Socioeconomic position and mental health problems in pre- and early-adolescents
Socioeconomic position and mental health problems in pre- and early-adolescents
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DOI：
10.1007/s00127-008-0424-z
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发表时间：
2009-03-01
影响因子：
4.4
通讯作者：
Oldehinkel, Albertine J.
中科院分区：
文献类型：
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作者：
Amone-P'Olak, Kennedy;Burger, Huibert;Oldehinkel, Albertine J.
众所周知，家庭社会经济地位（SEP）与青少年心理健康有关。不同心理健康维度之间的关系是否不同尚不清楚。我们采用横断面设计，利用来自多个受访者（家长、自己和老师）的报告，研究了家庭 SEP 对青春期前儿童（N = 2230，基线年龄 10-12，49% 男孩）多个心理健康维度的差异影响。等于或高于第 85 个百分位数（所有受访者的平均值）的分数定义为心理健康问题。SEP 与所有维度均呈负相关。与高 SEP 相比，低 SEP 和中 SEP 的外化问题的比值比 (OR) 分别为 3.88（95% 置信区间 (CI)：2.56、5.90）和 2.05（CI：1.34、3.14）。对于内部化问题，它们分别为 1.86（CI：1.28、2.70）和 1.37（CI：0.94、2.00）。当针对外化问题进行调整时，SEP对内化问题的影响显着减弱（OR：1.47，CI：0.78，1.68和OR：1.34，CI：0.91，1.96），而相反的情况不太明显（OR：3.39，CI：2.24，5.15）和（OR：1.91，CI：1.25， 2.94).在青春期早期，心理健康问题的风险随着 SEP 的降低而增加，特别是外化问题。此外，SEP-内部化问题的关系可以通过与外部化问题的共同方面来部分解释。
Family socioeconomic position (SEP) is known to be associated with adolescent mental health. Whether the relationship is different for different mental health dimensions is unknown.Using a cross-sectional design, we investigated the differential effects of family SEP on multiple mental health dimensions in preadolescents (N = 2230, baseline age 10-12, 49% boys) using reports from multiple informants (parent, self, and teachers). A score equal to or higher than the 85th percentile (averaged across informants) defined mental health problems.SEP was inversely associated with all dimensions. Compared to high SEP, the odds ratios (OR) for externalizing problems were 3.88 (95% confidence interval (CI): 2.56, 5.90) and 2.05 (CI: 1.34, 3.14) for low and intermediate SEP, respectively. For internalizing problems, they were 1.86 (CI: 1.28, 2.70) and 1.37 (CI: 0.94, 2.00), respectively. When adjusted for externalizing problems, SEP effects on internalizing problems materially attenuated (OR: 1.47, CI: 0.78, 1.68 and OR: 1.34, CI: 0.91, 1.96) while the converse was less pronounced (OR: 3.39, CI: 2.24, 5.15) and (OR: 1.91, CI: 1.25, 2.94).In early adolescence, the risk of mental health problems increases with decreasing SEP, particularly for externalizing problems. Further, the SEP-internalizing problems relationship is partly explained by shared aspects with externalizing problems.