Poverty dynamics and parental mental health: Determinants of childhood mental health in the UK.

Poverty dynamics and parental mental health: Determinants of childhood mental health in the UK.
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DOI:
10.1016/j.socscimed.2016.12.040
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发表时间:
2017-02
期刊:
Social science & medicine (1982)
影响因子:
--
通讯作者:
Smith JP
Smith JP
中科院分区:
其他
文献类型:
--
作者:
Fitzsimons E;Goodman A;Kelly E;Smith JP

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英国千禧队列研究 (MCS) 是一项针对 2000 年至 2001 年在英国出生的 18,827 名儿童的持续纵向研究,我们利用该研究的数据,调查了儿童时期心理健康问题的重要相关性。 MCS 受访者在出生时、9 个月大、3 岁、5 岁、7 岁和 11 岁时进行了抽样调查。每次扫描都包含有关家庭社会经济地位、养育活动、发展指标、亲子关系状况和父母心理健康指标的详细信息。优势和困难问卷(SDQ)和相关的鲁特量表用于识别儿童的行为和情绪问题。在本文中,儿童问题分为四个领域:多动、情绪症状、品行问题和同伴问题。我们重点关注 5 岁和 11 岁时这种关系的两个方面——暂时和持续的贫困的作用,以及父母暂时和持续的心理健康问题的作用。在 11 岁和 5 岁,模型中没有其他控制的情况下,持续性贫困和暂时性贫困与所有四个领域都有很强的估计关联,对持续性贫困的估计影响更强。添加一组控制措施后,我们记录了持续的贫困水平和向贫困的转变与儿童心理健康问题的水平和转变密切相关。同样,母亲心理健康问题的持续水平和转变与儿童心理健康问题的水平和转变密切相关。对于父亲来说,情况就少得多。
Using data from the British Millennium Cohort Study (MCS), an ongoing longitudinal study of a cohort of 18,827 children born in the UK in 2000–2001, we investigate important correlates of mental health issues during childhood. MCS respondents were sampled at birth, at age 9 months, and then when they were 3, 5, 7 and 11 years old. Each sweep contains detailed information on the family’s SES, parenting activities, developmental indicators, parental relationship status, and indicators of parental mental health. The Strengths and Difficulties Questionnaire (SDQ) and the related Rutter scale were used to identify behavioral and emotional problems in children. In this paper, childhood problems are separated into four domains: hyperactivity, emotional symptoms, conduct problems, and peer problems. We focus on two aspects of this relationship at ages 5 and 11 – the role of temporary and persistent poverty and the role of temporary and persistent mental health problems of mothers and fathers. At ages 11 and 5, without other controls in the model, persistent and transitory poverty have strong estimated associations with all four domains, with somewhat stronger estimated effects for persistent poverty. After a set of controls are added, we document that both persistent levels of poverty and transitions into poverty are strongly associated with levels of and transitions into childhood mental health problems. Similarly, sustained levels and transitions into mothers’ mental health problems are strongly associated with levels and transitions into children’s mental health problems. This is much less so for fathers.