Associations of household structure and presence of children in the household with mental distress during the early stages of the U.S. COVID-19 pandemic.

Associations of household structure and presence of children in the household with mental distress during the early stages of the U.S. COVID-19 pandemic.
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DOI:
10.1037/fsh0000657
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发表时间:
2022-03
期刊:
Families, systems & health : the journal of collaborative family healthcare
影响因子:
--
通讯作者:
Thrul J
Thrul J
中科院分区:
其他
文献类型:
--
作者:
Smail EJ;Riehm KE;Veldhuis CB;Johnson RM;Holingue C;Stuart EA;Kalb LG;Thrul J

文献摘要

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相似文献

当前研究的目标是(1)评估家庭结构(即,与配偶生活相比,独居,与子女或与配偶和子女一起生活),子女的存在,以及2020年4月的精神困扰和精神困扰的变化(2020年4月至8月);以及(2)确定这些关联是否受收入或性别的调节。分析样本中包括来自2020年4月和8月“了解美国”研究浪潮的2,214名年龄在25至55岁之间的成年人。多变量,调查加权线性回归模型被用来检查解释变量之间的关联(即,家庭结构和儿童数量)和结果变量(4月份的精神痛苦和精神痛苦的变化),通过患者健康问卷(PHQ)-4测量。在调整后的模型中,2020年4月,每增加一名12岁以下的儿童,精神痛苦就会降低(β =-0.30,p = 0.002)。有没有13至18岁的孩子和家庭结构与精神困扰没有显着相关。在交互模型中,仅与儿童一起生活与低收入人群的精神困扰减少相关(交互β =-1.28,p = 0.016),但与高收入人群无关。同样,只与孩子一起生活与女性的精神痛苦减少有关(交互作用β =-1.09,p = 0.025),但与男性无关。这项研究支持了先前的文献,这些文献证明了养育孩子与心理健康的积极联系,并表明即使在美国COVID-19大流行的早期阶段,这些好处也可能存在于居家订单中。
The objectives of the current study were to (1) assess associations between household structure (i.e., living with spouse compared to living alone, with children, or with a spouse and children), presence of children, and mental distress in April 2020 and change in mental distress (between April and August 2020); and (2) determine whether these associations are moderated by income or sex. A total of 2,214 adults aged 25–55 from the April and August 2020 waves of the Understanding America study were included in the analytic sample. Multivariable, survey-weighted linear regression models were used to examine associations between explanatory variables (i.e., household structure and number of children) and outcome variables (mental distress in April and change in mental distress), measured via the Patient Health Questionnaire (PHQ)-4. In adjusted models, each additional child under the age of 12 was associated with lower mental distress in April 2020 (β = −.30, p = .002). Having children aged 13 to 18 and household structure were not significantly associated with mental distress. In interaction models, living with children only was associated with decreased mental distress among individuals reporting low income (interaction β = −1.28, p = .016) but not high income. Similarly, living with children only was associated with decreased mental distress in females (interaction β = −1.09, p = .025) but not males. This study supports prior literature that demonstrates the positive association of child rearing with psychological well-being and suggests that these benefits may be present even under stay-at-home orders in the early stages of the U.S. COVID-19 pandemic.
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