health problems and risk behaviors at this time of life can have long-term consequences for health. The 2016 Lancet Commission on Adolescent Health and Wellbeing reported that the influence of socioeconomic factors was under-researched among adolescents and young adults. Moreover, the influence of socioeconomic factors on health has been little researched specifically in emerging adult men. We aimed to investigate associations between socioeconomic disadvantage and mental health, suicidal behavior, and substance use in young adult Australian men. Logistic regression was used to examine the association between Year 12 (high school) completion and area disadvantage on mental health, suicidal behavior, and substance use in 2,281 young men age 18-25 participating in the Australian Longitudinal Study on Male Health (Ten to Men). In unadjusted analysis both Year 12 non-completion and area disadvantage were associated with multiple adverse outcomes. In adjusted analysis Year 12 non-completion, but not area disadvantage, was associated with poorer mental health, increased odds of suicidal behavior, and substance use. Retaining young men in high school and developing health-promotion strategies targeted at those who do exit education early could both improve young men's mental health and reduce suicidal behavior and substance use in emerging adulthood.
在健康研究中，成年初期是生命历程中一个被忽视的阶段。这个年龄段的健康问题和风险行为会对健康产生长期影响。《柳叶刀》2016年青少年健康与福祉委员会报告称，社会经济因素对青少年和年轻人的影响研究不足。此外，社会经济因素对健康的影响在成年初期男性中尚未得到具体研究。我们旨在调查澳大利亚成年初期男性的社会经济劣势与心理健康、自杀行为及物质使用之间的关联。采用逻辑回归分析，对参与澳大利亚男性健康纵向研究（十岁到成年男性）的2281名18至25岁年轻男性进行研究，以检验12年级（高中）毕业情况与地区劣势对心理健康、自杀行为及物质使用的关联。在未经调整的分析中，12年级未毕业和地区劣势均与多种不良后果相关。在调整分析中，12年级未毕业与较差的心理健康、自杀行为几率增加及物质使用有关，而地区劣势则无此关联。让年轻男性留在高中，并制定针对那些过早离开教育体系者的健康促进策略，既能改善年轻男性的心理健康，又能减少成年初期的自杀行为和物质使用。
