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父母酗酒的年轻人的情绪症状和抑郁是否受社会经济地位的影响?

Are emotional symptoms and depression among young people with parental alcohol problems modified by socioeconomic position?

机构信息

National Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark.

出版信息

Eur Child Adolesc Psychiatry. 2022 May;31(5):747-755. doi: 10.1007/s00787-020-01716-z. Epub 2021 Jan 11.

DOI:10.1007/s00787-020-01716-z
PMID:33432403
Abstract

The aim was to test the hypothesis that parental alcohol problems and low socioeconomic position would be associated with higher odds ratio of emotional symptoms and depression as compared to high socioeconomic position and parental alcohol problems. Data came from Danish National Youth Study 2014, a web-based national survey with 75,853 high school and vocational school students participating, merged with register-data on family socioeconomic position. Multi-level logistic regression models (nesting participants within schools) were used to assess the association between perceived parental alcohol problems and frequent emotional symptoms and depression and effect modification by financial strains in the family, family income, or parental educational level. All analyses were adjusted for age, sex, education, immigration status, and cohabitation with parents. Young people with parental alcohol problems had higher odds ratio of experiencing frequent emotional symptoms (OR = 1.56 [1.46-1.66]) and depression (OR = 2.07 [1.88-2.28]), compared to young people without parental alcohol problems. There was no effect modification between severity of parental alcohol problems and the measures of socioeconomic position on the odds ratio of frequent emotional symptoms and depression. This study found that young people with parental alcohol problems in all social strata had higher odds ratios of frequent emotional symptoms and depression compared to young people without parental alcohol problems; the more severely they had been affected by parent's alcohol problems, the higher the odds ratios of frequent emotional symptoms and depression.

摘要

目的是检验以下假设

与高社会经济地位和父母酗酒问题相比,父母酗酒问题和低社会经济地位与情绪症状和抑郁的比值更高。数据来自丹麦 2014 年全国青年研究,这是一项基于网络的全国性调查,共有 75853 名高中生和职业学校学生参与,与家庭社会经济地位的登记数据合并。多水平逻辑回归模型(将参与者嵌套在学校内)用于评估感知到的父母酗酒问题与频繁情绪症状和抑郁之间的关联,并评估家庭经济压力、家庭收入或父母教育程度对其的影响。所有分析均调整了年龄、性别、教育程度、移民状况和与父母同住情况。与没有父母酗酒问题的年轻人相比,有父母酗酒问题的年轻人出现频繁情绪症状(OR=1.56[1.46-1.66])和抑郁(OR=2.07[1.88-2.28])的比值更高。父母酗酒问题的严重程度与社会经济地位指标之间没有相互影响,也没有改变比值。本研究发现,与没有父母酗酒问题的年轻人相比,所有社会阶层中有父母酗酒问题的年轻人出现频繁情绪症状和抑郁的比值更高;父母酗酒问题对他们的影响越严重,出现频繁情绪症状和抑郁的比值越高。

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