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低收入家庭与幼儿心理障碍之间的关系:一项澳大利亚纵向研究。

The relationship between low family income and psychological disturbance in young children: an Australian longitudinal study.

作者信息

Bor W, Najman J M, Andersen M J, O'Callaghan M, Williams G M, Behrens B C

机构信息

Enoggera Child and Adolescent Mental Health Services, Queensland, Australia.

出版信息

Aust N Z J Psychiatry. 1997 Oct;31(5):664-75. doi: 10.3109/00048679709062679.

Abstract

OBJECTIVE

This study examines the relationship between low family income (LFI) experienced at different points in time, chronic low income status and its impact on child behaviour measured at 5 years of age.

METHOD

Longitudinal data from the Mater University Study of Pregnancy were used to measure LFI in families at three points in time (the antenatal period, 6 months post birth and at 5 years cf age). Outcome variables were three independent groups of behaviour problems labelled as externalising, social, attentional and thought (SAT) problems, and internalising problems. These groups were developed from the Child Behaviour Checklist. An analysis based on logistic regression modelling was carried out examining the relationship between LFI and a range of intermediate variables known to be associated with child behaviour problems.

RESULTS

The more often families experienced low income, the higher the rate of child behaviour problems at age 5. Low family income was still independently associated with SAT behaviour problems after controlling for smoking in the first trimester, parenting styles, maternal depression and marital dysharmony at age 5. The association between LFI and internalising and externalising behaviour problems was largely mediated by maternal depression.

CONCLUSION

Low family income is a significant factor in the aetiology of a variety of child behaviour problems. The mechanisms involved in the link between LFI and childhood internalising and externalising behaviours involve the exposure of the children to maternal depression. However, the relationship between LFI and SAT behaviour problems remains to be elucidated.

摘要

目的

本研究探讨不同时间点经历的低家庭收入(LFI)、长期低收入状况及其对5岁儿童行为影响之间的关系。

方法

使用来自莫特大学孕期研究的纵向数据,在三个时间点(孕期、出生后6个月和5岁时)测量家庭的LFI。结果变量是三组独立的行为问题,分别标记为外化问题、社交、注意力和思维(SAT)问题以及内化问题。这些组别是根据儿童行为清单制定的。基于逻辑回归模型进行分析,研究LFI与一系列已知与儿童行为问题相关的中间变量之间的关系。

结果

家庭经历低收入的频率越高,5岁儿童行为问题的发生率就越高。在控制孕早期吸烟、育儿方式、母亲抑郁和5岁时的婚姻不和谐因素后,低家庭收入仍与SAT行为问题独立相关。LFI与内化和外化行为问题之间的关联很大程度上由母亲抑郁介导。

结论

低家庭收入是导致多种儿童行为问题病因的一个重要因素。LFI与儿童内化和外化行为之间联系所涉及的机制包括儿童接触母亲抑郁。然而,LFI与SAT行为问题之间的关系仍有待阐明。

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