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低收入农村母亲感知资源的特征:与母婴结局的前瞻性关联。

Profiles of perceived resources among low-income, rural mothers: Prospective associations with maternal and child outcomes.

机构信息

Department of Human Development & Family Science, College of Health and Human Sciences, Florida State University, Tallahassee, Florida, USA.

College of Social Work, Florida State University, Tallahassee, Florida, USA.

出版信息

Fam Process. 2024 Mar;63(1):331-347. doi: 10.1111/famp.12862. Epub 2023 Jan 31.

Abstract

Low-income, rural families face significant mental health risks. However, the understanding of resources associated with mental health risks is limited. The present study investigated the associations between perceived resources of low-income, rural mothers, and longitudinal maternal and child outcomes. This study utilized longitudinal data from the Family Life Project (N = 1203), from US rural areas with high poverty rates. Mothers reported their resources at 6-month postpartum, and their levels of depression, anxiety, and role overload were assessed at 2-year postpartum. Mothers reported their children's behavioral problems at 3 years old. Using a person-centered approach, we identified four maternal profiles: lower resources (7.1%); higher intra-family support (11.1%); higher inter-family support (20.8%); and higher resources (60.9%). In general, the higher resource profile was associated with lower mental health concerns of mothers and lower levels of behavior problems of children. Mothers in the higher intra-family support profile had disproportionately higher role overload. Children of mothers in the higher inter-family support profile showed disproportionately higher behavioral problems. Maternal partner status and education were significant predictors of resource profiles. Findings support the heterogeneity in perceived resources among low-income, rural families and different risk levels. Identifying these subgroups has significant implications for policy and interventions aimed toward this vulnerable population.

摘要

低收入农村家庭面临着严重的心理健康风险。然而,对于与心理健康风险相关的资源的理解是有限的。本研究调查了低收入农村母亲的感知资源与纵向母婴结局之间的关系。本研究利用了来自美国家庭生活项目(N=1203)的纵向数据,这些数据来自高贫困率的农村地区。母亲在产后 6 个月报告了她们的资源,在产后 2 年评估了她们的抑郁、焦虑和角色过载水平。母亲在孩子 3 岁时报告了他们的行为问题。使用一种以人为中心的方法,我们确定了四种母亲的特征:资源较低(7.1%);家庭内支持较高(11.1%);家庭间支持较高(20.8%);资源较高(60.9%)。一般来说,较高的资源特征与母亲的心理健康问题较低和孩子的行为问题水平较低有关。家庭内支持较高的母亲角色过载程度更高。家庭间支持较高的母亲的孩子表现出更多的行为问题。母亲的伴侣状况和教育是资源特征的重要预测因素。研究结果支持了低收入农村家庭感知资源的异质性和不同的风险水平。确定这些亚组对针对这一弱势群体的政策和干预措施具有重要意义。

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