Social and Environmental Determinants of Occupation: Population-Level Analysis of Adolescent Mental Health.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2025-04-24 DOI:10.1177/15394492251331444

Amanda L Carroll, Antoine L Bailliard, Emily M D'Agostino

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Abstract

Adolescents are experiencing unprecedented mental health challenges in the United States. This study investigated the relationships between social and environmental determinants of occupation (SEDO) and adolescent mental health at the population level. We quantitatively analyzed the National Cancer Institute's Family Life, Activity, Sun, Health, and Eating (FLASHE) specialty cohort study sample (aged 12-17 years, n = 1,737, April-October 2014). Ordinal logistic regression models tested associations between SEDO factors and adolescent mental health. Analyses showed significant associations between SEDO (insufficient sleep, food insecurity, and access to social support) and mental health proxies (eating without hunger due to feeling anxious/nervous, eating without hunger due to feeling sad/depressed). This study provides an understanding of adolescents as a population experiencing mental health disparities related to SEDO. More research is needed to identify additional occupational therapy intervention targets and strategies for addressing SEDO at the population level.

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职业的社会和环境决定因素：青少年心理健康的人口水平分析。

在美国，青少年正经历着前所未有的心理健康挑战。本研究在人口水平上调查职业的社会和环境决定因素（SEDO）与青少年心理健康的关系。我们定量分析了美国国家癌症研究所的家庭生活、活动、阳光、健康和饮食（FLASHE）专业队列研究样本（12-17岁，n = 1,737, 2014年4月至10月）。有序逻辑回归模型检验了SEDO因素与青少年心理健康之间的关系。分析显示，SEDO（睡眠不足、食物不安全和获得社会支持）与心理健康指标（因感到焦虑/紧张而进食不饥饿，因感到悲伤/抑郁而进食不饥饿）之间存在显著关联。本研究提供了对青少年作为一个经历与SEDO相关的心理健康差异的人群的理解。需要更多的研究来确定额外的职业治疗干预目标和策略，以解决人口水平的SEDO问题。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.