儿童人群中暴力行为、生活不满和自评健康的社会经济不平等：CASPIAN-V 研究。

Socioeconomic inequality in violent behaviors, life dissatisfaction, and self-rated health in pediatric population: the CASPIAN-V study.

机构信息

Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

BMC Psychiatry. 2022 Aug 2;22(1):519. doi: 10.1186/s12888-022-04122-8.

DOI:10.1186/s12888-022-04122-8

PMID:35918664

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9344656/

Abstract

BACKGROUND

Bullying, being a victim of violent behaviors, life satisfaction (LS) and self-rated health (SRH) in children and adolescents, all have consistently been recognized as vital factors in school performance and future individual life.

METHODS

This cross-sectional data secondary study was a part of the fifth Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable disease (CASPIAN-V) in 2015. A total of 14,400 students 7-18 years and their parents living in 30 provinces in Iran were studied. A validated questionnaire of the World Health Organization on Global School-based Health Survey (WHO-GSHS) was used to measure the outcomes and socioeconomic variables. Family's socioeconomic status (SES) was determined using principal component analysis (PCA). The crude and adjusted odds ratios (95% confidence interval (CI)) were estimated using multiple logistic regressions for each outcome.

RESULTS

A total of 14,274 students completed the study, of whom 50.6% were boys. Overall, the prevalence of bullying, being a victim, life dissatisfaction (LDS), and poor SRH among students was 35.6, 21.4, 21.1, and 19.0%, respectively. In multiple-logistic regression analysis (Adjusted OR, (95%CI), students with an illiterate father and mother (1.60, (1.25-2.04), 1.28, (1.03-1.61), unemployed father (1.58, (1.29-1.81)), and one-parent family (1.32, (1.05 - 1.64) had a higher odd of Poor-SRH. Besides, a family size larger than four members (1.14, (1.03-1.25), and low-SES (1.35, (1.15-1.56), and illiteracy of the mother (1.64, (1.30-2.08) had a direct association with LDS. Mother illiteracy also increased the odds of bullying (1.77, (1.45-2.16) and being a victim (1.58, (1.26-1.98).

CONCLUSIONS

Some socioeconomic variables can be proposed as the statistically significant attribution of bullying and being a victim, LDS, and Poor-SRH in children and adolescents.

摘要

背景

在儿童和青少年中，欺凌行为、成为暴力行为的受害者、生活满意度（LS）和自我评估健康状况（SRH）一直被认为是影响学业成绩和未来个人生活的重要因素。

方法

本横断面数据二次研究是 2015 年第五次儿童和青少年监测及预防成人非传染性疾病（CASPIAN-V）的一部分。共有来自伊朗 30 个省份的 14400 名 7-18 岁的学生及其父母参与了这项研究。采用世界卫生组织全球学校健康调查（WHO-GSHS）的经过验证的问卷来衡量结果和社会经济变量。家庭的社会经济地位（SES）采用主成分分析法（PCA）确定。使用多因素逻辑回归估计每个结果的未调整和调整后的优势比（95%置信区间（CI））。

结果

共有 14274 名学生完成了研究，其中 50.6%是男生。总体而言，学生中欺凌、受欺凌、生活不满意（LDS）和健康状况不佳（SRH）的发生率分别为 35.6%、21.4%、21.1%和 19.0%。在多因素逻辑回归分析（调整后的 OR，（95%CI）中，父亲和母亲不识字的学生（1.60，（1.25-2.04），1.28，（1.03-1.61）），失业的父亲（1.58，（1.29-1.81））和单亲家庭（1.32，（1.05-1.64））更有可能出现健康状况不佳。此外，家庭规模大于 4 人（1.14，（1.03-1.25））、社会经济地位低（1.35，（1.15-1.56））和母亲不识字（1.64，（1.30-2.08））与 LDS 有直接关系。母亲不识字也增加了欺凌（1.77，（1.45-2.16））和受欺凌（1.58，（1.26-1.98））的几率。