Be(ing) prepared: Guide and Scout participation, childhood social position and mental health at age 50-a prospective birth cohort study
Be(ing) prepared: Guide and Scout participation, childhood social position and mental health at age 50-a prospective birth cohort study
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DOI：
10.1136/jech-2016-207898
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发表时间：
2017-03-01
影响因子：
6.3
通讯作者：
Mitchell, Richard
中科院分区：
文献类型：
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作者：
Dibben, Chris;Playford, Chris;Mitchell, Richard
背景：心理健康是许多国家的一个主要问题。我们探讨青少年参加童子军和导游活动是否能在晚年保护心理健康，特别是是否可以减少与早期社会经济地位相关的心理健康不平等。方法使用1958年出生队列国家儿童发展研究，我们检验参加童军导游活动是否与心理健康(SF-36，精神健康指数(MHI-5))有关，并与社会阶层相互作用。50岁时MHI-5平均得分为74.8(SD 18.2)。调整后，对于潜在的儿童混杂因素，参加童子军指南与更好的MHI-5得分2.22相关(CI 1.32至3.08)。在那些没有当过童子军向导的人中，根据童年社会地位的不同，50岁时的心理健康状况存在梯度，并对其他童年风险因素进行了调整。在那些当过童子军向导的人中，这种梯度是不存在的。童子军-指导员的MHI-5得分表示情绪或焦虑障碍的几率低18%。结论在50岁时，参加指导员或童子军与较好的心理健康和较小的心理健康不平等有关。这表明，通过发展持续进步的自我教育、“软”非认知技能、自力更生、协作和在自然环境中活动的潜力来支持复原力和社会流动性的青年方案可能会保护成年后的心理健康。
Background Mental health is a major concern in many countries. We explore whether youth participation in the Scouts and Guides could protect mental health in later life and in particular whether it might reduce inequalities in mental health associated with early life socioeconomic position.Methods Using the 1958 birth cohort National Child Development Study, we tested whether Scouts-Guide attendance was associated with mental health (SF-36, Mental Health Index (MHI-5)) controlling for childhood risk factors and interacted with social class.Results Of the 9603 cohort members, 28% had participated in the Scouts-Guides. The average MHI-5 score was 74.8 (SD 18.2) at age 50. After adjustment, for potential childhood confounders, participation in Scouts-Guides was associated with a better MHI-5 score of 2.22 (CI 1.32 to 3.08). Among those who had not been a Scout-Guide, there was a gradient in mental health at age 50 by childhood social position, adjusting for other childhood risk factors. This gradient was absent among those who had been a Scout-Guide. Scout-Guides had an 18% lower odds of an MHI-5 score indicative of mood or anxiety disorder. The findings appeared robust to various tests for residual confounding.Conclusions Participation in Guides or Scouts was associated with better mental health and narrower mental health inequalities, at age 50. This suggests that youth programmes that support resilience and social mobility through developing the potential for continued progressive self-education, 'soft' non-cognitive skills, self-reliance, collaboration and activities in natural environments may be protective of mental health in adulthood.