Columbia-Bassett Program.
Department of Pediatrics, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York.
Pediatrics. 2022 Jun 1;149(6). doi: 10.1542/peds.2021-055263.
To determine whether higher levels of family connection are associated with a greater prevalence of flourishing in adolescence.
We analyzed cross-sectional data from the International Survey of Children's Well-Being collected in 26 countries between 2016 and 2019 from 11- to 13-year-olds. Family connection was based on a mean score of 5 items that asked about care, support, safety, respect, and participation using a Likert-type scale (range 0-4). Flourishing was based on a mean score of 6 items that asked about self-acceptance, purpose in life, positive relations with others, personal growth, environmental mastery, and autonomy using a Likert-type scale (range 0-10). A mean score of >8 was considered flourishing.
The analysis involved 37 025 of 39 286 (94.2%) adolescents, after excluding those with missing data. The mean (SD) age was 11.9 (0.6) years and 51.4% were girls. The prevalence (95% confidence interval) of flourishing was 65.8% (65.3-66.3). Adolescents were distributed across 5 increasing levels of the family connection score: <2.5 (11.2%), 2.5 to <3.0 (8.8%), 3.0 to <3.5 (24.2%), 3.5 to <4.0 (25.1%), and 4.0 (30.7%). After controlling for covariates, including material resources and food sufficiency, the prevalence (95% confidence interval) of flourishing increased across the 5 levels of increasing family connection: 34.9% (33.3-36.5), 45.0% (43.2-46.8), 58.2% (57.2-59.3), 72.6% (71.6-73.5), and 84.3% (83.6-85.1), respectively.
Among adolescents from 26 countries, greater family connection was associated with a higher prevalence of flourishing. Family connection may contribute to flourishing, not just the avoidance of negative outcomes.
确定家庭联系程度与青少年幸福感之间的关联。
我们分析了 2016 年至 2019 年间在 26 个国家收集的国际儿童福祉调查的横断面数据，研究对象为 11 至 13 岁的儿童。家庭联系程度基于平均 5 项评分，这些评分涉及关心、支持、安全、尊重和参与度，采用李克特量表（范围 0-4）。幸福感则基于平均 6 项评分，涉及自我接纳、生活目标、与他人的积极关系、个人成长、环境掌控和自主，同样采用李克特量表（范围 0-10）。评分大于 8 分被认为是幸福感高。
排除缺失数据后，37025 名儿童（39286 名儿童的 94.2%）纳入分析。平均（标准差）年龄为 11.9（0.6）岁，51.4%为女孩。幸福感高的比例（95%置信区间）为 65.8%（65.3-66.3）。青少年分布在家庭联系程度逐渐升高的 5 个水平上：<2.5（11.2%）、2.5-<3.0（8.8%）、3.0-<3.5（24.2%）、3.5-<4.0（25.1%）和 4.0（30.7%）。在控制包括物质资源和食物充足度在内的协变量后，随着家庭联系程度逐渐升高，幸福感高的比例（95%置信区间）也逐渐升高：34.9%（33.3-36.5）、45.0%（43.2-46.8）、58.2%（57.2-59.3）、72.6%（71.6-73.5）和 84.3%（83.6-85.1）。
在 26 个国家的青少年中，家庭联系程度越高，幸福感越高。家庭联系程度不仅可以避免负面结果，还有助于提高幸福感。
