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发展韧性:邻里环境、歧视经历与儿童心理健康。

Resilience in development: Neighborhood context, experiences of discrimination, and children's mental health.

机构信息

Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

出版信息

Dev Psychopathol. 2023 Dec;35(5):2551-2559. doi: 10.1017/S0954579423001025. Epub 2023 Aug 29.

Abstract

An understanding of child psychopathology and resilience requires attention to the nested and interconnected systems and contexts that shape children's experiences and health outcomes. In this study, we draw on data from the National Survey of Children's Health, 2016 to 2021 ( = 182,375 children, ages 3- to 17 years) to examine associations between community social capital and neighborhood resources and children's internalizing and externalizing problems, and whether these associations were moderated by experiences of racial discrimination. Study outcomes were caregiver-report of current internalizing and externalizing problems. Using logistic regression models adjusted for sociodemographic characteristics of the child and household, higher levels of community social capital were associated with a lower risk of children's depression, anxiety, and behaviors. Notably, we observed similar associations between neighborhood resources and child mental health for depression only. In models stratified by the child's experience of racial/ethnic discrimination, the protective benefits of community social capital were specific to those children who did not experience racial discrimination. Our results illustrate heterogeneous associations between community social capital and children's mental health that differ based on interpersonal experiences of racial/ethnic discrimination, illustrating the importance of a multilevel framework to promote child wellbeing.

摘要

理解儿童精神病理学和适应力需要关注塑造儿童体验和健康结果的嵌套和相互关联的系统和环境。在这项研究中,我们利用了 2016 年至 2021 年全国儿童健康调查(=182375 名 3 至 17 岁的儿童)的数据,研究社区社会资本和邻里资源与儿童内化和外化问题之间的关联,以及这些关联是否受到种族歧视经历的调节。研究结果是看护人报告的当前内化和外化问题。使用调整了儿童和家庭社会人口特征的逻辑回归模型,较高水平的社区社会资本与儿童抑郁、焦虑和行为问题的风险降低相关。值得注意的是,我们仅观察到邻里资源与儿童心理健康中抑郁问题之间存在类似的关联。在按儿童经历种族/族裔歧视分层的模型中,社区社会资本的保护作用仅适用于那些没有经历种族歧视的儿童。我们的结果说明了社区社会资本与儿童心理健康之间存在异质关联,这些关联基于种族/族裔歧视的人际体验而有所不同,说明了促进儿童幸福需要多层次框架的重要性。

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