Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
Department of Epidemiology and Prevention, Center for Clinical Sciences, National Center for Global Health and Medicine, Tokyo, Japan.
J Affect Disord. 2022 Aug 15;311:479-485. doi: 10.1016/j.jad.2022.05.102. Epub 2022 May 20.
While parental absence during childhood has been linked to depression/depressive symptoms in adulthood, no research has been conducted on this association in Vietnam, where many children were separated from their parents during and after the Vietnam War (1955-1975). We examined the association between parental absence in childhood and depressive symptoms among rural community dwellers in Khanh Hoa Province, Vietnam.
Data came from 3000 individuals aged 40-60 years old who participated in the baseline survey of the Khanh Hoa Cardiovascular Study. Depressive symptoms were assessed with the 11-item Center for Epidemiologic Studies Depression Scale. Self-reported information on parental absence due to death, divorce, or outmigration to other locations before the age of 15 was also obtained. A Poisson regression analysis with a robust variance estimator was used to examine associations.
Experiencing parental absence at 3 - < 15 years old and before 3 years old was associated with a 1.21 times (95% confidence interval [CI] = 1.02-1.43) and 1.41 times (95% CI = 1.15-1.73) higher prevalence of depressive symptoms, respectively (p trend <0.001). When examining the associations by the different reasons for the parental absence, the strongest association was found for parental absence due to outmigration to other locations.
We had no information on who respondents lived with after they experienced parental absence. In addition, self-reported information on childhood experiences was subject to recall bias.
In rural Vietnam, parental absence during childhood was associated with a significantly increased prevalence of depressive symptoms in middle adulthood.
尽管儿童时期父母缺失与成年后抑郁/抑郁症状有关，但在越南，许多儿童在越南战争（1955-1975 年）期间和之后与父母分离，针对这一关联尚无研究。我们研究了童年时期父母缺失与越南庆和省农村居民抑郁症状之间的关系。
数据来自参加庆和心血管研究基线调查的 3000 名 40-60 岁的个体。使用 11 项中心流行病学研究抑郁量表评估抑郁症状。还获得了因死亡、离婚或在 15 岁之前迁移到其他地方而导致父母缺失的自我报告信息。使用具有稳健方差估计的泊松回归分析来检验关联。
在 3-<15 岁和 3 岁之前经历父母缺失与抑郁症状的患病率增加 1.21 倍（95%置信区间[CI]：1.02-1.43）和 1.41 倍（95% CI：1.15-1.73）相关（p 趋势<0.001）。当按父母缺失的不同原因检验关联时，发现由于移民到其他地方而导致的父母缺失与抑郁症状的关联最强。
我们没有关于经历父母缺失后受访者与谁一起生活的信息。此外，对儿童时期经历的自我报告信息可能存在回忆偏倚。
在越南农村，儿童时期父母缺失与中年时抑郁症状的患病率显著增加有关。
