将健康的社会决定因素与美国青少年的心理健康、运动行为和认知功能联系起来

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2024-10-01 DOI:10.1016/j.mhpa.2024.100639

Zhongting Liu , Yanxia Chen , Fabian Herold , Boris Cheval , Ryan S. Falck , Arthur F. Kramer , Markus Gerber , André O. Werneck , Ruopeng An , Megan Teychenne , Neville Owen , Liye Zou

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引用次数: 0

摘要

背景很少有研究关注健康的社会决定因素（SDOH）领域对青少年健康的全面影响。本研究旨在调查 "健康 2030 "中与 SDOH 相关的领域（即经济稳定性、教育机会和质量、医疗保健机会和质量、邻里和建筑环境以及社会和社区背景）与美国青少年的心理健康、运动行为和认知功能之间的关联。结果经济稳定性、教育机会和质量、医疗保健机会和质量以及社会和社区环境与心理健康、运动行为和认知功能的至少一项结果测量相关，而邻里和建筑环境与心理健康和运动行为相关。结论所有五个与 SDOH 相关的领域都与青少年健康的各个方面有关，其中社会和社区环境领域显示出最大的关联性，这突出表明需要采取干预措施来改善社会联系和解决不良童年经历问题，这可能会对改善许多与健康相关的挑战产生更大的影响。

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Linking social determinants of health to mental health, movement behaviors, and cognitive function among U.S. youth

Background

Few studies have focused on a comprehensive view of social determinants of health (SDOH) domains as influences on the health of young people. This study aimed to investigate the associations between the Healthy people 2030 SDOH-related domains (i.e., economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context) with mental health, movement behaviors, and cognitive function among U.S. youth.

Methods

This cross-sectional study used nationally representative data from the 2020–2021 National Survey of Children's Health, covering 54,595 youth aged 6–17 years. The associations of indicators of SDOH-related domains with mental health (depression and anxiety), movement behaviors (physical activity and screen-based sedentary behavior), and cognitive function were estimated using multivariable logistic regression models, adjusting for age, sex, and race.

Results

Economic stability, education access and quality, health care access and quality, and social and community context were associated with at least one outcome measure of mental health, movement behaviors, and cognitive function, while neighborhood and built environment was associated with mental health and movement behaviors. The social and community context domain stood out, with friendship difficulty and household-based adverse childhood experiences being associated with poorer outcomes on most health indicators.

Conclusion

All five SDOH-related domains are related to aspects of youth health, with the social and community context domain showing the most associations, highlighting the need for interventions to improve social connection and address adverse childhood experiences, which may be more impactful in ameliorating many health-related challenges.

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;