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社会人口因素与澳大利亚儿童和主要照顾者的心理健康轨迹:潜在类别分析对政策和干预的启示。

Socio-demographic factors and mental health trajectories in Australian children and primary carers: Implications for policy and intervention using latent class analysis.

机构信息

Department of Statistics, Faculty of Science, Comilla University, Cumilla, Bangladesh.

School of Mathematics, Physics, and Computing, Faculty of Health, Engineering and Sciences, University of Southern Queensland, Toowoomba, Queensland, Australia.

出版信息

Appl Psychol Health Well Being. 2024 Nov;16(4):2147-2168. doi: 10.1111/aphw.12584. Epub 2024 Aug 8.

Abstract

Children's mental health status (MHS) is frequently influenced by their primary carers (PCs), underscoring the significance of monitoring disparities longitudinally. This research investigated the association between socio-demographic clusters and mental health trajectories among children and their PCs over time. Data from waves 6-9c2 of the Longitudinal Study of Australian Children (LSAC) were analyzed using Latent Class Analysis (LCA) to identify four socio-demographic classes among children aged 10-11 years at wave 6. Multinomial logistic regression and predictive marginal analysis explored associations between classes and mental health outcomes. PCs in Class 4 (disadvantaged and separated families with indigenous children) exhibited higher odds of borderline and abnormal MHS compared to Class 1 (prosperous and stable working families) across all waves. However, while MHS of PCs' impacted children consistently, the association with socio-demographic classes was significant only in wave 6. Class 4 children had elevated risks of mental illness compared to Class 1, while Class 3, characterized by educated working mothers, had lower risks. Reducing mental health risks entails addressing socio-economic disparities, supporting stable family structures, and offering tailored interventions like counseling and co-parenting support. Longitudinal monitoring and culturally sensitive approaches are crucial for promoting mental well-being across diverse groups.

摘要

儿童心理健康状况(MHS)经常受到其主要照顾者(PCs)的影响,这突显了长期监测差异的重要性。本研究调查了社会人口统计学聚类与儿童及其 PC 心理健康轨迹之间的关联。使用潜在类别分析(LCA)对来自澳大利亚儿童纵向研究(LSAC)第 6-9c2 波的数据进行分析,以确定第 6 波时年龄为 10-11 岁的儿童的四个社会人口统计学类别。使用多项逻辑回归和预测边际分析探讨了类别与心理健康结果之间的关联。与第 1 类(繁荣稳定的工作家庭)相比,第 4 类(弱势和离异家庭,有土著儿童)的 PC 出现边缘和异常 MHS 的可能性更高,跨越所有波次。然而,尽管 PC 受影响儿童的 MHS 持续存在,但与社会人口统计学类别的关联仅在第 6 波中显著。与第 1 类相比,第 4 类儿童患精神疾病的风险更高,而第 3 类,其特点是有受过教育的职业母亲,风险较低。降低心理健康风险需要解决社会经济差距,支持稳定的家庭结构,并提供量身定制的干预措施,如咨询和共同育儿支持。对不同群体进行纵向监测和采用文化敏感的方法对于促进心理健康至关重要。

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