Department of Public Health and Paediatrics, University of Torino, Piazza Polonia, 94, 10126, Turin, Italy.
Department of Clinical and Biological Sciences, University of Torino, Turin, Italy.
Int J Public Health. 2020 Apr;65(3):303-312. doi: 10.1007/s00038-020-01355-w. Epub 2020 Apr 4.
The aim of this work was to study whether and to what extent selected connectedness variables (perceived family, peer, and school support) are protective factors against low life satisfaction and high health complaints in immigrant youth with different ethnic backgrounds, while also taking into account the effect of socioeconomic status (SES).
A representative sample of 47,799 students (15% immigrants, among whom 4980 were from non-Western countries) aged 11, 13, and 15 years were recruited from schools throughout Italy within the framework of the Italian 2013/2014 Health Behaviour in School-aged Children study. Bayesian network analyses were used to assess the association between connectedness variables, and low life satisfaction and high health complaints.
The connectedness variables family and school support were strong protective factors against both low life satisfaction and high health complaints (99% probability of relative risk < 1 in all subgroup comparisons). This protective role was still present when subgroups with high SES were compared. Peer support also showed a protective effect, though it was weaker.
Our results show that, among immigrant youth, perceived high support can act as a moderator on the effect of environmental stressors. In line with international guidelines, these results confirm that public health professionals should create school interventions that foster a culture of inclusiveness, promote a supportive school environment, and engage families of immigrant youth.
本研究旨在探讨在不同族裔背景的移民青少年中，感知到的家庭、同伴和学校支持等特定连接变量是否以及在何种程度上是预防低生活满意度和高健康问题的保护因素，同时还考虑到社会经济地位（SES）的影响。
本研究采用贝叶斯网络分析，从意大利全国范围内的学校中招募了 47799 名 11、13 和 15 岁的学生（15%为移民，其中 4980 人来自非西方国家）作为代表性样本，参与了 2013/2014 年意大利儿童健康行为研究。该研究评估了连接变量与低生活满意度和高健康问题之间的关联。
家庭和学校支持等连接变量是预防低生活满意度和高健康问题的强有力保护因素（在所有亚组比较中，相对风险<1 的概率均为 99%）。当比较 SES 较高的亚组时，这种保护作用仍然存在。同伴支持也显示出保护作用，但较弱。
我们的研究结果表明，在移民青少年中，感知到的高支持可以作为环境压力源影响的调节剂。这些结果与国际指南一致，证实了公共卫生专业人员应创建促进包容文化、支持性学校环境并吸引移民青少年家庭参与的学校干预措施。
