Protocol for secondary data analysis of 4 UK cohorts examining youth adversity and mental health in the context of intersectionality.

Protocol for secondary data analysis of 4 UK cohorts examining youth adversity and mental health in the context of intersectionality.
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DOI:
10.1371/journal.pone.0289438
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
Shakoor, Sania
Shakoor, Sania
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Hosang, Georgina Mayling;Havers, Laura;Shuai, Ruichong;Fonagy, Peter;Fazel, Mina;Morgan, Craig;Karamanos, Alexis;Fancourt, Daisy;McCrone, Paul;Smuk, Melanie;Bhui, Kamaldeep;Shakoor, Sania

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青年逆境(例如,虐待和欺凌行为)是后期心理健康问题的强有力的风险因素(例如,抑郁和焦虑)。研究表明,青年逆境的流行率和心理健康问题的发生率因个人特征、身份或社会群体(例如,性别和种族)。然而,人们对青年逆境对心理健康问题的影响是否在这些特征的交叉点上有所不同知之甚少(例如,白色女性)。本文报告的一个组成部分的ATTUNE研究计划(工作包2),其目的是调查的影响和机制,青年逆境对抑郁和焦虑症状的年轻人的交叉配置文件。数据来自4个英国青少年队列:HeadStart Cornwall,Oxwell,REACH和DASH。这些队列是为生活在不同地理位置的青少年组装的,这些地理位置代表了英国的沿海、郊区和城市地区。青年逆境进行了评估,使用一系列的自我报告问卷和官方记录。经验证的自我报告工具测量抑郁和焦虑症状。一系列不同的变量被归类为可能的社会和认知机制。结构方程建模(例如,将使用多群体模型、潜在增长模型)和多层次模型,并雅阁统计和流行病学惯例,调整方法以适应具体的现有数据。这项研究计划的结果将扩大我们对青年逆境与心理健康之间联系的理解,包括有关英国青年人交叉性和相关机制的新信息。这些发现将为未来的研究,临床指导和政策提供信息,以保护和促进那些最容易受到青年逆境负面影响的人的心理健康。
Youth adversity (e.g., abuse and bullying victimisation) is robust risk factor for later mental health problems (e.g., depression and anxiety). Research shows the prevalence of youth adversity and rates of mental health problems vary by individual characteristics, identity or social groups (e.g., gender and ethnicity). However, little is known about whether the impact of youth adversity on mental health problems differ across the intersections of these characteristics (e.g., white females). This paper reports on a component of the ATTUNE research programme (work package 2) which aims to investigate the impact and mechanisms of youth adversity on depressive and anxiety symptoms in young people by intersectionality profiles. The data are from 4 UK adolescent cohorts: HeadStart Cornwall, Oxwell, REACH, and DASH. These cohorts were assembled for adolescents living in distinct geographical locations representing coastal, suburban and urban places in the UK. Youth adversity was assessed using a series of self-report questionnaires and official records. Validated self-report instruments measured depressive and anxiety symptoms. A range of different variables were classified as possible social and cognitive mechanisms. Structural equation modelling (e.g., multiple group models, latent growth models) and multilevel modelling will be used, with adaptation of methods to suit the specific available data, in accord with statistical and epidemiological conventions. The results from this research programme will broaden our understanding of the association between youth adversity and mental health, including new information about intersectionality and related mechanisms in young people in the UK. The findings will inform future research, clinical guidance, and policy to protect and promote the mental health of those most vulnerable to the negative consequences of youth adversity.
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