心理健康的保护因素：参加城市土著居民和托雷斯海峡岛民初级保健服务的年轻人的横断面研究。

IF 2.6 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Australian and New Zealand Journal of Public Health Pub Date : 2025-02-01 DOI:10.1016/j.anzjph.2024.100218

Geoffrey K.P. Spurling , Deborah A. Askew , Noel E. Hayman , Philip J. Schluter

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引用次数: 0

摘要

目的：本研究旨在探讨城市原住民与托雷斯海峡岛民青少年积极心理结果的相关保护因素。方法：我们的主要结局是没有心理困扰，反映了一种积极结局的方法来分析健康评估数据，使用修正泊松回归，来自一组15至24岁的土著和托雷斯海峡岛民青年，他们在2016-2021年期间参加了城市土著和托雷斯海峡岛民卫生服务。结果：对710名参与者的健康评估进行了分析，发现72.1%的年轻人没有抑郁症。锻炼、运动、不吸食大麻、不吸烟、找工作困难、无家可归、与警察有矛盾、有暴力经历的人与没有抑郁症有关。结论：大多数年轻人没有经历抑郁症。积极成果方针为支持需要与土著和托雷斯海峡岛民社区共同开发的成功途径提供了证据。对公共卫生的影响：决策者、临床医生和卫生服务机构需要提供资源并最大限度地扩大获得安全住所、参与就业、锻炼和体育运动的机会，并避免吸食大麻、吸烟、暴力和与警察发生纠纷。

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Protective factors for psychological wellbeing: A cross-sectional study of young people attending an urban Aboriginal and Torres Strait Islander primary healthcare service

Objective

This study aimed to measure associations between protective factors associated with positive psychological outcomes for Aboriginal and Torres Strait Islander youth living in an urban area.

Methods

Our primary outcome was the absence of psychological distress, reflecting a positive-outcome approach to analyse health assessment data, using modified Poisson regression, from a cohort of Aboriginal and Torres Strait Islander youth aged 15 to 24 years attending an urban Aboriginal and Torres Strait Islander health service (2016–2021).

Results

Health assessments from 710 participants were analysed, with 72.1% of young people found to not be experiencing depression. Exercise, sport, and absences of marijuana use, smoking cigarettes, difficulty getting a job, homelessness, trouble with the police and experience of violence were associated with an absence of depression.

Conclusions

Most young people were not experiencing depression. A positive-outcome approach provided evidence to support avenues to success which need to be developed with Aboriginal and Torres Strait Islander communities.

Implications for public health

Policy makers, clinicians and health services need to resource and maximise opportunities to access safe accommodation, participate in employment, exercise and play sport and to avoid marijuana, cigarettes, violence and trouble with the police.

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来源期刊

Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

5.70%

发文量

121

审稿时长

6-12 weeks

期刊介绍： The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.