Economic stress in childhood and adulthood, and poor psychological health: Three life course hypotheses
Economic stress in childhood and adulthood, and poor psychological health: Three life course hypotheses
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DOI：
10.1016/j.psychres.2013.11.018
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发表时间：
2014-02-28
影响因子：
11.3
通讯作者：
Rosvall, Maria
中科院分区：
文献类型：
--
作者：
Lindstrom, Martin;Fridh, Maria;Rosvall, Maria
从生命历程角度对心理健康进行的调查很少。目的是参考生命历程流行病学中的积累假说、关键期假说和社会流动假说，探讨儿童和成年期经济压力与成年期心理健康状况不佳之间的关联。 2008 年斯科讷公共卫生调查是一项横断面邮寄问卷调查。我们随机抽取了 28,198 名 18-80 岁的受访者（55% 参与）。使用 GHQ12 仪器评估心理健康状况。使用逻辑回归模型来研究调整年龄、出生国家、社会经济地位、情感支持、工具支持和信任以及按性别分层的关联。积累假说得到了证实，因为童年和成年时期所承受的经济压力与心理健康状况不佳呈分级相关。社会流动假说也得到证实。关键期假说并未得到证实，因为儿童期和成年期的经济压力仍然与成年期不良的心理健康状况显着相关。童年时期的经济压力与成年后的心理健康有关。 (C) 2013 Elsevier Ireland Ltd. 保留所有权利。
Investigations of mental health in a life course perspective are scarce. The aim is to investigate associations between economic stress in childhood and adulthood, and poor psychological health in adulthood with reference to the accumulation, critical period and social mobility hypotheses in life course epidemiology. The 2008 public health survey in Skane is a cross-sectional postal questionnaire study. A random sample was invited which yielded 28,198 respondents aged 18-80 (55% participation). Psychological health was assessed with the GHQ12 instrument. Logistic regression models were used to investigate the associations adjusting for age, country of birth, socioeconomic status, emotional support, instrumental support and trust, and stratifying by sex. The accumulation hypothesis was confirmed because combined childhood and adulthood exposures to economic stress were associated with poor psychological health in a graded manner. The social mobility hypothesis was also confirmed. The critical period hypothesis was not confirmed because both childhood and adulthood economic stress remained significantly associated with poor psychological health in adulthood. Economic stress in childhood is associated with mental health in adulthood. (C) 2013 Elsevier Ireland Ltd. All rights reserved.