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新西兰学龄前儿童队列的居住流动性与社会情感和行为困难。

Residential mobility and socioemotional and behavioural difficulties in a preschool population cohort of New Zealand children.

机构信息

Department of Public Health, University of Otago Wellington, Wellington, New Zealand

Department of Public Health, University of Otago Wellington, Wellington, New Zealand.

出版信息

J Epidemiol Community Health. 2019 Oct;73(10):947-953. doi: 10.1136/jech-2019-212436. Epub 2019 Jul 17.

Abstract

BACKGROUND

Findings regarding early residential mobility and increased risk for socioemotional and behavioural (SEB) difficulties in preschool children are mixed, with some studies finding no evidence of an association once known covariates are controlled for. Our aim was to investigate residential mobility and SEB difficulties in a population cohort of New Zealand (NZ) children.

METHODS

Data from the Integrated Data Infrastructure were examined for 313 164 children born in NZ since 2004 who had completed the Before School Check at 4 years of age. Residential mobility was determined from address data. SEB difficulty scores were obtained from the Strengths and Difficulties Questionnaire administered as part of the Before School Check.

RESULTS

The prevalence of residential mobility was 69%; 12% of children had moved ≥4 times. A linear association between residential mobility and increased SEB difficulties was found (B=0.58), which remained robust when controlling for several known covariates. Moves >10 km and moving to areas of higher socioeconomic deprivation were associated with increased SEB difficulties (B=0.08 and B=0.09, respectively), while residential mobility before 2 years of age was not. Children exposed to greater residential mobility were 8% more likely to obtain SEB difficulties scores of clinical concern than children exposed to fewer moves (adjusted OR 1.08).

CONCLUSION

This study found a linear association between residential mobility and increased SEB difficulties in young children. This result highlights the need to consider residential mobility as a risk factor for SEB difficulties in the preschool years.

摘要

背景

关于学龄前儿童早期居住迁移与社会情绪和行为(SEB)困难风险增加的研究结果存在差异,一些研究发现,一旦控制了已知的协变量,就没有证据表明两者之间存在关联。我们的目的是调查新西兰(NZ)儿童人群中居住迁移与 SEB 困难之间的关系。

方法

对自 2004 年以来在 NZ 出生且在 4 岁时完成学前检查的 313164 名儿童的综合数据基础设施数据进行了检查。居住迁移是通过地址数据确定的。SEB 困难评分是通过学前检查中实施的长处和困难问卷(Strengths and Difficulties Questionnaire)获得的。

结果

居住迁移的患病率为 69%;12%的儿童搬家次数≥4 次。研究发现,居住迁移与 SEB 困难程度增加之间存在线性关联(B=0.58),当控制几个已知协变量时,该关联仍然稳健。超过 10 公里的迁移和迁往社会经济条件较差地区与 SEB 困难程度增加有关(B=0.08 和 B=0.09),而 2 岁前的居住迁移则没有。与搬家次数较少的儿童相比,暴露于更多居住迁移的儿童获得 SEB 困难评分的临床关注的可能性高 8%(调整后的 OR 1.08)。

结论

本研究发现,学龄前儿童的居住迁移与 SEB 困难程度增加之间存在线性关联。这一结果强调了在幼儿时期需要将居住迁移视为 SEB 困难的一个风险因素。

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