Fuel poverty and child mental health: exploring underlying mechanisms and experiences in order to reduce inequalities

助长贫困和儿童心理健康：探索减少不平等的根本机制和经验

• 批准号: 2890221
• 金额: --
• 依托单位: University of York
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2890221
• 关键词: Fuel; poverty; child; mental; health

As the UK experiences the worst cost of living crisis in decades (ONS, 2022) estimates suggest that by January over 50% of households (15 million) will be fuel poor (Bradshaw & Keung, 2022). Definitions of fuel poverty (FP) vary globally (Thomson & Snell, 2016), even within the UK, nations disagree (Hinson & Bolton 2022). In England, officially a household is in FP if it has an energy efficiency rating of band D or below and a disposable income under the poverty line (60% below median household income) after housing and fuel costs (BEIS, 2021). It is intersections of society's most vulnerable, including children who are at the greatest risk of ill health due to FP (PHE, 2017; Liddell & Morris, 2010; Marmot et al 2011).Research suggests links between FP and poor adult mental health (Liddell & Morris, 2010; Marmot at el. 2011) but for children the focus has been on physical health with evidence suggesting an increased likelihood of respiratory problems such as asthma (Mohan, 2021). Emergent literature has linked FP to poor child mental health (CMH) (Oliveras et al., 2021) however mechanisms remain unclear with more research needed to understand UK children's experiences.This research aims to understand what factors explain the relationship between FP and CMH and what can be done to reduce or stop their impact. Findings will provide evidence for policy makers, researchers and practitioners on interventions to use, where to target them and who would benefit from them.Research Questions1. How does FP impact MH trajectories of children?2. What factors explain (mediate or moderate) the relationship between FP and CMH outcomes?3. What is the lived experience of FP for children and their families and how does this relate to CMH?Three linked studies will generate evidence to inform policy and practices to reduce the impact of FP on CMH outcomes. It will be conducted in collaboration with the Bradford Institute for Health Research, using primary (Study 3) and secondary (Study 2) data from the Born in Bradford (BiB) Study. BiB is a large cohort study established in 2007, tracking the development of babies born in the city of Bradford from childhood into adulthood (Wright et al., 2013). It recruited 12,453 pregnant women between 2007 and 2011 capturing information on genetic, nutritional, environmental and social factors with subsets of families contributing to numerous BiB data sweeps since recruitment.Study 1A systematic review will be produced to establish a theoretical framework describing the mechanisms through which FP impacts CMH. Guided by Baxter et al. (2010), a logic model will be developed and tested in Study 2. Understanding factors that mediate and moderate the relationship between FP and CMH provides a rationale guided by theory for policy and practice change.Study 2Little is known about how early life experiences of FP impact the emergence and trajectory of CMH outcomes. Using repeated measures analysis, this study will explore how exposure to FP at pregnancy/birth and early childhood (4/5 years) contribute to the development of CMH symptoms in early and middle childhood. A further analysis will be conducted using structural equation modelling to test hypothesised mediating variables based on literature searches and the logic model. Collectively these analyses will generate evidence on types of interventions to use, where to target them and who would benefit from them.Study 3Interviews will be conducted with fuel poor children from the BiB cohort and their parents. Drawing on Butler and Sheriff's (2017) methodological approach interpretative phenomenological analysis (Smith et al., 2009) will be used to understand how children and their families relate to and make sense of experiences of FP. Findings will be interrogated alongside studies 1&2 producing a theory of change model to inform future policy and practice for children and families living with or at risk of FP.

随着英国数十年来（ONS，2022年）的生活危机最糟糕的成本，估计表明，到1月，超过50％的家庭（1500万）将为贫困（Bradshaw＆Keung，2022年）。燃料贫困的定义（FP）在全球范围内（Thomson＆Snell，2016年），即使在英国内部，国家也不同意（Hinson＆Bolton 2022）。在英格兰，如果住房和燃料成本后，官方的家庭在FP中处于FP（贫困线（Beis，2021）之后的贫困线（家庭中位收入低60％），则在FP中处于FP。这是社会最脆弱的相互作用，包括因FP而患健康风险最大的孩子（Phe，2017； Liddell＆Morris，2010； Marmot等人，2011年）。研究是FP的联系表明，FP的联系暗示了成人心理健康之间的联系（Liddell＆Morris，liddell＆Morris and Pocient in the Marmot to and of Marmot to in。哮喘（Mohan，2021）。新兴文献将FP与儿童心理健康（CMH）联系起来（Oliveras等，2021），但是，机制仍然不清楚，需要更多的研究来了解英国儿童的经历。这项研究旨在了解哪些因素解释了FP和CMH之间的关系，以及可以采取什么措施来减少或停止其影响或停止其影响。调查结果将为决策者，研究人员和从业人员提供有关使用干预措施，针对何处以及谁将从中受益的证据1。 FP如何影响儿童的MH轨迹？2。哪些因素解释了FP和CMH结果之间的关系（中等）？3。 FP对儿童及其家人的生活经验是什么？这与CMH有何关系？三个关联的研究将产生证据，以告知政策和实践，以减少FP对CMH结果的影响。它将与Bradford（研究3）和次要（研究2）研究中的Bradford（BIB）研究的数据（研究2）数据一起与Bradford Health Research研究所合作进行。围嘴是一项大型队列研究，成立于2007年，跟踪从童年到成年的布拉德福德市出生的婴儿的发展（Wright等，2013）。它在2007年至2011年之间招募了12,453名孕妇，以捕获有关遗传，营养，环境和社会因素的信息，自招募以来，家庭子集促成了许多BIB数据扫描。研究1A系统审查将被制定，以建立一个理论框架，描述FP影响CMH的机制。由Baxter等人指导。 （2010年），将在研究2中开发和测试一个逻辑模型。了解介导和调节FP和CMH之间关系的因素提供了一个由政策和实践变化理论引导的基本原理。研究FP的早期生活经历如何影响CMH出现的出现和轨迹。使用重复措施分析，本研究将探讨怀孕/出生和幼儿期（4/5年）对FP的接触如何有助于童年早期和中期CMH症状的发展。将使用结构方程建模进行进一步的分析，以测试基于文献搜索和逻辑模型的假设中介变量。这些分析总体上将为要使用的干预措施，将其瞄准并从中受益的人提供证据。研究3 Interviews将与来自围嘴同伙及其父母的燃料可怜的孩子一起进行。利用Butler和Sheriff（2017）的方法学方法解释性现象学分析（Smith等，2009）将用于了解儿童及其家人与FP的关系并理解FP的经验。研究结果将与研究1和2一起审问，生成一种变革模型的理论，以告知未来的政策和实践，以供患有或有FP的儿童和家庭。