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澳大利亚的收入梯度与儿童心理健康:评估者是否存在差异?

The income gradient and child mental health in Australia: does it vary by assessors?

机构信息

School of Commerce, University of Southern Queensland, Toowoomba, 4350, QLD, Australia.

Centre for Applied Health Economics, School of Medicine, Griffith University, Brisbane, Queensland, Australia.

出版信息

Eur J Health Econ. 2020 Feb;21(1):19-36. doi: 10.1007/s10198-019-01106-6. Epub 2019 Sep 4.

Abstract

In this paper, we examine the income gradient in child mental health using longitudinal data from a large, national cohort of Australian children. We contribute to the body of existing literature by: (i) investigating whether and to what extent a child's mental health levels and their relationship to income vary when a child's mental health is assessed by the child's parent, the child's teacher and the child her/himself; (ii) exploring whether the reporting differences in a child's mental health is associated systematically with household income; and (iii) examining the child mental health gradient and the evolution of this gradient by the child's age. We found that a child's mental health and the income gradient vary depending on who assesses the child's mental health (the gradient was the largest when assessed by parents and the smallest when assessed by the child). Furthermore, the magnitude of the effect of mental health and income gradient faded when we controlled for some important variables, such as maternal health.

摘要

在本文中,我们利用来自澳大利亚一个大型全国儿童队列的纵向数据来研究儿童心理健康方面的收入梯度。我们通过以下方式为现有文献做出了贡献:(i)研究了当儿童的心理健康由儿童的父母、儿童的老师和儿童自己评估时,儿童的心理健康水平及其与收入的关系是否以及在何种程度上有所不同;(ii)探讨儿童心理健康报告差异是否与家庭收入有系统地相关;以及(iii)通过儿童的年龄来检查儿童心理健康梯度及其演变。我们发现,儿童的心理健康和收入梯度取决于评估儿童心理健康的人(当由父母评估时,梯度最大,而当由儿童自己评估时最小)。此外,当我们控制一些重要变量(例如母亲的健康状况)时,心理健康和收入梯度的影响程度会减弱。

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