新西兰学龄前儿童的居住流动性和社会情感和行为困难

Kim Nathan, O. Robertson, Polly Atatoa Carr, P. Howden-Chapman, N. Pierse
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引用次数: 14

摘要

背景:关于学龄前儿童早期居住流动性和社会情绪和行为(SEB)困难风险增加的研究结果好坏参半,一些研究发现,在控制了已知协变量后,没有证据表明两者之间存在关联。我们的目的是调查新西兰(NZ)儿童的居住流动性和SEB困难。方法对2004年以来在新西兰出生的313164名在4岁时完成入学前检查的儿童进行综合数据基础设施的数据检查。根据地址数据确定居住流动性。SEB难度分数是通过“优势和困难问卷”获得的,该问卷是入学前测试的一部分。结果居住流动率为69%;12%的患儿搬家≥4次。研究发现,居住流动性与SEB难度增加之间存在线性关联(B=0.58),在控制几个已知协变量的情况下,这种关联仍然稳健。迁移至10公里以内和迁移到社会经济剥夺程度较高的地区与SEB困难增加有关(B分别=0.08和B=0.09),而2岁以前的居住地迁移则没有关系。接触较多住宅移动的儿童比接触较少移动的儿童获得SEB临床关注困难评分的可能性高8%(调整OR为1.08)。结论本研究发现居住流动性与幼儿SEB困难增加之间存在线性关系。这一结果强调需要考虑居住流动性作为一个风险因素的SEB困难在学龄前。
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Residential mobility and socioemotional and behavioural difficulties in a preschool population cohort of New Zealand children
Background Findings regarding early residential mobility and increased risk for socioemotional and behavioural (SEB) difficulties in preschool children are mixed, with some studies finding no evidence of an association once known covariates are controlled for. Our aim was to investigate residential mobility and SEB difficulties in a population cohort of New Zealand (NZ) children. Methods Data from the Integrated Data Infrastructure were examined for 313 164 children born in NZ since 2004 who had completed the Before School Check at 4 years of age. Residential mobility was determined from address data. SEB difficulty scores were obtained from the Strengths and Difficulties Questionnaire administered as part of the Before School Check. Results The prevalence of residential mobility was 69%; 12% of children had moved ≥4 times. A linear association between residential mobility and increased SEB difficulties was found (B=0.58), which remained robust when controlling for several known covariates. Moves >10 km and moving to areas of higher socioeconomic deprivation were associated with increased SEB difficulties (B=0.08 and B=0.09, respectively), while residential mobility before 2 years of age was not. Children exposed to greater residential mobility were 8% more likely to obtain SEB difficulties scores of clinical concern than children exposed to fewer moves (adjusted OR 1.08). Conclusion This study found a linear association between residential mobility and increased SEB difficulties in young children. This result highlights the need to consider residential mobility as a risk factor for SEB difficulties in the preschool years.
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