Parental socio-economic position during childhood as a determinant of self-harm in adolescence
Parental socio-economic position during childhood as a determinant of self-harm in adolescence
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DOI：
10.1007/s00127-013-0722-y
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发表时间：
2014-02-01
影响因子：
4.4
通讯作者：
Gunnell, David
中科院分区：
文献类型：
--
作者：
Page, Andrew;Lewis, Glyn;Gunnell, David
目的儿童时期的社会经济地位(SEP)和父母的社会流动性与青春期和成年期的后续健康结果相关。本研究探讨父母儿童期SEP是否与青春期后的自我伤害有关。方法本研究使用了一项前瞻性出生队列研究(雅芳父母与儿童纵向研究)的数据，该研究跟踪调查了1991-1992年间出生的14,610名婴儿至16-18岁(n=4,810)。使用Logistic回归模型研究了父母在出生前和整个童年期间记录的SEP与自我伤害的关联，并分别对那些报告(A)有和(B)没有自杀意图的人进行了分析。结果父母SEP越低，子代有自杀意向的自残风险越高，而无自杀意向的自残的相关性较差。在儿童后期的SEP测量方面，关联性更强。抑郁症状似乎在一定程度上调节了这种联系。父母在童年时期报告持续低收入水平的青少年参与SH的可能性大约是从未报告低收入的青少年的1.5倍。结论儿童时期低SEP与青春期自杀意向的后续自残风险有关。这种关联性在那些SEP持续较低的人中更强。
Purpose Socio-economic position (SEP) during childhood and parental social mobility have been associated with subsequent health outcomes in adolescence and adulthood. This study investigates whether parental SEP during childhood is associated with subsequent self-harm in adolescence.Methods This study uses data from a prospective birth-cohort study (the Avon Longitudinal Study of Parents and Children) which followed 14,610 births in 1991-1992 to age 16-18 years (n = 4,810). The association of parental SEP recorded pre-birth and throughout childhood with self-harm was investigated using logistic regression models, with analyses conducted separately for those reporting self-harm (a) with and (b) without suicidal intent. The impact of missing data was investigated using multiple imputation methods.Results Lower parental SEP was associated with increased risk of offspring self-harm with suicidal intent, with less consistent associations evident for self-harm without suicidal intent. Associations were somewhat stronger in relation to measures of SEP in later childhood. Depressive symptoms appeared to partially mediate the associations. Adolescents of parents reporting consistently low income levels during childhood were approximately 1.5 times more likely to engage in SH than those never to report low income.Conclusions Lower SEP during childhood is associated with the subsequent risk of self- harm with suicidal intent in adolescence. This association is stronger in those experiencing consistently lower SEP.