Boelens Mirte, Raat Hein, Yang-Huang Junwen, Schouten Gea M, van Grieken Amy, Jansen Wilma
Department of Public Health, Erasmus University Medical Center, PO Box 2040, 3000, CA, Rotterdam, the Netherlands.
Department of Research and Business Intelligence, Municipality of Rotterdam, P O Box 3001, Rotterdam, AH, the Netherlands.
SSM Popul Health. 2020 Sep 30;12:100675. doi: 10.1016/j.ssmph.2020.100675. eCollection 2020 Dec.
A range of family and neighbourhood indicators of socioeconomic status and migrant status have been shown to be associated with risk of mental health l problems (MHP) in children. In this study we determined the independent contributions of these indicators.
The main objective is to examine independent associations of family and neighbourhood socioeconomic status indicators and migrant status with risk of MHP in children.
We analyzed data from an anonymous public health survey among 5010 parents/caretakers of children aged 4-12 years living in Rotterdam, The Netherlands, gathered in 2018. Outcome of interest was risk of MHP measured using the total difficulties score of the Strengths and Difficulties Questionnaire. Associations of parent-reported perceived financial difficulties, material deprivation (not being able to provide certain goods, or leisure, educational or cultural activities or care use for children due to financial restrictions), parental educational level, child's migrant status and neighbourhood socioeconomic status with risk of MHP and with the total difficulties score were assessed using multilevel multivariable logistic and linear regression models.
In total, 473 (9.5%) children had a high risk of MHP. We observed independent associations of perceived financial difficulties, material deprivation and parental educational level with risk of MHP and with an increase in total difficulties score (P < 0.05). Migrant status and neighbourhood socioeconomic status were not independently associated with risk of MHP or a change in total difficulties score.
Already in early life, perceived financial difficulties by parents, material deprivation reported by parents and lower parental education appeared to be independently associated with the risk of MHP in 4-12 year olds. Health professionals should be aware of the relatively higher risks in these subgroups and consider policies address this.
一系列关于社会经济地位和移民身份的家庭及邻里指标已被证明与儿童心理健康问题（MHP）的风险相关。在本研究中，我们确定了这些指标的独立影响。
主要目的是研究家庭和邻里社会经济地位指标以及移民身份与儿童MHP风险之间的独立关联。
我们分析了2018年在荷兰鹿特丹收集的一项针对5010名4至12岁儿童的父母/照料者的匿名公共卫生调查数据。感兴趣的结果是使用优势与困难问卷的总困难得分来衡量的MHP风险。使用多水平多变量逻辑回归和线性回归模型评估父母报告的感知财务困难、物质匮乏（由于经济限制无法为孩子提供某些物品、休闲、教育或文化活动或医疗服务）、父母教育水平、儿童移民身份和邻里社会经济地位与MHP风险以及总困难得分之间的关联。
共有473名（9.5%）儿童有较高的MHP风险。我们观察到感知财务困难、物质匮乏和父母教育水平与MHP风险以及总困难得分的增加存在独立关联（P < 0.05）。移民身份和邻里社会经济地位与MHP风险或总困难得分的变化没有独立关联。
早在儿童早期，父母感知的财务困难、父母报告的物质匮乏以及较低的父母教育水平似乎与4至12岁儿童的MHP风险独立相关。卫生专业人员应意识到这些亚组中相对较高的风险，并考虑制定政策来解决这一问题。
