Social Inequality and Children's Mental Health

社会不平等与儿童心理健康

基本信息

批准号：
8305108
负责人：
AVSHALOM CASPI
金额：
$ 11.72万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-15 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8305108
关键词：
12 year old 2 year old Academy Accounting Achievement Address Adolescent Adopted Adult Adverse effects Affect Age Agriculture Alcohol or Other Drugs use American Anxiety Area Attention Behavioral Biological Biological Markers Biological Testing Birth Buffers Characteristics Charities Child Child Abuse and Neglect Child Development Child Mental Health Child health care Childhood Cognitive Collaborations Collection Communities Conduct Disorder Country Data Data Analyses Data Collection Data Set Developed Countries Development Diet Disease Disease Attributes Domestic Violence Ecology Economic Conditions Economic Inflation Emotional England Environment Environmental Exposure Environmental Risk Factor Epidemiology Evaluation Event Exposure to Family Family Process Family Violence Fetal Development Food Future Genetic Goals Health Health Status Home environment Home visitation House Call Income Individual Inequality Inflammation Inflammatory International Intervention Joints Lead Life Life Cycle Stages Life Experience Life Stress Link Location Longitudinal Studies Low income Measures Mediating Mental Depression Mental Health Mental disorders Molecular Genetics Monitor Neighborhoods Nutritional Outcome Parents Participant Pediatrics Perception Play Population Positioning Attribute Poverty Prevention Preventive Process Property Public Health Questionnaires Records Registries Relative (related person)Reporting Research Resources Risk Risk Factors Role Sampling Science Scientist Series Shapes Siblings Signal Transduction Skin Social Conditions Social Mobility Social status Socioeconomic Status Source Stratification Stress Structure Substance Use Disorder Summary Reports Surveys Symptoms System Testing Time Trust Twin Multiple Birth Twin Studies United Nations Variant Victimization Violence Visit Wales Work abstracting adolescent substance use base burden of illness child poverty cost effective deprivation design early adolescence early onset substance use empowered experience family influence family structure grasp health inequalities innovation longitudinal design meetings novel physical conditioning preference prevent psychosocial social social inequality socioeconomics statistics theories

项目摘要

Abstract BACKGROUND: The social gradient in children's mental health is well documented. What is less clear is how social inequalities influence children's development. We propose to examine this question at three levels of analysis. At the neighborhood level, we will assess ecometric properties of the local areas in which children reside and test whether neighborhood-level social processes, such as collective efficacy, mediate the effects of neighborhood poverty on children's mental health. At the family level, we will trace the effects of socioeconomic deprivation on proximal family processes (exposure to violence, food insecurity) and test how stressful early life events may become biologically embedded. At the individual level, we will use a genetically-informative longitudinal design to test the hypothesis that children's perceptions of their social position can help to explain why some children growing up in poverty do versus do not develop health problems. METHOD: We will conduct this research using data from the Environmental Risk (E-Risk) Study. E-Risk is a longitudinal study (from birth to age 12) of a nationally-representative sample of twins born in England and Wales in 1994-1995 (N=2232), selected from a registry created with the UK Office of National Statistics (ONS). We have tracked the children over the first 12 years of their lives, monitoring their development and their environmental exposures, including multiple forms of social inequality. We have gathered data about the children and their families at 6 time points (birth, ages 2, 5, 7, 10, and 12 years). We have also conducted two independent ecometric assessments of the neighborhoods in which the children are growing up, enabling us to study inequalities in children's lives at both the community and family level. INNOVATION AND SIGNIFICANCE: The proposed research has implications both for understanding and reducing health inequalities. At each level of analysis, we adopt a process approach to test how social inequalities influence children's development. At the neighborhood level, we will identify malleable factors for community-level interventions which may be more cost effective and pragmatic than individual-level interventions. At the family level, we will test the direct and indirect contributions of family socio-economic conditions to children's development and identify specific intervention targets for reducing social inequalities in children's mental health. At the individual level, if we discover environmentally-mediated effects between children's subjective social status and their health, the implications would point to children's perceptions of social status as malleable intervention targets and open up a realm of intervention possibilities for empowering children.

