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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Psychiatric illness among a nationally representative sample of sole and partnered parents in New Zealand.
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Psychiatric illness among a nationally representative sample of sole and partnered parents in New Zealand.

机译：全国独居父母和伴侣父母的全国代表性样本中的精神病。

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OBJECTIVE: To quantify the excess risk of specific, diagnosable mental illnesses experienced by sole parents in New Zealand, and to estimate the contribution of socioeconomic position (SEP), co-residence with other adults (as a proxy for social and practical support) and physical health status to this excess risk. METHODS: Data used in the present study were from the New Zealand Mental Health Survey, a nationally representative population-based household survey of 12,992 adults (16+ years) fielded in 2004. The sample included 1216 sole and 3681 partnered parents living with one or more dependent children, with an overall response rate of 73%. Mental illness (12 month prevalence of anxiety, mood, and substance use disorders, and suicidality) was measured with version 3.0 of the Composite International Diagnostic Interview. Illness severity was measured with the Sheehan Disability Scale and the Global Assessment of Functioning Scale. Covariates included household income from all sources, labour market attachment, co-residence with other adults and doctor-diagnosed chronic physical illness. Multiple logistic regression was then carried out on the weighted cross-sectional survey dataset. RESULTS: Adjusting for demographic variables, sole parents had significantly higher 12 month prevalences of mental illnesses than their partnered counterparts, with odds ratios (ORs) of 2.6 (95% confidence interval (CI)=2.0-3.3) for any mental illness, 2.9 (95%CI=2.1-4.0) for any serious mental illness, 2.2 (95%CI=1.7-2.8) for anxiety disorder, 2.6 (95%CI=2.0-3.4) for mood disorder, 3.6 (95%CI=2.2-6.0) for substance use disorder and 2.5 (95%CI=1.5-4.0) for suicidal ideation. Chronic physical illness accounted for only a small proportion of these excess risks. SEP and co-residence of another adult each explained approximately one-quarter of the excess risks and jointly explained approximately half (except for substance use disorders). Almost all of the effect of SEP was mediated by income, with employment status making only a very small independent contribution. CONCLUSIONS: The present results confirm the higher prevalence of mental illness experienced by sole parents, underlining the importance of improving access to primary mental health care, including alcohol and drug rehabilitation services, for sole parents. But they also caution against a solely clinical response and highlight a need to better understand and respond to the social and economic processes that lie behind the associations between mental health, socioeconomic position and sole parenthood in New Zealand.
机译：目的：量化新西兰单亲父母所经历的特定，可诊断的精神疾病的额外风险，并估算社会经济地位（SEP），与其他成年人同住（作为社会和实践支持的代表）的贡献，以及身体健康状况使这种过度风险。方法：本研究中使用的数据来自新西兰心理健康调查，该调查是2004年在全国范围内对12992名成年人（16岁以上）进行的基于人口的全国性调查。该样本包括1216个独生子女和3681个与一个或多个同伴同居的父母较依赖儿童的情况，总体回应率为73％。使用综合国际诊断访谈3.0版对精神疾病（焦虑，情绪和物质使用障碍的12个月患病率以及自杀倾向）进行了测量。疾病严重程度通过希恩残疾量表和全球功能评估量表进行测量。协变量包括来自所有来源的家庭收入，劳动力市场依恋，与其他成年人的同居以及医生诊断的慢性身体疾病。然后在加权横截面调查数据集上进行多元逻辑回归。结果：调整了人口统计学变量后，单亲父母的精神疾病患病率明显高于同伴，其单亲父母患精神疾病的比值比（OR）为2.6（95％置信区间（CI）= 2.0-3.3）为2.9，为2.9 （95％CI = 2.1-4.0）对于任何严重的精神疾病，2.2（95％CI = 1.7-2.8）对于焦虑症，2.6（95％CI = 2.0-3.4）对于情绪障碍，3.6（95％CI = 2.2 -6.0）（针对物质使用障碍）和2.5（95％CI = 1.5-4.0）针对自杀意念。慢性身体疾病仅占这些额外风险的一小部分。 SEP和另一位成年人的同住分别解释了过量风险的四分之一，并共同解释了大约一半的风险（物质滥用障碍除外）。 SEP的几乎所有影响都由收入来调节，就业状况仅占很小的独立贡献。结论：目前的结果证实了独生父母所患精神疾病的患病率较高，强调了改善独生父母获得初级精神卫生保健，包括饮酒和戒毒康复服务的重要性。但是他们也告诫不要仅仅进行临床反应，并强调需要更好地理解和应对新西兰心理健康，社会经济地位和独生子女之间的社会和经济过程。

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