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Living with mentally ill parents during adolescence: a risk factor for future welfare dependence? A longitudinal, population-based study

机译:在青春期与精神病患者父母一起生活:未来依赖福利的风险因素吗?一项基于人口的纵向研究

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Background Living with parents suffering from mental illness can influence adolescents’ health and well-being, and adverse effects may persist into adulthood. The aim of this study was to investigate the relationship between parents’ mental health problems reported by their 15–16-year-old adolescents, the potential protective effect of social support and long-term dependence on public welfare assistance in young adulthood. Methods The study linked data from a youth health survey conducted during 1999–2004 among approximately 14 000 15–16-year-olds to data from high-quality, compulsory Norwegian registries that followed each participant through February 2010. Cox regression was used to compute hazard ratios for long-term welfare dependence in young adulthood based on several risk factors in 15–16-year-olds, including their parents’ mental health problems. Results Of the total study population, 10% (1397) reported having parents who suffered from some level of mental health problems during the 12?months prior to the baseline survey; 3% (420) reported that their parents had frequent mental health problems. Adolescent report of their parents’ mental health problems was associated with the adolescents’ long-term welfare dependence during follow-up, with hazard ratios (HRs) of 1.49 (CI 1.29–1.71), 1.82 (1.44–2.31) and 2.13 (CI 1.59–2.85) for some trouble, moderate trouble and frequent trouble, respectively, compared with report of no trouble with mental health problems. The associations remained significant after adjusting for socio-demographic factors, although additionally correcting for the adolescents’ own health status accounted for most of the effect. Perceived support from family, friends, classmates and teachers was analysed separately and each was associated with a lower risk of later welfare dependence. Family and classmate support remained a protective factor for welfare dependence after correcting for all study covariates (HR 0.84, CI 0.78–0.90 and 0.80, 0.75–0.85). We did not find evidence supporting a hypothesized buffering effect of social support. Conclusions Exposure to a parent’s mental health problem during adolescence may represent a risk for future welfare dependence in young adulthood. Perceived social support, from family and classmates in particular, may be a protective factor against future long-term welfare dependence.
机译:背景知识与患有精神疾病的父母一起生活会影响青少年的健康和福祉,不良影响可能持续到成年。这项研究的目的是调查父母在15至16岁的青少年中所报告的心理健康问题,潜在的社会支持保护作用以及长期依赖青年成年的公共支持之间的关系。方法该研究将1999年至2004年间约14000 15-16岁的年轻人的健康调查数据与高质量的,强制性的挪威登记处的数据相联系,该数据跟踪了每个参与者直至2010年2月的情况。Cox回归用于计算基于15至16岁青少年的几个风险因素(包括父母的心理健康问题)得出的年轻成年长期福利依赖的危险比。结果在全部研究人群中,有10%(1397)报告称其父母在基线调查之前的12个月内患有某种程度的精神健康问题; 3%(420)报告说,他们的父母经常有心理健康问题。青少年的父母心理健康问题报告与青少年在随访期间的长期福利依赖有关,危险比(HRs)为1.49(CI 1.29–1.71),1.82(1.44–2.31)和2.13(CI (1.59–2.85),分别是一些麻烦,中度麻烦和频繁麻烦,与无心理健康问题的报告相比。在调整了社会人口统计学因素后,这种关联仍然很显着,尽管对青少年自身健康状况的额外校正是造成这种影响的主要原因。分别分析了家人,朋友,同学和老师的感知支持,并且它们与以后依赖福利的风险较低有关。在校正所有研究协变量后,家庭和同学的支持仍然是福利依赖的保护因素(HR 0.84,CI 0.78–0.90和0.80,0.75–0.85)。我们没有找到支持假设的社会支持缓冲作用的证据。结论青少年时期父母的心理健康问题可能代表着成年后将来依赖福利的风险。尤其是家庭和同学的感知社会支持可能是防止将来长期依赖福利的保护因素。

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