Impact of child poverty and adversity on perceived family support in adolescence
Impact of child poverty and adversity on perceived family support in adolescence
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DOI：
10.1093/eurpub/ckad160.067
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发表时间：
2023-10-24
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来自家庭成员的情感支持可能对青少年的健康结果产生重要影响，并已被确定为防止贫困和逆境影响的政策目标。然而，很少有研究评估贫困和逆境本身在多大程度上影响父母可以提供给青少年的情感支持的性质。因此，我们的目的是调查贫困和家庭逆境的轨迹对年轻人与家人的关系和感知的情感支持收到的影响。我们分析了10976名儿童的纵向数据，这些儿童来自具有全国代表性的英国千禧年队列研究。贫困和家庭逆境的暴露轨迹的特点是使用基于组的多轨迹模型。结果是感知情感支持和家庭关系的质量，测量的三个项目的简短的社会规定量表（SPS-3）和父母与青少年的亲密和冲突的水平，在14岁时测量。使用多变量logistic回归模型估计OR和95% CI。在14岁时，低感知情感支持的总体患病率为13%。社会经济地位（SES）较低的母亲的孩子更有可能报告情感支持较低，具有明显的社会梯度。与暴露于低水平贫困和逆境的儿童相比，持续逆境轨迹组的儿童经历低情感支持和低质量父母-青少年关系的几率更高;那些暴露于持续贫困和父母心理健康不良的儿童经历不良家庭关系和低感知情感支持的风险特别高（aOR 2.2; 95%CI 1.7 - 2.9）。提高英国青少年家庭支持水平的政策应侧重于改善可改变的决定因素，如儿童贫困和家庭心理健康。·社会经济地位较低的父母的孩子在青春期更有可能感受到较低的情感支持。 ·经历持续贫困和父母心理健康状况不佳的儿童在青春期面临家庭关系不佳和情感支持不足的风险增加。
Emotional support from family members may have an important effect on adolescent health outcomes, and has been identified as a target for policy to protect against the impacts of poverty and adversity. However, few studies have assessed the extent to which poverty and adversity themselves influence the nature of emotional support that parents can provide to adolescents. We therefore aimed to investigate the impact of trajectories of poverty and family adversities on young people's relationships with their families and perceived emotional support received. We analysed longitudinal data on 10976 children from the nationally representative UK Millennium Cohort Study. Exposure trajectories of poverty and family adversities were characterised using group-based multi-trajectory models. The outcomes were perceived emotional support and quality of family relationships, measured by the three-item Short Social Provisions Scale (SPS-3) and levels of parent-adolescent closeness and conflict, measured at age 14. ORs and 95% CIs were estimated using multivariable logistic regression models. At age 14 the overall prevalence of low perceived emotional support was 13%. Children of mothers with lower socioeconomic status (SES) were more likely to report low emotional support, with a clear social gradient. Compared with children exposed to low levels of poverty and adversity, children in the persistent adversity trajectory groups experienced higher odds of low emotional support and low-quality parent-adolescent relationship; those exposed to both persistent poverty and poor parental mental health were particularly at increased risk of experiencing poor family relationships and low perceived emotional support (aOR 2·2; 95% CI 1·7- 2·9). Policies to improve levels of family support for UK adolescents should focus on improving modifiable determinants such as child poverty and family mental health. • Children of parents with lower socioeconomic status are more likely to experience low perceived emotional support in adolescence. • Children who experience persistent poverty and poor parental mental health are at increased risk of poor family relationships and low perceived emotional support in adolescence.