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新冠大流行期间年轻人心理困扰的社会不平等:心理社会资源因素是否重要?

Social Inequalities in Young People's Mental Distress During the COVID-19 Pandemic: Do Psychosocial Resource Factors Matter?

机构信息

Social Research Institute, Institute of Education, University College London, London, United Kingdom.

Institute of Education, University College London, London, United Kingdom.

出版信息

Front Public Health. 2022 Mar 14;10:820270. doi: 10.3389/fpubh.2022.820270. eCollection 2022.

Abstract

The COVID-19 pandemic disproportionately affected young people aged 16-25 years and has brought about a major increase in mental health problems. Although there is persisting evidence regarding SES differences in mental health status, there is still little knowledge of the processes linking SES to young people's mental health, in particular during the current pandemic. Guided by a stress process model this study examines the role of different psychosocial resource factors in mitigating the vulnerability to mental distress among disadvantaged young people and specifies a range of possible mediating pathways. The research draws on a nationally representative longitudinal sample of 16-25 year-olds who participated in the Youth Economic Activity and Health (YEAH) online survey conducted in the UK between February and October 2021. Mental health was measured using the Hopkins Symptom Checklist for anxiety and depression. Socio-economic disadvantage was indicated by parental education and receipt of free school meals. Experience of stress was indicated by financial strain. Psychosocial resource factors included indicators of optimism, self-efficacy, and social support. We controlled for age, gender, living arrangements, and economic activity of the young person (being in education, employment or NEET). The findings suggest sequential mediating processes where SES influences are partially mediated financial strain and the psychosocial resource factors. In addition, the psychosocial resource factors showed independent effects supporting mental health in the face of socio-economic adversity. Moreover, social support played a significant role in boosting self-efficacy and optimism, which in turn reduce mental distress. The findings highlighting the importance of specifying the assumed mediating processes, and to consider multiple resource factors instead of single aspects to gain a more comprehensive understanding of the processes linking SES to young people's mental health.

摘要

新冠疫情大流行不成比例地影响了 16-25 岁的年轻人,导致心理健康问题大量增加。尽管有关于社会经济地位(SES)与心理健康状况差异的持续证据,但对于 SES 与年轻人心理健康之间的联系过程仍知之甚少,尤其是在当前大流行期间。本研究以压力过程模型为指导,考察了不同心理社会资源因素在减轻弱势年轻人精神困扰脆弱性方面的作用,并明确了一系列可能的中介途径。该研究基于一个全国代表性的 16-25 岁年轻人的纵向样本,这些年轻人参加了 2021 年 2 月至 10 月在英国进行的青年经济活动和健康(YEAH)在线调查。使用 Hopkins 焦虑和抑郁症状清单来衡量心理健康。社会经济劣势由父母的教育程度和获得免费校餐来表示。压力体验由经济压力来表示。心理社会资源因素包括乐观、自我效能和社会支持的指标。我们控制了年轻人的年龄、性别、居住安排和经济活动(在教育、就业或 NEET 中)。研究结果表明存在连续的中介过程,SES 的影响部分通过经济压力和心理社会资源因素来中介。此外,心理社会资源因素具有独立的影响,支持在面临社会经济逆境时保持心理健康。此外,社会支持在增强自我效能感和乐观主义方面发挥了重要作用,从而降低了精神困扰。研究结果强调了指定假设中介过程的重要性,并考虑多个资源因素而不是单一方面,以更全面地了解 SES 与年轻人心理健康之间的联系过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8060/8964111/71b2373c31be/fpubh-10-820270-g0001.jpg

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