The impact of public assistance on child mental health in Japan: results from A-CHILD study

The impact of public assistance on child mental health in Japan: results from A-CHILD study
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公共援助对日本儿童心理健康的影响:A-CHILD 研究结果

DOI:
10.1057/s41271-020-00254-x
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发表时间:
2020
影响因子:
3.8
通讯作者:
Ochi Manami
Ochi Manami
中科院分区:
医学4区
文献类型:
--
作者:
Koyama Yuna;Fujiwara Takeo;Isumi Aya;Doi Satomi;Ochi Manami

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公共援助是提供安全网以保护儿童健康的一种选择,但援助也可能产生羞耻感,影响自尊。本研究旨在阐明公共援助对儿童心理健康的影响。我们使用了生活困难对足立儿童健康影响 (A-CHILD) 研究中 6920 名一年级学生的横断面数据。我们发现生活在相对贫困中的儿童行为问题较多,适应力较低,并且可能拒绝上学。对低收入家庭进行倾向得分匹配后,尽管低收入家庭中的受助家庭与非受助家庭之间没有显着差异,但与非受助家庭相比,接受援助家庭的儿童拒绝上学的可能性更大(OR 4.00,95% CI 0.85–18.84)。我们的研究没有足够的证据表明社会援助与儿童心理健康、适应力或拒绝上学有关。
Public assistance is one option for providing a safety net to protect the health of children, but assistance may also generate feelings of shame that impact self-esteem. This study aims to elucidate the impact of public assistance on child mental health. We used cross-sectional data on 6920 first graders from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study. We found children living in relative poverty had more behavioral problems, low resilience, and were likely to refuse to go to school. After propensity-score matching among low-income households, the likelihood of children refusing to go to school was larger in the families receiving assistance as compared to non-recipients (OR 4.00, 95% CI 0.85–18.84) although there were no significant differences between recipients and non-recipients in low-income households. Our study produced insufficient evidence to indicate that social assistance is associated with child mental health, resilience, or school refusal.
加纳农村地区医疗保健补贴的间接影响。
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