Vaalavuo Maria, Niemi Ripsa, Suvisaari Jaana
Finnish Institute for Health and Welfare, Mannerheimintie 166, 00271, Helsinki, Finland.
SSM Popul Health. 2022 Oct 29;20:101277. doi: 10.1016/j.ssmph.2022.101277. eCollection 2022 Dec.
Problems in mental health and socioeconomic health inequalities during childhood and adolescence are receiving important scientific and political attention. This in mind, we study how current family income and parental education are associated with psychiatric disorders among children in a well-developed welfare state, Finland. To gain a deeper understanding of how these disparities develop through early life course, we study the differences between genders, age groups, types of mental disorders, and also take into account the role of parental mental disorders. We exploit high-quality Finnish register data containing the whole population aged 4-17 with information on their families and parents. Our results of linear probability models show that lower parental education is consistently associated with higher probability of mental disorders throughout childhood, although some gender and disorder-specific differences are also identified. Interestingly, household income is related to mental health in more complex ways, having both negative and positive associations with psychiatric disorders. Inequalities are stronger among boys than girls, and the strongest associations are found among boys aged 7-12 and girls aged 13-17. Parental mental disorders increase the risk of children's psychiatric disorders but do not explain socioeconomic disparities. Considering the negative effects of mental problems on socioeconomic outcomes, inequalities in childhood mental health can be expected to reinforce other social inequalities in later life and should therefore be a focus of interventions.
儿童期和青少年期的心理健康问题以及社会经济健康不平等现象正受到科学界和政界的高度关注。考虑到这一点,我们研究了在芬兰这样一个发达的福利国家,当前家庭收入和父母教育程度与儿童精神疾病之间的关联。为了更深入地了解这些差异如何在生命早期阶段发展,我们研究了性别、年龄组、精神障碍类型之间的差异,同时还考虑了父母精神障碍的作用。我们利用了高质量的芬兰登记数据,这些数据涵盖了4至17岁的全体人口,并包含他们家庭和父母的信息。我们的线性概率模型结果表明,较低的父母教育程度在整个儿童期始终与较高的精神障碍发生率相关,尽管也发现了一些性别和特定障碍的差异。有趣的是,家庭收入与心理健康的关系更为复杂,与精神障碍既有负相关又有正相关。男孩中的不平等现象比女孩更为严重,最强的关联出现在7至12岁的男孩和13至17岁的女孩中。父母的精神障碍会增加儿童患精神疾病的风险,但并不能解释社会经济差异。考虑到精神问题对社会经济结果的负面影响,可以预期儿童期心理健康的不平等会加剧后期生活中的其他社会不平等,因此应该成为干预的重点。