Childhood conditions and mental health among youth and young adults in Greenland: a latent class analysis.

IF 1.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Journal of Circumpolar Health Pub Date : 2024-09-16 DOI:10.1080/22423982.2024.2400397

Charlotte Brandstrup Ottendahl,Peter Bjerregaard,Durita Lyngsø Svartá,Ivalu Katajavaara Seidler,Ingelise Olesen,Martine Stecher Nielsen,Christina Viskum Lytken Larsen

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Abstract

Poor mental health among youth in Greenland is a major challenge, childhood conditions are critical for mental health later in life. The study aimed to examine the clustering of childhood conditions by considering risk and protective factors for mental health among youth and young adults in Greenland and to explore the relationship between these clusters and mental health outcomes in youth. The study included 565 participants aged 15-34 living in Greenland. Seven indicators including childhood adversities (ACEs), childhood residence, language, and cultural indicators (protective factors) were used to define clusters via latent class analysis (LCA). The associations between clusters and mental health outcomes (satisfaction with life (Cantrill's ladder), self-esteem, self-efficacy, loneliness, psychological distress (General Health Questionnaire) and mental illness (Kessler 6)) were assessed by logistic regression. Four clusters were identified through LCA. While most participants reported positive childhoods, 40% (in two clusters) experienced ACEs. The two clusters differed as more participants in one cluster had experienced protective factors than the other. ACEs were associated with increased odds of negative aspects of mental health in youth. However, participants who faced high levels of adversity and few protective factors also had reduced odds of positive aspects of mental health in youth.

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格陵兰岛青少年的童年状况与心理健康：潜类分析。

格陵兰青少年心理健康状况不佳是一项重大挑战，童年时期的状况对日后的心理健康至关重要。这项研究旨在通过考虑格陵兰青年和年轻成年人心理健康的风险和保护因素来研究童年状况的群集，并探讨这些群集与青年心理健康结果之间的关系。这项研究包括 565 名生活在格陵兰的 15-34 岁的参与者。通过潜类分析法（LCA），使用包括童年逆境（ACEs）、童年居住地、语言和文化指标（保护因素）在内的七个指标来定义聚类。聚类与心理健康结果（生活满意度（Cantrill's ladder）、自尊、自我效能、孤独、心理困扰（一般健康问卷）和精神疾病（Kessler 6））之间的关联通过逻辑回归进行评估。通过 LCA 确定了四个群组。虽然大多数参与者报告了积极的童年生活，但有 40%（在两个群组中）的人经历过 ACE。这两个群组不同之处在于，一个群组中经历过保护性因素的参与者多于另一个群组。ACE 与青少年心理健康消极方面的几率增加有关。然而，逆境程度高且保护因素少的参与者，其青少年心理健康积极方面的几率也会降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Circumpolar Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.10

自引率

15.40%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Circumpolar Health is published by Taylor & Francis on behalf of the Circumpolar Health Research Network [CircHNet]. The journal follows the tradition initiated by its predecessor, Arctic Medical Research. The journal specializes in circumpolar health. It provides a forum for many disciplines, including the biomedical sciences, social sciences, and humanities as they relate to human health in high latitude environments. The journal has a particular interest in the health of indigenous peoples. It is a vehicle for dissemination and exchange of knowledge among researchers, policy makers, practitioners, and those they serve. International Journal of Circumpolar Health welcomes Original Research Articles, Review Articles, Short Communications, Book Reviews, Dissertation Summaries, History and Biography, Clinical Case Reports, Public Health Practice, Conference and Workshop Reports, and Letters to the Editor.