Objective
Guided by the built environment and mental health framework and the family resilience theory, this study examined the promotive and protective role of family resilience on the associations between neighborhood, school, and racial discrimination risk factors on adolescent depression.
Background
One-third of adolescents are at risk of depression. As adolescents spend more time outside the family environment, their neighborhood and school become their primary spheres of interaction, yet family influence remains significant. However, it is unclear to what extent family resilience buffers risk factors experienced outside the family context, particularly neighborhood and school.
Methods
Using the National Survey of Children’s Health, our study sample (n = 81,809) incorporated multi-year data from 2016 to 2020 adolescents between 11–17 years of age. A hierarchical logistic regression model was run for the main effect and interaction models.
Results
Controlling for family-related risks, neighborhood violence/safety, lack of school engagement, lack of school safety, and racial discrimination increased the odds of adolescent depression, while family resilience decreased the odds of depression. Further, family resilience alleviated the negative impact of lack of school engagement and racial discrimination on depression.
Conclusion
Family resilience alleviated the risks from lack of school engagement and racial discrimination, ultimately reducing adolescent depression. Since environmental conditions in school and neighborhood cannot be improved in a short period, increasing family resilience may be a possible intervention to reduce adolescent depression in the school context.
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