Progressing "Positive epidemiology": A cross-national analysis of adolescents' positive mental health and outcomes during the COVID-19 pandemic.

IF 4.7 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiology Pub Date : 2024-10-22 DOI:10.1097/EDE.0000000000001798

Meredith O'Connor, Craig A Olsson, Katherine Lange, Marnie Downes, Margarita Moreno-Betancur, Lisa Mundy, Russell M Viner, Sharon Goldfeld, George Patton, Susan Sawyer, Steven Hope

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Abstract

Purpose: "Positive epidemiology" emphasizes strengths and assets that protect the health of populations. Positive mental health refers to a range of social and emotional capabilities that may support adaptation to challenging circumstances. We examine the role of positive mental health in promoting adolescent health during the crisis phase of the COVID-19 pandemic.

Methods: We used four long-running Australian and UK longitudinal cohorts: Childhood to Adolescence Transition Study (CATS; analyzed N=809; Australia); Longitudinal Study of Australian Children (LSAC) - Baby (analyzed N=1,534) and Kindergarten (analyzed N=1,300) cohorts; Millennium Cohort Study (MCS; analyzed N=2,490; UK). Measures included: (Pre-pandemic exposure): Positive mental health (parent-reported, 13-15 years) including regulating emotions, interacting well with peers, and caring for others; and pandemic outcomes: psychological distress, life satisfaction, and sleep and alcohol use outside of recommendations (16-21 years; 2020). We used two-stage meta-analysis to estimate associations between positive mental health and outcomes across cohorts, accounting for potential confounders.

Results: Estimates suggest meaningful effects of positive mental health on psychosocial outcomes during the pandemic, including lower risk of psychological distress (Risk Ratio [RR]=0.83 95%CI=0.71, 0.97) and higher life satisfaction (RR=1.1, 95%CI=1.0, 1.2). The estimated effects for health behaviors were smaller in magnitude (sleep: RR=0.95, 95%CI=0.86, 1.1; alcohol use: RR=0.97, 95%CI=0.85, 1.1).

Conclusions: Our results are consistent with the hypothesis that adolescents' positive mental health supports better psychosocial outcomes during challenges such as the COVID-19 pandemic, but relevance for health behaviors is less clear. These findings reinforce the value of extending evidence to include positive health states and assets.

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积极流行病学 "的进展：对 COVID-19 大流行期间青少年积极心理健康和结果的跨国分析。

目的："积极流行病学 "强调保护人口健康的优势和资产。积极心理健康指的是一系列社会和情感能力，可帮助人们适应具有挑战性的环境。我们研究了在 COVID-19 大流行的危机阶段，积极心理健康在促进青少年健康方面的作用：我们使用了澳大利亚和英国的四个长期纵向队列：方法：我们使用了四个长期运行的澳大利亚和英国纵向队列：儿童到青少年过渡研究（CATS；分析人数=809；澳大利亚）；澳大利亚儿童纵向研究（LSAC）--婴儿队列（分析人数=1,534）和幼儿园队列（分析人数=1,300）；千年队列研究（MCS；分析人数=2,490；英国）。措施包括(大流行前接触）：积极的心理健康（家长报告，13-15 岁），包括调节情绪、与同伴良好互动和关爱他人；以及大流行结果：心理困扰、生活满意度以及建议之外的睡眠和饮酒情况（16-21 岁；2020 年）。我们采用了两阶段荟萃分析法来估计积极心理健康与各组群结果之间的关系，并考虑了潜在的混杂因素：结果：估计结果表明，积极心理健康对大流行期间的社会心理结果具有重要影响，包括降低心理困扰风险（风险比 [RR]=0.83 95%CI=0.71, 0.97）和提高生活满意度（RR=1.1, 95%CI=1.0, 1.2）。对健康行为的估计影响较小（睡眠：RR=0.95，95%CI=0.86，1.1；饮酒：RR=0.97，95%CI=0.85，1.1）：我们的研究结果与青少年积极的心理健康有助于在 COVID-19 大流行等挑战中取得更好的社会心理成果的假设相一致，但与健康行为的相关性则不太明确。这些发现加强了将积极的健康状态和资产纳入证据范围的价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.70

自引率

3.70%

发文量

177

审稿时长

6-12 weeks

期刊介绍： Epidemiology publishes original research from all fields of epidemiology. The journal also welcomes review articles and meta-analyses, novel hypotheses, descriptions and applications of new methods, and discussions of research theory or public health policy. We give special consideration to papers from developing countries.