Mental distress among young people in inner cities: the Resilience, Ethnicity and AdolesCent Mental Health (REACH) study.
Mental distress among young people in inner cities: the Resilience, Ethnicity and AdolesCent Mental Health (REACH) study.
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DOI：
10.1136/jech-2020-214315
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发表时间：
2021-02-08
影响因子：
6.3
通讯作者：
Morgan C
中科院分区：
文献类型：
--
作者：
Knowles G;Gayer-Anderson C;Beards S;Blakey R;Davis S;Lowis K;Stanyon D;Ofori A;Turner A;Working Group S;Pinfold V;Bakolis I;Reininghaus U;Harding S;Morgan C
最近的估计表明，英格兰 11 至 16 岁人群中约有 14% 存在心理健康问题。然而，我们对人口稠密的内城区不同群体的心理健康问题的程度和性质知之甚少，这些城市的背景和经历可能与全国平均水平不同。使用我们基于学校的青少年心理健康、复原力、种族和青少年心理健康加速队列研究的数据，估计伦敦市中心心理健康问题的总体程度和性质，以及按社会群体划分的程度和性质。对心理健康自我报告数据（一般心理健康、抑郁、焦虑、自残）进行了分析（n，4353；11-14岁，85%少数民族群体）。使用混合模型来估计每种类型问题的加权患病率和调整后的风险，总体上以及按性别、队列、族裔群体和免费学校膳食 (FSM) 状况分类。心理健康问题的加权患病率为 18.6%（95% CI 16.4% 至 20.8%）。与男孩相比，每种类型的心理健康问题在女孩中更为常见（调整后的风险比：心理健康问题，1.33，95% CI 1.18至1.48；抑郁，1.52，1.30至1.73；焦虑，2.09，1.58至2.59；自残，1.40，1.06至1.75）。与最年轻的人群相比，年龄较大的人群中的性别差异更为明显。接受（与未接受）FSM 的人相比，心理健康问题（1.28、1.05 至 1.51）和自残（1.29、1.02 至 1.56）（但抑郁或焦虑除外）更为常见。按种族划分，存在许多相似之处，但也存在一些差异。青少年心理健康问题和自残在伦敦市中心很常见。心理健康问题的性别差异可能在青春期早期出现。
Recent estimates suggest around 14% of 11–16 years in England have a mental health problem. However, we know very little about the extent and nature of mental health problems among diverse groups in densely populated inner cities, where contexts and experiences may differ from the national average. To estimate the extent and nature of mental health problems in inner city London, overall and by social group, using data from our school-based accelerated cohort study of adolescent mental health, Resilience, Ethnicity and AdolesCent Mental Health. Self-report data on mental health (general mental health, depression, anxiety, self-harm) were analysed (n, 4353; 11–14 years, 85% minority ethnic groups). Mixed models were used to estimate weighted prevalences and adjusted risks of each type of problem, overall and by gender, cohort, ethnic group and free school meals (FSM) status. The weighted prevalence of mental health problems was 18.6% (95% CI 16.4% to 20.8%). Each type of mental health problem was more common among girls compared with boys (adjusted risk ratios: mental health problems, 1.33, 95% CI 1.18 to 1.48; depression, 1.52, 1.30 to 1.73; anxiety, 2.09, 1.58 to 2.59, self-harm, 1.40, 1.06 to 1.75). Gender differences were more pronounced in older cohorts compared with the youngest. Mental health problems (1.28, 1.05 to 1.51) and self-harm (1.29, 1.02 to 1.56)—but not depression or anxiety—were more common among those receiving (vs not receiving) FSM. There were many similarities, with some variations, by ethnic group. Adolescent mental health problems and self-harm are common in inner city London. Gender differences in mental health problems may emerge during early adolescence.
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影响因子：
7.2
作者：
Localio, A. Russell;Margolis, David J.;Berlin, Jesse A.
通讯作者：
Berlin, Jesse A.
影响因子：
4.5
作者：
Smith, Lee;Hamer, Mark;Fisher, Abigail
通讯作者：
Fisher, Abigail
影响因子：
11.3
作者：
Tiirikainen, Kati;Haravuori, Henna;Marttunen, Mauri
通讯作者：
Marttunen, Mauri
影响因子：
7.7
作者：
Patalay, Praveetha;Gage, Suzanne H.
通讯作者：
Gage, Suzanne H.
影响因子：
7.6
作者：
Goodman, R;Ford, T;Meltzer, H
通讯作者：
Meltzer, H