Early neighborhood conditions and trajectories of depressive symptoms across adolescence and into adulthood
Early neighborhood conditions and trajectories of depressive symptoms across adolescence and into adulthood
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DOI：
10.1016/j.alcr.2018.01.005
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发表时间：
2018-03-01
影响因子：
3.4
通讯作者：
Barr, Peter B.
中科院分区：
文献类型：
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作者：
Barr, Peter B.
早期生活状况，包括童年的社会经济状况(SES)或暴露在不利条件下，可能会对心理健康产生长期影响。然而，相对较少的人研究了早期生活中暴露在不利的邻里条件下的长期影响。社区劣势和社区混乱一直都与心理健康结果有关，尤其是抑郁症。目前的分析使用了全国青少年至成人健康研究(Add Health)的所有数据，以确定社区环境对从青春期到成年的抑郁症状轨迹的影响。我们发现，在调整了个体水平的协变量后，邻里劣势对抑郁症状的初始水平或随时间的变化没有影响。然而，邻里关系障碍与青春期抑郁症状的初始水平更高有关，这种差异在整个早期生命过程中都持续存在。此外，虽然女性受访者在一段时间内抑郁症状的水平更高，但社区条件的影响并不因性别而异。我们的结果表明，早期的邻里条件是抑郁症状长期模式的重要危险因素，超过了重要的近端因素，如家庭社会经济地位、家庭组成和种族-种族。
Early life conditions, including childhood socioeconomic status (SES) or exposure to adverse conditions, can have long-term consequences on mental health. However, relatively little has examined the long-term influence of exposure to adverse neighborhood conditions in early life. Both neighborhood disadvantage and neighborhood disorder have been consistently linked to mental health outcomes, especially depression. The current analysis uses data from all waves of the National Study of Adolescent to Adult Health (Add Health) to determine the influence of neighborhood context on trajectories of depressive symptoms from adolescence into adulthood. We find that neighborhood disadvantage has no influence on initial levels or change over time in depressive symptoms after adjusting for individual level covariates. However, neighborhood disorder is associated with greater initial levels of depressive symptoms during adolescence and this difference persists throughout the early life course. Additionally, while female respondents had greater levels of depressive symptoms across time, the effect of neighborhood conditions did not vary by sex. Our results demonstrate that early neighborhood conditions are an important risk factor for long-term patterns of depressive symptoms, above and beyond important proximal factors such as family SES, family composition, and race-ethnicity.