The impact of childhood residential mobility on mental health outcomes in adolescence and early adulthood: a record linkage study
The impact of childhood residential mobility on mental health outcomes in adolescence and early adulthood: a record linkage study
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DOI：
10.1136/jech-2015-206123
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发表时间：
2016-03-01
影响因子：
6.3
通讯作者：
O'Reilly, Dermot
中科院分区：
文献类型：
--
作者：
Tseliou, Foteini;Maguire, Aideen;O'Reilly, Dermot
背景了解儿童和青春期早期心理健康不良的原因很重要，因为这可能是晚年心理健康的一个重要决定因素。一个潜在且相对未被开发的因素是形成时期的住宅流动性。以前的研究规模相对较小，而且由于方法学问题可能会受到限制。本研究的主要目的是探讨北爱尔兰青少年和青壮年早期居住不稳定与心理健康不良之间的关系。方法采用基于人口普查的记录关联研究方法，调查了2001年北爱尔兰28%的0-8岁儿童(n=49762)，根据健康登记数据和自报的2011年人口普查的心理健康状况，每月进行6次地址变更评估。结果5次或5次以上搬家后，住址变更次数与心理健康状况之间存在等级关系(调整OR为3.67，95%CI为2.11~6.39)。这种关系没有被社会经济地位或家庭组成所改变。婚姻破裂与较差的心理健康有关，但不改变地址改变与心理健康之间的关系(p=0.206)。有一些迹象表明，五岁以后的活动与心理健康不良的可能性增加有关。结论这项大型研究清楚地证实了早年地址改变与后来心理健康不良之间的密切关系。对于青春期和成年早期心理健康状况较差的儿童来说，居住流动性可能是一个有用的标志。
Background Understanding the causes of poor mental health in early childhood and adolescence is important as this can be a significant determinant of mental wellbeing in later years. One potential and relatively unexplored factor is residential mobility in formative years. Previous studies have been relatively small and potentially limited due to methodological issues. The main aim of this study was to investigate the relationship between early residential instability and poor mental health among adolescents and young adults in Northern Ireland.Methods A Census-based record linkage study of 28% of children aged 0-8 years in 2001 in Northern Ireland (n= 49 762) was conducted, with six monthly address change assessments from health registration data and self-reported mental health status from the 2011 Census. Logistic regression models were built adjusting for socioeconomic status (SES), household composition and marital dissolution.Results There was a graded relationship between the number of address changes and mental ill-health (adjusted OR 3.67, 95% CIs 2.11 to 6.39 for 5 or more moves). This relationship was not modified by SES or household composition. Marital dissolution was associated with poor mental health but did not modify the relationship between address change and mental health (p= 0.206). There was some indication that movement after the age of five was associated with an increased likelihood of poor mental health.Conclusions This large study clearly confirms the close relationship between address change in early years and later poor mental health. Residential mobility may be a useful marker for children at risk of poorer mental health in adolescence and early adulthood.