Adverse intergenerational effects of ethnically-divisive social contexts on children's mental health: A prospective cohort study in the Netherlands.
Adverse intergenerational effects of ethnically-divisive social contexts on children's mental health: A prospective cohort study in the Netherlands.
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DOI：
10.1016/j.socscimed.2021.113932
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Kubzansky LD
中科院分区：
文献类型：
--
作者：
Qureshi F;Derks IPM;Williams MA;Koenen KC;Tiemeier H;Kubzansky LD
在世界各地的社会中，国际移民和日益严重的经济不平等加剧了群体间威胁的认知（即感觉社会群体之外的人对其身体或情感福祉怀有敌意）。与群体间威胁相关的暴露，例如消极的群体间接触，本身就会带来压力，并可能导致人群产生更高程度的心理困扰。这项纵向研究调查了母亲的负面群体间接触经历是否与不同种族儿童的不良心理健康结果有关。数据来自 R 世代研究中的 4,025 对母子，这是一项于 2005 年启动的多种族荷兰出生队列。对母亲在怀孕期间的负面群体间接触经历进行了评估。儿童心理健康通过家长和教师使用儿童行为检查表报告的问题行为进行索引。考虑到一系列潜在的混杂因素，线性混合效应模型测试了母亲报告的负面群体间接触与母亲在 3、5 和 9 岁时报告的儿童问题行为之间的纵向关联。敏感性分析检查结果是否使用其他知情人的儿童数据进行复制。在完全调整的模型中，对于非荷兰人（标准化 B = 0.10，95％ CI = 0.05，0.14）和荷兰人儿童（标准化 B = 0.12，95％ CI = 0.08，0.15）而言，较高水平的负面群体间接触与整个童年时期平均问题行为较多相关。对其他信息提供者的儿童数据进行的敏感性分析在很大程度上支持了主要发现。在母亲经历过负面群体间接触的少数族裔和多数族裔儿童中，观察到对心理健康产生类似的不利代际影响。这些发现表明，无论儿童的种族背景如何，种族分裂的社会环境都可能带来广泛的风险。据我们所知，这项研究是第一个从流行病学角度检查与群体间威胁相关的暴露的研究，并提供了原理证明，证明此类暴露可能对人口健康提供信息。
In societies around the world, international migration and growing economic inequality have contributed to heightened perceptions of intergroup threat (i.e., feeling that people outside of one’s social group are hostile to their physical or emotional well-being). Exposures related to intergroup threat, like negative intergroup contact, are inherently stressful and may contribute to higher levels of psychological distress in the population. This longitudinal study investigated whether maternal experiences of negative intergroup contact are related to poor mental health outcomes among ethnically diverse children. Data are from 4,025 mother-child pairs in the Generation R Study, a multi-ethnic Dutch birth cohort initiated in 2005. Mothers’ experiences of negative intergroup contact were assessed during pregnancy. Child mental health was indexed by problem behavior reported by parents and teachers using the Child Behavior Checklist. Linear mixed-effects models tested longitudinal associations of maternal-reported negative intergroup contact with child problem behavior reported by mothers at ages 3, 5, and 9 years, considering a range of potential confounders. Sensitivity analyses examined whether results were replicated using child data from other informants. In fully adjusted models, higher levels of negative intergroup contact were associated with more problem behavior averaged across childhood for both non-Dutch (standardized B=0.10, 95% CI=0.05, 0.14) and Dutch children (standardized B=0.12, 95% CI=0.08, 0.15). Sensitivity analyses with child data from other informants largely supported primary findings. Comparable adverse intergenerational effects on mental health were observed among both ethnic minority and ethnic majority children whose mothers experienced negative intergroup contact. These findings suggest that ethnically divisive social contexts may confer widespread risks, regardless of a child’s ethnic background. To our knowledge, this study is the first to examine exposures related to intergroup threat from an epidemiologic perspective and provides proof of principle that such exposures may be informative for population health.
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