Not in Education, Employment, or Training Status Among Young Swiss Men. Longitudinal Associations With Mental Health and Substance Use

Not in Education, Employment, or Training Status Among Young Swiss Men. Longitudinal Associations With Mental Health and Substance Use
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DOI:
10.1016/j.jadohealth.2014.09.006
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发表时间:
2015-02-01
影响因子:
7.6
通讯作者:
Gmel, Gerhard
Gmel, Gerhard
中科院分区:
医学2区
文献类型:
--
作者:
Baggio, Stephanie;Iglesias, Katia;Gmel, Gerhard

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目的:未接受教育、就业或培训(NEET)青年是脱离主要社会机构的青年,构成令人担忧的问题。然而,人们对这一弱势青年群体知之甚少。本研究旨在探讨NEET青少年在人格、心理健康和物质使用方面是否与其他同龄人不同,并提供NEET状态的纵向检查,测试其稳定性和心理健康和物质使用的前瞻性途径。方法:作为物质使用风险因素队列研究的一部分,4,758名20岁出头的瑞士年轻男性回答了有关他们目前的职业和教育状况、个性、物质使用以及与心理健康相关的心理学的问题。描述性统计,广义线性模型的横截面比较,和交叉滞后面板模型的纵向associations.Results:NEET青年分别为6.1%,在基线和7.4%,在后续的1.4%被NEET在这两个时间点。NEET和非NEET青年之间的比较显示,只有物质使用和抑郁症状有显着差异。纵向关联表明,先前的心理健康,大麻使用和每日吸烟增加了成为NEET的可能性。反向因果路径是nonsignificant.Conclusions:NEET状态似乎是不太可能和短暂的年轻瑞士男性,与心理健康和物质使用的差异,但不是在个性。因果路径呈现NEET状态是心理健康和物质使用的结果,而不是原因。此外,这项研究证实,使用大麻和每天吸烟是公共卫生问题。预防方案需要把重点放在这些脆弱的青年身上,以避免他们脱离接触。(C)2015年青少年健康和医学协会。All rights reserved.
Purpose: Not in Education, Employment, or Training (NEET) youth are youth disengaged from major social institutions and constitute a worrying concern. However, little is known about this subgroup of vulnerable youth. This study aimed to examine if NEET youth differ from other contemporaries in terms of personality, mental health, and substance use and to provide longitudinal examination of NEET status, testing its stability and prospective pathways with mental health and substance use.Methods: As part of the Cohort Study on Substance Use Risk Factors, 4,758 young Swiss men in their early 20s answered questions concerning their current professional and educational status, personality, substance use, and symptomatology related to mental health. Descriptive statistics, generalized linear models for cross-sectional comparisons, and cross-lagged panel models for longitudinal associations were computed.Results: NEET youth were 6.1% at baseline and 7.4% at follow-up with 1.4% being NEET at both time points. Comparisons between NEET and non-NEET youth showed significant differences in substance use and depressive symptoms only. Longitudinal associations showed that previous mental health, cannabis use, and daily smoking increased the likelihood of being NEET. Reverse causal paths were nonsignificant.Conclusions: NEET status seemed to be unlikely and transient among young Swiss men, associated with differences in mental health and substance use but not in personality. Causal paths presented NEET status as a consequence of mental health and substance use rather than a cause. Additionally, this study confirmed that cannabis use and daily smoking are public health problems. Prevention programs need to focus on these vulnerable youth to avoid them being disengaged. (C) 2015 Society for Adolescent Health and Medicine. All rights reserved.