抽象的背景：儿童心理健康的社会梯度是有据可查的。不太清楚的是社会不平等如何影响儿童的发展。我们建议三点讨论这个问题分析的层次。在社区层面，我们将评估当地区域的经济特征孩子们居住在哪些地方，并测试社区层面的社会进程，例如集体效能，调节邻里贫困对儿童心理健康的影响。在家庭层面，我们将追踪社会经济剥夺对近亲家庭进程的影响（遭受暴力、食物不安全感）并测试早期生活中的压力事件如何可能成为生物性的。在个人水平上，我们将使用遗传信息纵向设计来检验儿童的假设对自己社会地位的看法有助于解释为什么一些在贫困中长大的孩子与不出现健康问题。方法：我们将使用环境风险（E-风险）研究的数据进行这项研究。电子风险是一项纵向研究（从出生到 12 岁），对出生于 1994-1995 年英格兰和威尔士 (N=2232)，选自英国办公室创建的登记册国家统计局（ONS）。我们对孩子们生命的前 12 年进行了追踪，监测他们的发展和环境暴露，包括多种形式的社会不平等。我们收集了儿童及其家庭在 6 个时间点（出生、2、5、7、10 和 12 岁）的数据年）。我们还对社区进行了两次独立的经济计量评估，其中孩子们正在成长，使我们能够研究社区和儿童生活中的不平等现象和家庭层面。创新和意义：拟议的研究对于理解具有重要意义并减少健康不平等。在每个分析级别，我们采用流程方法来测试如何社会不平等影响儿童的发展。在邻里层面，我们将确定可塑性社区层面的干预措施可能比其他干预措施更具成本效益和务实个人层面的干预。在家庭层面，我们会检验家庭的直接和间接贡献社会经济条件对儿童发展的影响，并确定具体的干预目标减少儿童心理健康方面的社会不平等。在个人层面上，如果我们发现儿童主观社会地位与其健康之间的环境介导效应影响将指向儿童对社会地位的看法作为可塑的干预目标和为赋予儿童权力开辟干预可能性的领域。

项目成果

期刊论文数量（20）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Five-year predictive validity of DSM-IV conduct disorder research diagnosis in 4(1/2)-5-year-old children.

DSM-IV 品行障碍研究诊断对 4(1/2)-5 岁儿童的五年预测有效性。

DOI：
发表时间：
2009-05
期刊：
影响因子：
6.4
作者：
Kim;Arseneault, Louise;Newcombe, Rhiannon;Adams, Felicity;Bolton, Heather;Cant, Lisa;Delgado, Kira;Freeman, Jo;Golaszewski, Ania;Kelesidi, Katerina;Matthews, Charlotte;Mountain, Nicky;Oxley, Donna;Watson, Susanne;Werts, Helen;C
通讯作者：
C

A discordant monozygotic twin design shows blunted cortisol reactivity among bullied children.

不一致的同卵双胞胎设计显示出受欺负儿童的皮质醇反应性减弱。

DOI：
发表时间：
2011-06
期刊：
影响因子：
13.3
作者：
Ouellet;Danese, Andrea;Bowes, Lucy;Shakoor, Sania;Ambler, Antony;Pariante, Carmine M;Papadopoulos, Andrew S;Caspi, Avshalom;Moffitt, Terrie E;Arseneault, Louise
通讯作者：
Arseneault, Louise

Adolescents' perceptions of family social status correlate with health and life chances: A twin difference longitudinal cohort study.

青少年对家庭社会地位的看法与健康和生活机会相关：双胞胎差异纵向队列研究。

DOI：
发表时间：
2020-09-22
期刊：
影响因子：
11.1
作者：
Rivenbark, Joshua;Arseneault, Louise;Caspi, Avshalom;Danese, Andrea;Fisher, Helen L;Moffitt, Terrie E;Rasmussen, Line J H;Russell, Michael A;Odgers, Candice L
通讯作者：
Odgers, Candice L

The protective effects of neighborhood collective efficacy on British children growing up in deprivation: a developmental analysis.

邻里集体效能对在贫困中成长的英国儿童的保护作用：发展分析。

DOI：
发表时间：
2009-07
期刊：
影响因子：
4
作者：
Odgers, Candice L;Moffitt, Terrie E;Tach, Laura M;Sampson, Alan;Taylor, Robert J;Matthews, Charlotte L;Caspi, Avshalom
通讯作者：
Caspi, Avshalom

Biological embedding of stress through inflammation processes in childhood.

通过童年炎症过程而生物嵌入压力。

DOI：
发表时间：
2011-03
期刊：
影响因子：
11
作者：
Danese, A;Caspi, A;Williams, B;Ambler, A;Sugden, K;Mika, J;Werts, H;Freeman, J;Pariante, C M;Moffitt, T E;Arseneault, L
通讯作者：
Arseneault, L