Cross-sectional and longitudinal associations of park coverage, greenness exposure and neighbourhood median household income with children's depressive and anxiety symptoms.

Cross-sectional and longitudinal associations of park coverage, greenness exposure and neighbourhood median household income with children's depressive and anxiety symptoms.
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公园覆盖率、绿化暴露度和社区家庭收入中位数与儿童抑郁和焦虑症状的横断面和纵向关联。

DOI:
10.1111/jpc.15809
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发表时间:
2022
影响因子:
1.7
通讯作者:
Mason,TylerB
Mason,TylerB
中科院分区:
医学4区
文献类型:
--
作者:
Naya,ChristineH;Yi,Li;Chu,Daniel;Dunton,GenevieveF;Mason,TylerB

文献摘要

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内化症状和障碍通常出现在儿童时期,并与成年后的负面健康结果有关。研究表明,社区特征(例如社会经济组成,绿地暴露)与成年人的抑郁和焦虑症状有关;然而,缺乏纵向探索儿童这些关系的研究。本研究探讨了横向和纵向协会的邻里特点与发展轨迹的内化症状在202名儿童(年龄8-12)从母亲和他们的孩子的健康(MATCH)Study.MethodsThe MATCH研究是一个基于洛杉矶的纵向观察调查儿童的健康结果与6个半年一次的评估波在3年。潜在增长曲线模型用于检查儿童自我报告的焦虑或抑郁症状与其社区公园覆盖率,绿化暴露和家庭收入中位数之间的横截面和纵向关联。所有模型包括以下作为协变量:儿童的年龄,性别,种族,家庭收入和母亲的心理健康measurements. ResultsCross-sectionally,结果表明,邻里家庭收入中位数与儿童的抑郁症状呈负相关基线。纵向上,邻里家庭收入中位数与儿童抑郁症状的急剧增加有关。无论是绿化暴露,也没有公园覆盖率与儿童的抑郁或焦虑症状横截面或longitudinal.ConclusionsChildhood起着关键因素,在设置健康的心理,社会,身体和认知成长的基础。我们的研究表明,未来的青年心理健康预防计划应满足多层次的方法,整合个人,家庭和邻里干预,并特别注意他们的邻里SES水平。
AimInternalising symptoms and disorders often emerge in childhood and are associated with negative health outcomes into adulthood. Studies have shown neighbourhood characteristics (e.g. socio‐economic composition, greenspace exposure) to be associated with depression and anxiety symptoms in adults; however, research that explores these relationships longitudinally in children is lacking. This study examined cross‐sectional and longitudinal associations of neighbourhood characteristics with developmental trajectories of internalising symptoms in 202 children (ages 8–12) from the Mothers' and Their Children's Health (MATCH) Study.MethodsThe MATCH Study is a Los Angeles‐based longitudinal observational investigation of children's health outcomes with six semi‐annual assessment waves across 3 years. Latent growth curve modelling was used to examine cross‐sectional and longitudinal associations between child's self‐reported anxiety or depressive symptoms and their neighbourhood's park coverage, greenness exposure and median household income. All models included the following as covariates: child's age, sex, ethnicity, family household income and mother's mental health measures.ResultsCross‐sectionally, results indicated that neighbourhood median household income was negatively associated with children's depressive symptoms at baseline. Longitudinally, neighbourhood median household income was associated with steeper increases in children's depressive symptoms. Neither greenness exposure nor park coverage was associated with children's depressive or anxiety symptoms cross‐sectionally or longitudinally.ConclusionsChildhood plays a key factor in setting the foundations for healthy mental, social, physical and cognitive growth. Our study suggests future mental health prevention programmes in youth should cater to a multilevel approach that integrates individual, familial and neighbourhood interventions and pay special attention to their neighbourhood SES levels.