Is being a 'left-behind' child associated with an increased risk of self-poisoning in adulthood? Findings from a case-control study in Sri Lanka.
Is being a 'left-behind' child associated with an increased risk of self-poisoning in adulthood? Findings from a case-control study in Sri Lanka.
复制标题
DOI：
10.1136/bmjgh-2020-003734
复制
发表时间：
2021-03
影响因子：
8.1
通讯作者：
Rajapakse T
中科院分区：
文献类型：
--
作者：
Knipe D;Moran P;Howe LD;Bandara P;Wickramage K;Gunnell D;Rajapakse T
父母移民对后代自残风险的长期影响尚不清楚。我们通过一项医院病例对照研究，调查了童年经历父母移民与成年后因自我中毒而在医院出现的症状之间的关系。这些病例是斯里兰卡佩拉迪亚医疗毒理学教学医院收治的成人自我中毒患者(≥，18岁)。性别和年龄频率匹配的对照组从同一家医院的门诊部或附近的专科诊所招募。父母移民的详细情况是通过预先设计的调查问卷收集的。采用Logistic回归模型分析父母迁徙与成年期自毒的关系。在这项研究中，298名患者和500名医院对照组接受了采访。我们估计，每五个成年人中就有一个在儿童时期经历过父母移民(95%的可信区间为17%至24%)。我们发现有限的证据表明，父母有移民的家庭的孩子比父母没有移民的家庭的孩子更有可能经历不利的童年经历。我们没有发现统计证据表明，在童年时期经历父母移民(母亲或父亲)的个人在成年后自我中毒的风险增加。没有统计证据表明影响因参与者的性别而不同。从小经历父母移民的成年人并不比父母没有移民的成年人更有可能自我毒死。需要使用纵向数据进行进一步的研究，以了解在留守儿童中观察到的任何不利后果是父母移民的结果，还是由于相关因素但早于移民。未来的数据对于调查父母移民是否会对子女产生持久的影响也很重要。
The long-term consequences of parental emigration on offspring self-harm risk is unknown. We investigated the association between experiencing parental emigration in childhood with hospital presentations for self-poisoning in adulthood using a hospital case–control study. Cases were adult self-poisoning patients (≥18 year olds) admitted to the medical toxicology ward Teaching Hospital Peradeniya, Sri Lanka. Sex and age frequency matched controls were recruited from the outpatient department or nearby specialist clinics at the same hospital. Details of parental emigration were collected using a pre-piloted questionnaire. The relationship between parental emigration and self-poisoning in adulthood was estimated using logistic regression models. 298 cases, and 500 hospital controls were interviewed for the study. We estimate that one in five adults experienced parental emmigration as children (95% CI 17% to 24%). We find limited evidence that children from households with emigrating parents were more likely to experience adverse childhood experiences than those with non-emigrating parents. We found no statistical evidence of an increased risk of self-poisoning in adulthood in individuals who experienced parental emigration (maternal or paternal) during childhood. There was no statistical evidence that the impact differed by the sex of the participant. Adults who experienced parental emigration as children were no more likely to self-poison than adults with non-emigrating parents. Further research using longitudinal data are needed to understand whether any adverse outcomes observed in 'left-behind' children are a consequence of parental emigration or due to factors associated but predate the emigration. Prospective data are also important to investigate whether there are any lasting effects on children who experience parental emigration.
登录
查看更多内容
影响因子：
2.9
作者：
Knipe, Duleeka W.;Bandara, Piumee;Rajapakse, Thilini
通讯作者：
Rajapakse, Thilini
影响因子：
2.8
作者：
De Silva, Prasantha;Jayawardana, Pushpa;Pathmeswaran, A.
通讯作者：
Pathmeswaran, A.
影响因子：
--
作者：
Hanwella R;Ekanayake S;de Silva VA
通讯作者：
de Silva VA
影响因子：
5.4
作者：
Konradsen, F;van der Hoek, W;Peiris, P
通讯作者：
Peiris, P
影响因子：
5.4
作者：
Abeyasekera, Asha L.;Marecek, Jeanne
通讯作者：
Marecek, Jeanne