Childhood family wealth and mental health in a national cohort of young adults.
Childhood family wealth and mental health in a national cohort of young adults.
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DOI：
10.1016/j.ssmph.2016.10.008
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发表时间：
2016-12
期刊：
影响因子：
--
通讯作者：
Schoeni RF
中科院分区：
文献类型：
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作者：
Lê-Scherban F;Brenner AB;Schoeni RF
心理健康对年轻人的健康至关重要，因为 75% 的精神疾病发生在 24 岁之前，而生命早期的精神疾病预示着以后的行为健康问题。财富可以作为应对经济压力的缓冲剂。家庭财富可能与年轻人特别相关，因为家庭财富可以为年轻人做出教育决定并走向经济和社会独立提供经济资源。我们使用了 2005 年至 2011 年收入动态小组研究（美国家庭全国队列）中前瞻性收集的 2060 名 18-27 岁年轻人的数据。我们研究了非特异性心理困扰（用 K-6 量表衡量）与 0-18 岁儿童平均家庭财富（以 2010 年美元净值计算）之间的关联。在人口统计调整的广义估计方程模型中，较高的儿童财富百分位数与较低的严重心理困扰患病率相关：与最低四分位数财富相比，第三个四分位数的患病率（PR）= 0.52（0.32-0.85），第四个四分位数的患病率（PR）= 0.41（0.24-0.68）。由于父母教育的调整，以及儿童家庭收入百分位的调整，这种关联性略有减弱。了解社会经济地位的不同方面影响心理健康的终生过程可以帮助我们识别高危人群，并采取措施尽量减少未来精神疾病的差异。与其他社会经济指标相比，人们对财富对健康的影响知之甚少。家庭财富可能有助于保护年轻人的心理健康。更大的家庭财富与年轻人更好的心理健康有关。
Mental health is critical to young adult health, as the onset of 75% of psychiatric disorders occurs by age 24 and psychiatric disorders early in life predict later behavioral health problems. Wealth may serve as a buffer against economic stressors. Family wealth may be particularly relevant for young adults by providing them with economic resources as they make educational decisions and move towards financial and social independence. We used prospectively collected data from 2060 young adults aged 18–27 in 2005–2011 from the Panel Study of Income Dynamics, a national cohort of US families. We examined associations between nonspecific psychological distress (measured with the K-6 scale) and childhood average household wealth during ages 0–18 years (net worth in 2010 dollars). In demographics-adjusted generalized estimating equation models, higher childhood wealth percentile was related to a lower prevalence of serious psychological distress: compared to lowest-quartile wealth, prevalence ratio (PR)=0.52 (0.32–0.85) for 3rd quartile and PR=0.41 (0.24–0.68) for 4th quartile. The associations were attenuated slightly by adjustment for parent education and more so by adjustment for childhood household income percentile. Understanding the lifelong processes through which distinct aspects of socioeconomic status affect mental health can help us identify high-risk populations and take steps to minimize future disparities in mental illness. Less is known about wealth effects on health compared to other socioeconomic indicators. Family wealth may help protect young adults’ mental health. Greater family wealth was associated with better mental health among young adults.