The association between mental health problems and inflammatory conditions across gender and immigrant status: A population-based cross-sectional study among 10th-grade students
The association between mental health problems and inflammatory conditions across gender and immigrant status: A population-based cross-sectional study among 10th-grade students
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DOI：
10.1177/1403494808089062
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发表时间：
2008-06-01
影响因子：
3.4
通讯作者：
Lien, Lars
中科院分区：
文献类型：
--
作者：
Lien, Lars
目的：本研究的目的是描述挪威和移民青年中心理健康问题、哮喘、过敏和湿疹的患病率并调查它们之间的关联。方法：对挪威奥斯陆两个学年的所有十年级学生进行了一项横断面研究； 1999-2000 年和 2000-2001 年。在 8316 名符合资格的学生中，有 7345 名（88.3%）参加了。使用霍普金斯症状检查表 10 版来测量内在的心理问题，并使用强度和困难问卷的两个子量表来研究外在的心理健康问题。所有问题均基于自我报告，25% 的样本具有移民背景。结果：移民男孩在内化问题上的得分高于挪威男孩。第一代移民报告的哮喘和湿疹比挪威人少。心理健康问题与炎症状况之间最强的关联是男孩的过敏和内化问题（移民的比值比 (OR)=2.5，挪威人的比值比 (OR)=1.8）。对于女孩来说，挪威人是过敏（OR=1.6），移民是哮喘（OR=2.2）。对于外化问题，男孩哮喘和女孩湿疹的相关性最强。与挪威人相比，移民男孩的炎症数量与内在心理健康问题之间的关联性更强（OR=3.2 vs. OR=2.4）。在女孩中，挪威女孩的这一数字为 1.7，移民女孩的数字为 1.8。结论：炎症性疾病的数量与内在的心理健康问题之间存在很强的相关性，特别是在有移民背景的男孩中。与外化心理健康问题的关联不太明显。
Aim: The aim of this study was to describe the prevalence of and investigate the association between mental health problems, asthma, allergy and eczema in Norwegian and immigrant youths. Methods: A cross-sectional study was performed of all 10th-grade students in Oslo, Norway, in two school years; 1999-2000 and 2000-2001. Of the 8316 eligible students, 7345 (88.3%) participated. Internalized mental problems were measured using the Hopkins Symptom Check List 10-version, and two subscales of the Strength and Difficulties Questionnaire were used to study externalizing mental health problems. All questions are based on self-report, and 25% of the sample had an immigrant background. Results: Immigrant boys had higher scores on internalizing problems than Norwegian boys. First-generation immigrants reported less asthma and eczema than Norwegians. The strongest association between mental health problems and inflammatory conditions was for allergy and internalizing problems for boys (odds ratio (OR)=2.5 for immigrants and OR=1.8 for Norwegians). For girls, it was allergy in Norwegians (OR=1.6) and asthma for immigrants (OR=2.2). For externalizing problems, the association was strongest for asthma in boys and eczema in girls. Immigrant boys had stronger associations between number of inflammatory conditions and internalizing mental health problems than Norwegians (OR=3.2 vs. OR=2.4). Among girls, the figures were 1.7 for Norwegians and 1.8 for immigrants. Conclusions: There is a strong association between number of inflammatory conditions and internalizing mental health problems, especially among boys with an immigrant background. The association with externalizing mental health problems was less prominent.