Sharifi Vandad, Dimitropoulos Gina, Williams Jeanne V A, Rao Sandy, Pedram Pardis, Bulloch Andrew G M, Patten Scott B
Department of Community Health Sciences, University of Calgary, D10, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada.
Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
Soc Psychiatry Psychiatr Epidemiol. 2025 Apr;60(4):823-836. doi: 10.1007/s00127-024-02681-7. Epub 2024 May 5.
In a nationwide study, we aimed to study the association of neighborhood deprivation with child and adolescent mental health problems.
We used data from the Canadian Health Survey on Children and Youth (N = 47,871; age range: 1-17 years) and linked these to Neighborhood Material and Social Deprivation data calculated using Canada's Census of Population. Using a series of logistic regressions, we studied the association between living in deprived areas and mental health problems among children and youth. We used bootstrap replicate weights for all analyses and adjusted them for individual sociodemographic characteristics.
In the adjusted model, the parent-reported developmental disorder was associated with more socially deprived neighborhoods (OR 1.29; 95% CI 1.07, 1.57 for most vs. least deprived quintiles). However, mental health service need or use was associated with living in less materially deprived areas (OR 0.78; 95% CI 0.63, 0.96 for most vs. least deprived quintiles). Among mental health problems reported by the youth (12-17 years old), poor/fair general mental health, alcohol drinking, and cannabis use were associated with neighborhood social deprivation in the adjusted models. In contrast, poor/fair general mental health, suicide ideas, alcohol drinking, and cannabis use were all negatively associated with higher materially deprived quintiles.
Our study provides further support for the existing evidence on the association between neighborhood deprivation, particularly social deprivation, and the mental health of children and adolescents. The findings can help public health policymakers and service providers better understand and address children's mental health needs in their neighborhoods.
在一项全国性研究中，我们旨在研究社区贫困与儿童及青少年心理健康问题之间的关联。
我们使用了加拿大儿童与青少年健康调查的数据（N = 47871；年龄范围：1至17岁），并将这些数据与使用加拿大人口普查计算得出的社区物质和社会贫困数据相链接。通过一系列逻辑回归分析，我们研究了生活在贫困地区与儿童及青少年心理健康问题之间的关联。我们在所有分析中使用了自助重复权重，并针对个体社会人口学特征进行了调整。
在调整后的模型中，家长报告的发育障碍与社会贫困程度更高的社区相关（优势比1.29；最贫困五分位数与最不贫困五分位数相比，95%置信区间为1.07，1.57）。然而，心理健康服务需求或使用情况与生活在物质贫困程度较低的地区相关（优势比0.78；最贫困五分位数与最不贫困五分位数相比，95%置信区间为0.63，0.96）。在青少年（12至17岁）报告的心理健康问题中，在调整后的模型中，较差/一般的总体心理健康状况、饮酒和使用大麻与社区社会贫困相关。相比之下，较差/一般的总体心理健康状况、自杀念头、饮酒和使用大麻均与物质贫困程度较高的五分位数呈负相关。
我们的研究为关于社区贫困，特别是社会贫困与儿童及青少年心理健康之间关联的现有证据提供了进一步支持。这些发现可帮助公共卫生政策制定者和服务提供者更好地理解并满足其所在社区儿童的心理健康需求。
