Trends in adolescent mental health during economic upturns and downturns: a multilevel analysis of Swedish data 1988-2008.
Trends in adolescent mental health during economic upturns and downturns: a multilevel analysis of Swedish data 1988-2008.
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DOI：
10.1136/jech-2017-209784
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发表时间：
2018-03
影响因子：
6.3
通讯作者：
Hagquist C
中科院分区：
文献类型：
--
作者：
Kim Y;Hagquist C
许多西方国家青少年心理健康问题日益增加的长期趋势表明，非常有必要调查社会变化是否以及如何导致所报告的增加。目前的研究利用 1988 年至 2008 年间在瑞典收集的七波重复横截面数据，检验了社会层面（城市失业率）和个人层面（对家庭财务的担忧）的经济因素及其相互作用是否可以解释心理健康问题的长期趋势。参与者是来自瑞典一个县 14 个市镇的 17533 名 15 至 16 岁学生（49.3% 是女孩）。关于青少年心理健康（心身问题）和对家庭财务的担忧的数据是通过自我报告问卷获得的。为了解释青少年心理健康的趋势，进行了一系列多水平回归分析。结果表明，个人层面的预测因素（对家庭财务的担忧）显着解释了青少年心身问题发生率上升的原因。 20世纪90年代中期尤其如此，当时瑞典经济严重衰退，失业率居高不下。例如，考虑到青少年的担忧后，1988年至1998年间女孩心身症状的显着增加（b=0.112，P<0.05）消失了（b=0.018，P>0.05），1988年至1995年男孩心身症状的非显着减少（b=-0.017，P>0.05）变得显着（b=-0.142，P>0.05）。 P<0.05）。城市失业率及其与青少年忧虑的相互作用都无法解释心身问题。研究结果表明，在经济不景气的时期，青少年对家庭财务的担忧对心理健康问题的长期趋势产生了影响。该研究强调需要重复测量，包括长时间内的大量时间点，以便分析青少年心理健康问题趋势的特定时间的假定解释因素。
A long-term trend of increasing mental health problems among adolescents in many Western countries indicates a great need to investigate if and how societal changes have contributed to the reported increase. Using seven waves of repeated cross-sectional data collected between 1988 and 2008 in Sweden, the current study examined if economic factors at the societal level (municipality unemployment rate) and at the individual level (worry about family finances), and their interaction could explain a secular trend in mental health problems. Participants were 17 533 students of age 15–16 years (49.3% girls), from 14 municipalities in a county of Sweden. Data on adolescents’ mental health (psychosomatic problems) and worry about family finances were obtained using a self-report questionnaire. A series of multilevel regression analyses were conducted in order to explain the trends in adolescents’ mental health. The results indicated that the individual-level predictor (worry about family finances) significantly explained the increasing rates of adolescents’ psychosomatic problems. This was particularly the case during the mid-1990s, which was characterised by a severe recession in Sweden with high unemployment rates. For example, after accounting for adolescents’ worry, a significant increase in psychosomatic symptoms between 1988 and 1998 among girls (b=0.112, P<0.05) disappeared (b=0.018, P>0.05) and a non-significant decrease between 1988 and 1995 among boys (b=−0.017, P>0.05) became significant (b=−0.142, P<0.05). Neither municipality unemployment rate nor its interaction with adolescents’ worry explained psychosomatic problems. The findings demonstrate the effects of adolescents’ worry about family finances on a secular trend in mental health problems during an economically bleak period of time. The study highlights the need for repeated measurements including a large number of time points over a long time period in order to analyse time-specific putative explanatory factors for trends in adolescent mental health problems.
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影响因子：
11.1
作者：
Paul, Karsten I.;Moser, Klaus
通讯作者：
Moser, Klaus
1983 - 2005年，十个欧洲国家的劳动力市场趋势与年轻人心理健康的趋势之间的关联。
影响因子：
4.5
作者：
Lager AC;Bremberg SG
通讯作者：
Bremberg SG
影响因子：
4.4
作者：
Mojtabai R;Stuart EA;Hwang I;Eaton WW;Sampson N;Kessler RC
通讯作者：
Kessler RC
影响因子：
5.2
作者：
Frasquilho, D.;de Matos, M. G.;Caldas-de-Almeida, J. M.
通讯作者：
Caldas-de-Almeida, J. M.
影响因子：
7.6
作者：
Hagquist, CEI
通讯作者：
Hagquist, CEI