The Influence of Social Disadvantage on Children's Emotional and Behavioral Difficulties at Age 4-7 Years
The Influence of Social Disadvantage on Children's Emotional and Behavioral Difficulties at Age 4-7 Years
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DOI：
10.1016/j.jpeds.2015.04.054
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发表时间：
2015-08-01
影响因子：
5.1
通讯作者：
Waters, Elizabeth
中科院分区：
文献类型：
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作者：
Steele, Emily;Wong, Evelyn;Waters, Elizabeth
目的探讨4 ~ 7岁儿童社会劣势指标与情绪和行为困难的关系。研究设计本横断面研究基于2010年澳大利亚维多利亚州入学一年级儿童的父母完成的问卷调查中收集的数据。超过5.7万名儿童参与（占登记儿童的86%），其中38955名（占数据集的68%）的完整数据可用；这些孩子组成了分析样本。结果测量是情绪和行为困难，通过优势和困难问卷总困难评分来评估。进行了逻辑回归分析。结果：拥有优惠卡（政府发行的可获得补贴商品和服务的卡，特别是与医疗保健有关的卡，主要针对经济脆弱家庭）是情感和行为困难的最强预测因子（OR, 2.71; 95% CI, 2.39-3.07），其次是与父母一方和父母的伴侣生活或不与父母任何一方生活（OR, 1.93; 95% CI, 1.58-2.37），以及母亲未完成高中学业(OR, 1.27；95% ci, 1.11-1.45)。结论这些发现可以帮助学校和幼儿从业人员识别情绪和行为困难风险增加的幼儿，并为这些儿童及其父母和家庭提供适当的预防干预支持。
Objective To examine associations between indicators of social disadvantage and emotional and behavioral difficulties in children aged 4-7 years.Study design This cross-sectional study was based on data collected in a questionnaire completed by parents of children enrolled in their first year of school in Victoria, Australia, in 2010. Just over 57 000 children participated (86% of children enrolled), of whom complete data were available for 38 955 (68% of the dataset); these children formed the analysis sample. The outcome measure was emotional and behavioral difficulties, assessed by the Strengths and Difficulties Questionnaire Total Difficulties score. Logistic regression analyses were undertaken.Results Having a concession card (a government-issued card enabling access to subsidized goods and services, particularly in relation to medical care, primarily for economically vulnerable households) was the strongest predictor of emotional and behavioral difficulties (OR, 2.71; 95% CI, 2.39-3.07), followed by living with 1 parent and the parent's partner or not living with either parent (OR, 1.93; 95% CI, 1.58-2.37) and having a mother who did not complete high school (OR, 1.27; 95% CI, 1.11-1.45).Conclusion These findings may assist schools and early childhood practitioners in identifying young children who are at increased risk of emotional and behavioral difficulties, to provide these children, together with their parents and families, with support from appropriate preventive interventions.