Impact of poverty and adversity on perceived family support in adolescence: findings from the UK Millennium Cohort Study.
Impact of poverty and adversity on perceived family support in adolescence: findings from the UK Millennium Cohort Study.
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贫困和逆境对青春期家庭支持的影响：英国千年队列研究的结果。
DOI：
10.1007/s00787-024-02389-8
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发表时间：
2024
影响因子：
6.4
通讯作者：
Adjei NK
中科院分区：
文献类型：
--
作者：
Adjei NK
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其他早期生活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，我们的目的是调查收入贫困和家庭逆境的轨迹的影响，包括父母的精神疾病，酒精滥用和家庭暴力在整个儿童发育阶段对年轻人与家人的关系和感知的情感支持。我们分析了来自具有全国代表性的英国千禧年队列研究的10，976名儿童的纵向数据。使用基于组的多轨迹模型（年龄9个月至14岁）描述贫困和家庭逆境的暴露轨迹。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。使用多变量逻辑回归模型估计OR和95% CI，调整潜在混杂因素。在14岁时，低感知情感支持的总体患病率为13%（95%CI：12，14）。社会经济地位（SES）较低的母亲的孩子更有可能报告低情感支持，具有明显的社会梯度（教育程度：10.3%与没有资格：15.4%）。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（校正比值比2.2; 95% CI 1.7 - 2.9）。在青少年时期，感受不到情感支持和家庭关系不佳的情况在社会弱势儿童和青少年以及经历社会逆境的儿童和青少年中更为普遍。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。
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 other early life adversities. 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 income poverty and family adversities, including parental mental ill health, alcohol misuse and domestic violence across childhood developmental stages on young people’s relationships with their families and perceived emotional support received. We analysed longitudinal data on 10,976 children from the nationally representative UK Millennium Cohort study. Exposure trajectories of poverty and family adversities were characterised using group-based multi-trajectory models (age 9 months–14 years). 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, adjusting for potential confounding factors. At age 14, the overall prevalence of low perceived emotional support was 13% (95% CI: 12, 14). Children of mothers with lower socioeconomic status (SES) were more likely to report low emotional support, with a clear social gradient (education—degree plus: 10.3% vs. no qualifications: 15.4%). 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 (adjusted odds ratio 2·2; 95% CI 1·7–2·9). Low perceived emotional support and poor family relationships in adolescence are more prevalent among socially disadvantaged children and adolescents and those experiencing social adversity. Policies to improve levels of family support for UK adolescents should focus on improving modifiable determinants such as child poverty and family mental health.
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DOI：
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发表时间：
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期刊：
影响因子：
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