Impact of Parental Mental Health and Poverty on the Health of the Next Generation: A Multi-Trajectory Analysis Using the UK Millennium Cohort Study.
Impact of Parental Mental Health and Poverty on the Health of the Next Generation: A Multi-Trajectory Analysis Using the UK Millennium Cohort Study.
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父母心理健康和贫困对下一代健康的影响：利用英国千年队列研究进行的多轨迹分析。
DOI：
10.1016/j.jadohealth.2023.07.029
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Adjei NK
中科院分区：
文献类型：
--
作者：
Adjei NK
研究目的：儿童时期暴露于父母精神疾病和贫困环境中会影响整个生命过程中的健康。母亲和父亲的心理健康可能是重要的影响，但很少有研究解开这些风险暴露和家庭贫困之间的复杂的相互关系，为以后的health.MethodsWe使用的纵向数据10,500名儿童从全国代表性的英国千年队列研究。贫困，孕产妇心理健康和二级照顾者的心理健康的轨迹，从9个月到14岁的儿童年龄。我们评估了这些轨迹与17岁时心理健康结果的关联。人口归因分数进行了计算，以量化的贡献照顾者的心理健康问题和贫困的不良后果在国家一级。ResultsWe确定了五个不同的轨迹。与低贫困和父母心理健康状况良好的儿童相比，那些经历过贫困和初级或二级照顾者心理健康状况不佳的儿童（53%）的结果更差。暴露于持续贫困和照顾者心理健康不良的儿童的社会情绪行为问题（aOR 4.2; 95% CI 2.7-6.7），心理健康问题（aOR 2.5; CI 1.6-3.9）和认知障碍（aOR 1.7; CI 1.1-2.5）的风险显著增加。我们估计，40%的sociemotional行为问题，在17岁时，是由于持续的父母照顾者的心理健康问题和poverty.DiscussionMore一半以上的儿童在英国长大的持续暴露于一个或两个照顾者的心理健康和家庭贫困。这些暴露的组合与下一代的不良健康结果密切相关。
PurposeExposure to parental mental ill-health and poverty in childhood impact health across the lifecourse. Both maternal and paternal mental health may be important influences, but few studies have unpicked the complex interrelationships between these exposures and family poverty for later health.MethodsWe used longitudinal data on 10,500 children from the nationally representative UK millennium cohort study. Trajectories of poverty, maternal mental health, and secondary caregiver mental health were constructed from child age of 9 months through to 14 years. We assessed the associations of these trajectories with mental health outcomes at the age of 17 years. Population-attributable fractions were calculated to quantify the contribution of caregivers' mental health problems and poverty to adverse outcomes at the country level.ResultsWe identified five distinct trajectories. Compared with children with low poverty and good parental mental health, those who experienced poverty and poor primary or secondary caregiver mental health (53%) had worse outcomes. Children exposed to both persistent poverty and poor caregiver mental health were at markedly increased risk of socioemotional behavioural problems (aOR 4.2; 95% CI 2.7–6.7), mental health problems (aOR 2.5; CI 1.6–3.9), and cognitive disability (aOR 1.7; CI 1.1–2.5). We estimate that 40% of socioemotional behavioural problems at the age of 17 were attributable to persistent parental caregivers' mental health problems and poverty.DiscussionMore than half of children growing up in the UK are persistently exposed to either one or both of poor caregiver mental health and family poverty. The combination of these exposures is strongly associated with adverse health outcomes in the next generation.
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