美国各州儿童精神病理症状流行率的差异:ABCD 研究的结果

IF 4.1 Q1 PSYCHIATRY SSM. Mental health Pub Date : 2024-10-28 DOI:10.1016/j.ssmmh.2024.100361
Katherine M. Keyes , Noah T. Kreski , David Weissman , Katie A. McLaughlin
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引用次数: 0

摘要

方法数据来自青少年大脑认知发展(ABCD)研究基线波,其中包括 11,876 名 9-10 岁的儿童。在 ABCD 收集数据的 17 个州中,根据各州的社会人口统计数据,采用统计加权策略得出了各州的患病率预测值。使用儿童行为检查表对心理健康的 20 个方面进行评估,采用建议的切分分数来评估临床症状和阈值以下症状。各州内化问题的预计流行率从 11.0% [95% CI:9.8%,12.2%;俄克拉荷马州] 到 7.9% [95% CI:6.9%,9.0%;马里兰州] 不等。外化问题的预计流行率从 6.9% [95% CI:6.1%,7.8%;南卡罗来纳州] 到 4.5% [95% CI:3.7%,5.4%;加利福尼亚州] 不等。症状较多的地区包括南方部分地区(如俄克拉荷马州、南卡罗来纳州)和佛蒙特州。行为问题在各州之间的差异最大(即州一级的最高流行率比最低流行率高出 91%)。结论在美国各州,有临床意义的精神病理学症状在儿童中很常见,各州的患病率差异很大。了解美国各州精神病理症状流行率的差异有助于为资源分配提供依据,从而增加青少年心理健康服务的可获得性。
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State-level variation in the prevalence of child psychopathology symptoms in the US: Results from the ABCD study

Objective

To estimate the prevalence of clinically meaningful youth mood, anxiety, behavioral, and attention symptoms across US states.

Method

Data are drawn from the Adolescent Brain Cognitive Development (ABCD) study baseline wave, which included 11,876 children ages 9–10. Statistical weighting strategies generated projected state-specific prevalence estimates for the 17 states where ABCD collected data based on state socio-demographics. Twenty dimensions of mental health were assessed with the Child Behavior Checklist using recommended cut-scores to assess clinical and sub-threshold symptoms.

Results

Psychopathology symptom prevalence varied by state and outcome. Projected prevalence of internalizing problems ranged from 11.0% [95% CI: 9.8%, 12.2%; Oklahoma] to 7.9% [95% CI: 6.9%, 9.0%; Maryland] across states. Projected prevalence of externalizing problems ranged from 6.9% [95% CI: 6.1%, 7.8%; South Carolina] to 4.5% [95% CI: 3.7%, 5.4%; California]. Regions with high symptoms included sections of the South (e.g., Oklahoma, South Carolina) and Vermont. Conduct problems had the most variability across states (i.e., greatest state-level prevalence 91% higher than the lowest). Attention problems had the least variability across states (greatest state-level prevalence 26% higher than the lowest).

Conclusions

Clinically meaningful psychopathology symptoms are common in children across the US, with substantial state-level variability in prevalence. Understanding variability in the prevalence of psychopathology symptoms across the US can help to inform resource allocation to increase the availability of youth mental health services.
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来源期刊
SSM. Mental health
SSM. Mental health Social Psychology, Health
CiteScore
2.30
自引率
0.00%
发文量
0
审稿时长
118 days
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