Scott Samantha Ruby, Peterson Robin L, North Samantha J, Merrick Jillian Sari, Petranovich Christine L, Wilson Pamela E, Lantagne Ann, Simpson Tess S
Department of Psychology, University of Denver, Denver, CO, United States.
Rehabilitation Medicine, Children's Hospital Colorado, Aurora, CO, United States.
J Pediatr Psychol. 2025 Mar 1;50(3):256-265. doi: 10.1093/jpepsy/jsae102.
The primary aim of this study was to determine if neighborhood disadvantage predicted internalizing symptoms and body mass index (BMI) in youth with spina bifida (SB), while accounting for several sociodemographic factors. We also explored whether resilience factors helped explain associations between neighborhood disadvantage and internalizing symptoms or neighborhood disadvantage and BMI.
Participants (n = 69, Mage=14.13, Range: 8-20, 51% biological female, 25% Hispanic/Latinx White, 28% Other/Multiracial, 48% non-Hispanic/Latinx White) were drawn from a retrospective chart review of clinical data, including self-reported resilience factors and internalizing symptoms, collected as part of the standard of care in a multidisciplinary pediatric SB clinic. Neighborhood disadvantage scores were extracted from participant addresses. Using structural equation modeling, we examined whether neighborhood disadvantage predicted BMI and internalizing symptoms. We explored whether these paths were mediated by resilience factors.
Higher neighborhood disadvantage predicted higher BMI and lower internalizing symptoms. Higher neighborhood disadvantage predicted higher resilience factors, which predicted lower internalizing symptoms. Higher resilience factors did not predict BMI.
Neighborhood disadvantage may require youth with SB to navigate their way to additional resilience factors to maintain better psychosocial outcomes. However, having more resilience factors may not help offset the physical health costs of disadvantaged neighborhoods.
本研究的主要目的是确定社区劣势是否能预测脊柱裂（SB）青少年的内化症状和体重指数（BMI），同时考虑几个社会人口学因素。我们还探讨了复原力因素是否有助于解释社区劣势与内化症状之间的关联，或社区劣势与BMI之间的关联。
参与者（n = 69，年龄中位数 = 14.13，范围：8 - 20岁，51%为生物学意义上的女性，25%为西班牙裔/拉丁裔白人，28%为其他/多种族，48%为非西班牙裔/拉丁裔白人）来自对临床数据的回顾性病历审查，这些数据包括自我报告的复原力因素和内化症状，是在一家多学科儿科SB诊所作为护理标准的一部分收集的。社区劣势得分从参与者地址中提取。使用结构方程模型，我们检验了社区劣势是否能预测BMI和内化症状。我们探讨了这些路径是否由复原力因素介导。
更高的社区劣势预测更高的BMI和更低的内化症状。更高的社区劣势预测更高的复原力因素，而更高的复原力因素预测更低的内化症状。更高的复原力因素不能预测BMI。
社区劣势可能要求患有SB的青少年找到额外的复原力因素以维持更好的心理社会结果。然而，拥有更多的复原力因素可能无助于抵消弱势社区对身体健康造成的代价。
