Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study
Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study
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DOI：
10.1093/ije/dyz006
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发表时间：
2019-10-01
影响因子：
7.7
通讯作者：
Gage, Suzanne H.
中科院分区：
文献类型：
--
作者：
Patalay, Praveetha;Gage, Suzanne H.
背景：有证据表明，心理健康问题正在增加，物质使用行为正在减少。本文旨在调查2005年和2015年英国两个青少年队列中精神疾病和健康相关行为的最新趋势。心理健康患病率（抑郁症状、自我伤害、反社会行为、父母报告的困难）和与健康有关的行为（物质使用，体重，体重感知，睡眠，性交）在14岁时在两个英国出生队列中进行了检查;雅芳父母和儿童纵向研究（ALSPAC，N = 5627，出生于1991-92）和千年队列研究（MCS，N = 11318，出生于2000-02）。患病率和趋势估计未经调整，并使用倾向评分匹配和熵平衡来解释sample.Results之间的差异：抑郁症状（9%至14.8%）和自我伤害（11.8%至14.4%）在2015年高于2005年。与2005年相比，2015年父母报告的情绪困难，行为问题，多动症和同伴问题都有所增加（5.7-8.9%至9.7-17.7%）。相反，物质使用（尝试吸烟，9.2%至2.9%;尝试酒精，52.1%至43.5%，大麻，4.6%至3.9%），性活动（2%至0.9%）和反社会行为（6.2-40.1%至1.6-27.7%）不太常见或没有什么不同。2015年青少年睡眠时间减少（
Background: There is evidence that mental health problems are increasing and substance use behaviours are decreasing. This paper aimed to investigate recent trends in mental ill health and health-related behaviours in two cohorts of UK adolescents in 2005 and 2015.Methods: Prevalences in mental health (depressive symptoms, self-harm, anti-social behaviours, parent-reported difficulties) and health-related behaviours (substance use, weight, weight perception, sleep, sexual intercourse) were examined at age 14 in two UK birth cohorts; Avon Longitudinal Study of Parents and Children (ALSPAC, N = 5627, born 1991-92) and Millennium Cohort Study (MCS, N = 11 318, born 2000-02). Prevalences and trend estimates are presented unadjusted and using propensity score matching and entropy balancing to account for differences between samples.Results: Depressive symptoms (9% to 14.8%) and self-harm (11.8% to 14.4%) were higher in 2015 compared with 2005. Parent-reported emotional difficulties, conduct problems, hyperactivity and peer problems were higher in 2015 compared with 2005 (5.7-8.9% to 9.7-17.7%). Conversely, substance use (tried smoking, 9.2% to 2.9%; tried alcohol, 52.1% to 43.5%, cannabis, 4.6% to 3.9%), sexual activity (2% to 0.9%) and anti-social behaviours (6.2-40.1% to 1.6-27.7%) were less common or no different. Adolescents in 2015 were spending less time sleeping (