Why do British Indian children have an apparent mental health advantage?
Why do British Indian children have an apparent mental health advantage?
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DOI：
10.1111/j.1469-7610.2010.02260.x
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发表时间：
2010-10
期刊：
影响因子：
--
通讯作者：
Leon DA
中科院分区：
文献类型：
--
作者：
Goodman A;Patel V;Leon DA
以前的研究记录了英国印第安儿童的心理健康优势，特别是对于外部问题。这种优势的原因尚不清楚。受试者为13 836名白色儿童和361名印度儿童，年龄在5-16岁之间，来自英国儿童和青少年心理健康调查的英国子样本。主要的心理健康结果是父母的优势和困难问卷（SDQ）。还使用教师和儿童SDQ评估了心理健康;与父母，教师和儿童的诊断访谈;以及多信息提供者临床医生评定的诊断。多个儿童，家庭，学校和地区因素进行了检查，作为可能的调解人或混杂因素，解释观察到的种族差异。印度儿童在将问题和障碍外化方面有很大的优势，而在将问题和障碍内化方面几乎没有差异。这在所有心理健康结果中都有观察到，包括教师报告和诊断访谈措施。详细的心理测量分析没有提供任何信息偏见的建议。印度儿童更有可能生活在双亲家庭中，不太可能有学习困难，这在一定程度上调解了印度儿童在外部问题上的优势。然而，在对这些和所有其他协变量进行调整后，无法解释的印度优势仅减少了约四分之一（从1.08到0.71父母SDQ点），并且仍然非常显著（p<0.001）。印第安人的这种优势主要局限于社会经济地位低下的家庭。印度人在心理健康方面的优势是真实的，而且是针对外化问题的。家庭类型和学术能力调解了部分优势，但大多数不能用主要风险因素来解释。同样无法解释的是，印度儿童在心理健康方面没有社会经济梯度。对印度优势的进一步调查可能会深入了解促进儿童心理健康和所有种族儿童心理健康公平的新方法。
Previous studies document a mental health advantage in British Indian children, particularly for externalising problems. The causes of this advantage are unknown. Subjects were 13 836 White children and 361 Indian children aged 5-16 years from the English subsample of the British Child and Adolescent Mental Health Surveys. The primary mental health outcome was the parent Strengths and Difficulties Questionnaire (SDQ). Mental health was also assessed using the teacher and child SDQs; diagnostic interviews with parents, teachers and children; and multi-informant clinician-rated diagnoses. Multiple child, family, school and area factors were examined as possible mediators or confounders in explaining observed ethnic differences. Indian children had a large advantage for externalising problems and disorders, and little or no difference for internalising problems and disorders. This was observed across all mental health outcomes, including teacher-reported and diagnostic interview measures. Detailed psychometric analyses provided no suggestion of information bias. The Indian advantage for externalising problems was partly mediated by Indian children being more likely to live in two-parent families and less likely to have academic difficulties. Yet after adjusting for these and all other covariates, the unexplained Indian advantage only reduced by about a quarter (from 1.08 to 0.71 parent SDQ points) and remained highly significant (p<0.001). This Indian advantage was largely confined to families of low socio-economic position. The Indian mental health advantage is real and is specific to externalising problems. Family type and academic abilities mediate part of the advantage, but most is not explained by major risk factors. Likewise unexplained is the absence in Indian children of a socio-economic gradient in mental health. Further investigation of the Indian advantage may yield insights into novel ways to promote child mental health and child mental health equity in all ethnic groups.
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影响因子：
2.3
作者：
Atzaba-Poria, Naama;Pike, Alison
通讯作者：
Pike, Alison
DOI：
10.1097/00004583-200111000-00015
发表时间：
2001-11-01
影响因子：
13.3
作者：
Goodman, R
通讯作者：
Goodman, R
影响因子：
4.4
作者：
Goodman, Anna;Heiervang, Einar;Goodman, Robert
通讯作者：
Goodman, Robert
影响因子：
5.4
作者：
McMunn, AM;Nazroo, JY;Goodman, R
通讯作者：
Goodman, R
DOI：
10.1111/j.1469-7610.1997.tb01545.x
发表时间：
1997-07-01
期刊：
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY AND ALLIED DISCIPLINES
影响因子：
--
作者：
Goodman, R
通讯作者：
Goodman, R