[学龄前儿童的社会和家庭结构与行为问题之间的关系]。

IF 0.7 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Gesundheitswesen Pub Date : 2024-06-01 Epub Date: 2023-12-19 DOI:10.1055/a-2183-6934
Samir Hmayed, Ute Thyen
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引用次数: 0

摘要

背景:儿童的行为问题是心理健康受损的标志。他们的成长受到家庭和社会因素的影响,但人们对家庭结构、教育状况、移民背景和父母就业与行为问题之间的相互作用了解有限。我们对 5-6 岁儿童的这些关联进行了调查:数据(n=15271)于2018年9月至2019年8月在石勒苏益格-荷尔斯泰因联邦州收集,作为入学考试的一部分。使用优势与困难问卷(SDQ)对儿童的行为问题进行评估。统计分析包括描述性评估和双变量逻辑回归模型的计算,SDQ的结果 "有问题 "和 "无问题 "为因变量,社会和家庭因素为自变量(性别、家庭结构、兄弟姐妹数量、语言能力、移民背景、父母教育水平、父母就业情况和在体育俱乐部的运动参与情况):逻辑回归分析显示,与单亲生活的儿童相比,与双亲生活的儿童相比,出现行为问题的可能性高出 2.1 倍(几率比;OR)[95% 置信区间(CI):1.7-2.6]。与有一个或两个兄弟姐妹的儿童相比,独生子女出现行为问题的可能性要高出 1.4 倍[95% 置信区间:1.2-1.8]。与没有移民背景的儿童相比,有单边移民背景的儿童出现行为问题的可能性较低[OR:0.58;95% CI:0.38-0.87]。与来自高学历家庭的儿童相比,来自低学历家庭的儿童出现行为问题的可能性要高出三倍[95% CI:2.3-3.8]。与父母至少一方失业的情况相比,父母双方(或单亲)至少有兼职工作的情况下,儿童出现行为问题的可能性较低[OR:0.58;95% CI:0.47-0.71]:本研究发现了与行为问题表现相关的社会人口因素。特别是单亲家庭、教育水平较低的家庭和父母至少一方失业的家庭,应作为干预对象。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The Relationship between Social and Family Structures and Behavioral Problems in Preschool Children].

Background: Behavioral problems in children are indicators of compromised mental health. Their development is influenced by family and social factors, with limited understanding of interactions among family structure, educational status, migration background, and parental employment concerning behavioral problems. These associations were investigated in children between 5-6 years of age.

Methods: Data (n=15,271) were collected between 09/2018 and 08/2019 in the federal state of Schleswig-Holstein as part of school entry examinations. Children's behavioral problems were assessed using the Strengths and Difficulties Questionnaire (SDQ). Statistical analyses included descriptive assessments and the calculation of a bivariate logistic regression model, with SDQ's outcomes "problematic" and "non-problematic" as dependent variables, and social and family factors as independent variables (gender, family structure, number of siblings, language proficiency, migration background, parental education level, parental employment, and sports participation in a sports club).

Results: Logistic regression analyses revealed that children living with single parents had a 2.1-fold (odds ratio; OR) higher likelihood [95% confidence interval (CI): 1.7-2.6] of displaying behavioral problems compared to children living with both biological parents. Only children had a 1.4-fold higher likelihood [95% CI: 1.2-1.8] compared to children with one or two siblings. Children with a unilateral migration background exhibited a lower likelihood of behavioral problems [OR: 0.58; 95% CI: 0.38-0.87] than children without a migration background. Children from families with low educational attainment had a 3-fold higher likelihood of behavioral problems [95% CI: 2.3-3.8] compared to those from high educational attainment families. When both parents (or the single parent) were employed at least part-time, there was a lower likelihood of behavioral problems [OR: 0.58; 95% CI: 0.47-0.71] in the child compared to situations where at least one parent was unemployed.

Conclusions: This study identified sociodemographic factors associated with manifestation of behavioral problems. Particularly, single parents, families with lower educational levels and families with at least one unemployed parent should be targeted for intervention.

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来源期刊
Gesundheitswesen
Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.90
自引率
18.20%
发文量
308
期刊介绍: The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.
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