Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales.
Comparison of substance use, subjective well-being and interpersonal relationships among young people in foster care and private households: a cross sectional analysis of the School Health Research Network survey in Wales.
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DOI：
10.1136/bmjopen-2016-014198
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发表时间：
2017-02-20
期刊：
影响因子：
2.9
通讯作者：
Moore GF
中科院分区：
文献类型：
--
作者：
Long SJ;Evans RE;Fletcher A;Hewitt G;Murphy S;Young H;Moore GF
调查2015/16年威尔士中学生（11 - 16岁）的寄养生活（FC）与物质使用和主观幸福感的关系，并检查这些关系是否因人际关系的感知质量而减弱。 横断面，基于人群的健康行为和生活方式问卷。威尔士，英国;参加2015/16学校健康研究网络（SHRN）问卷调查的年轻人（n = 32479）。 健康行为的FC的年轻人进行了比较，从私人住户。所有不良结局的发生率在FC的年轻人中较高。FC中的人更有可能报告使用甲氧麻黄酮（OR = 9.24，95% CI 5.60 - 15.34），多种物质滥用行为（OR = 3.72，95% CI 2.30 - 6.00），与同伴关系较差（RR = 1.88，95%CI 1.23 - 2.88）和教师（RR = 1.83，95% CI 1.31 - 2.56），经历过欺凌（OR = 1.80，95%CI 1.38~2.35）、约会暴力（OR = 1.66，95%CI 1.13~2.43）和幸福感差（RR = 1.72，95%CI 1.20~2.46）。FC和物质使用之间的关联仍然显着，但在考虑关系变量后减弱。调整关系变量后，FC和主观幸福感之间的关联变得不显着。生活在FC的年轻人的经验显着更糟糕的结果比年轻人不照顾，可能是由于一系列的照顾和precare因素，这对随后的社会关系产生不利影响。这些分析是一致的假设，即FC与物质使用和生活满意度的关联部分解释了质量较差的社会关系。需要进行大规模的纵向研究，以调查护理与健康、教育和社会成果之间的关系。心理健康干预措施和干预措施，以减少药物使用和改善福祉FC应包括一个重点，支持健康的社会关系。
To investigate the association of living in foster care (FC) with substance use and subjective well-being in a sample of secondary school students (11–16 years) in Wales in 2015/16, and to examine whether these associations are attenuated by the perceived quality of interpersonal relationships. Cross-sectional, population-based health behaviour and lifestyle questionnaire. Wales, UK; young people who took part in the 2015/16 School Health Research Network (SHRN) questionnaire (n=32 479). Health behaviours among young people in FC were compared with those from private households. The prevalence of all adverse outcomes was higher among young people in FC. Those in FC were significantly more likely to report mephedrone use (OR=9.24, 95% CI 5.60 to 15.34), multiple substance misuse behaviours (OR=3.72, 95% CI 2.30 to 6.00), poorer relationships with peers (RR=1.88, 95% CI 1.23 to 2.88) and teachers (RR=1.83, 95% CI 1.31 to 2.56), having experienced bullying (OR=1.80, 95% CI 1.38 to 2.35), dating violence (OR=1.66, 95% CI 1.13 to 2.43) and poor well-being (RR=1.72, 95% CI 1.20 to 2.46). The association between FC and substance use remained significant, though was attenuated after accounting for relationship variables. The association between FC and subjective well-being became non-significant after adjustment for relationship variables. Young people living in FC experience significantly worse outcomes than young people not in care, likely due to a range of care and precare factors, which impact adversely on subsequent social relationships. The analyses are consistent with the hypothesis that the associations of FC with substance use and life satisfaction are partially explained by poorer quality social relationships. Large scale, longitudinal studies are required to investigate the relationship between being in care and health, educational and social outcomes. Mental health interventions and interventions to reduce substance use and improve well-being in FC should include a focus on supporting healthy social relationships.