Nhu cầu xã hội trong hộ gia đình, Chức năng cảm xúc và Căng thẳng ở trẻ em Latinx có thu nhập thấp và các bà mẹ của chúng

Journal of Child and Family Studies - Tập 32 - Trang 796-811 - 2023
Victoria F. Keeton1,2, Janice F. Bell2, Christiana Drake2,3, Erik O. Fernandez y. Garcia2,4, Matthew Pantell5, Danielle Hessler6, Holly Wing7, Patricia P. Silveira8,9, Kieran J. O’ Donnell8,9,10, Euclides José de Mendonça Filho8,9, Michael J. Meaney8,9,11, Laura M. Gottlieb6
1University of California, San Francisco, Department of Obstetrics, Gynecology, & Reproductive Sciences, Box 2930, San Francisco, USA
2University of California, Davis, Betty Irene Moore School of Nursing, Sacramento, USA
3University of California, Davis, Department of Statistics, 4101 Mathematical Sciences Bldg., Davis, USA
4University of California, Davis, Department of Pediatrics, 2521 Stockton Blvd, Suite 2200, Sacramento, USA
5University of California San Francisco, Department of Pediatrics, San Francisco, USA
6University of California, San Francisco, Department of Family and Community Medicine, San Francisco, USA
7University of California, San Francisco, Center for Health and Community, San Francisco, USA
8Douglas Mental Health University Institute, Douglas Research Center, McGill University, 6875 Boulevard LaSalle, Montreal, Canada
9Ludmer Centre for Neuroinformatics and Mental Health and Department of Psychiatry, McGill University, Montreal, Canada
10Yale Child Study Center & Department of Obstetrics, Gynecology & Reproductive Sciences, Yale School of Medicine, 230 South Frontage Rd., New Haven, USA
11Singapore Institute for Clinical Sciences, Agency for Science, Technology and Research (A*STAR), 1 Fusionopolis Way, #20-10, Singapore, Singapore

Tóm tắt

Các gia đình Latinx có thể đặc biệt dễ bị tổn thương đối với chức năng cảm xúc, do tỷ lệ khó khăn kinh tế cao hơn và những ảnh hưởng xã hội phức tạp trong quần thể này. Chưa có nhiều thông tin về tác động của các yếu tố căng thẳng môi trường như nhu cầu xã hội chưa được đáp ứng và căng thẳng của mẹ đến sức khỏe cảm xúc của trẻ em Latinx từ các gia đình có thu nhập thấp. Chúng tôi đã thực hiện các phân tích thứ cấp sử dụng dữ liệu từ khảo sát và chỉ số sinh học của 432 trẻ em Latinx và các bà mẹ được thu thập trong một nghiên cứu riêng biệt. Chúng tôi đã sử dụng hồi quy logistic nhị thức và hồi quy logistic đa thức để kiểm tra xem nhu cầu xã hội trong hộ gia đình, hoặc sự căng thẳng cảm nhận của mẹ hoặc nồng độ cortisol trong tóc (HCC), có dự đoán được các chỉ số chức năng cảm xúc của trẻ hoặc HCC của trẻ hay không, độc lập với các yếu tố xã hội nhân khẩu học liên quan. Khoảng 40% trẻ em trong mẫu có các triệu chứng phù hợp với chức năng cảm xúc rối loạn, và hơn 37% hộ gia đình báo cáo năm hoặc nhiều nhu cầu xã hội. Căng thẳng cảm nhận cao của mẹ dự đoán xác suất cao hơn về chức năng cảm xúc rối loạn của trẻ (OR = 2.15; 95% CI [1.14, 4.04]; p = 0.01), và HCC của mẹ cao dương tính với HCC của trẻ cao (OR = 10.60; 95% CI [4.20, 26.74]; p < 0.01). Hầu hết các nhu cầu xã hội từng hộ gia đình, cũng như mức độ nhu cầu xã hội của hộ gia đình, không có liên quan độc lập với chức năng cảm xúc của trẻ hoặc HCC của trẻ. Các phát hiện của chúng tôi bắt đầu định nghĩa một khuôn khổ để hiểu về sức khỏe cảm xúc, căng thẳng và khả năng phục hồi khi chăm sóc trẻ em và các bà mẹ Latinx sống trong môi trường có mức độ nhu cầu xã hội cao, cũng như nhu cầu về việc sàng lọc và can thiệp sức khỏe tâm thần và nhu cầu xã hội tích hợp trong các thiết chế phục vụ quần thể này.

Từ khóa

#Latinx #chức năng cảm xúc #căng thẳng #nhu cầu xã hội #sức khỏe tâm thần #trẻ em #bà mẹ #thu nhập thấp

Tài liệu tham khảo

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