儿童一岁及以后分离焦虑症状期间的母亲劳动力参与。

IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Education & Behavior Pub Date : 2023-12-01 Epub Date: 2023-07-31 DOI:10.1177/10901981231188137
Gabrielle Garon-Carrier, Arya Ansari, Rachel Margolis, Caroline Fitzpatrick
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引用次数: 0

摘要

分离焦虑症状在学龄前儿童中很常见,但它也可能是诊断分离焦虑障碍的一个途径。产妇在分娩后过早就业会增加出现分离焦虑症状的风险。然而,从经济角度来看,确保就业是确保儿童福利的一项有效战略。本研究调查了母亲参加劳动力(与产假相比)和孩子5个月大时家庭经济状况与分离焦虑症状的前瞻性关联。这项研究基于1295个有孩子的加拿大家庭,从17个月到6岁,对他们的分离焦虑水平进行了纵向评估。分离焦虑是在与母亲面对面访谈时测量的。在5个月时测量产妇的劳动参与率、经济状况和危险因素。对倾向得分和样本权重进行调整后的结果显示,尽管有足够的收入(n = 245, 18.9%),职业母亲的孩子在幼儿期出现分离焦虑的风险更高。相比之下,无论是来自收入充足的家庭(n = 950, 73.4%)还是临时低收入家庭(n = 100, 7.7%),产假对孩子的分离焦虑最有利。只有在经历长期经济困难的情况下,休产假母亲的孩子才会有分离焦虑加剧的风险。因此,产假的利用可以帮助防止分离焦虑的发展。在这一敏感的发育时期,为家庭提供照顾婴儿作为主要职业的机会,有助于改善儿童的心理健康。
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Maternal Labor Force Participation During the Child's First Year and Later Separation Anxiety Symptoms.

Separation anxiety symptoms are frequent among preschool-aged children, but it is also a possible gateway for diagnosis of separation anxiety disorder. Early maternal employment after childbirth can increase the risk for the development of separation anxiety symptoms. From an economic perspective, however, securing employment is one effective strategy to ensure child well-being. This study investigated how mothers' participation in the labor force (vs. maternal leave) and the financial state of families when the child was 5 months old was prospectively associated with separation anxiety symptoms. This study is based on 1,295 Canadian families with children assessed longitudinally from 17 months to age 6 on their levels of separation anxiety. Separation anxiety was measured during face-to-face interviews with the mothers. Maternal labor force participation, financial status, and risk factors were measured at 5 months. Results adjusted for propensity scores and for sample weight revealed that children of working mothers, despite having sufficient income (n = 245, 18.9%), were at higher risk of separation anxiety during early childhood. In contrast, maternity leave was most beneficial for children's separation anxiety, whether they were in a family with sufficient income (n = 950, 73.4%) or temporary low income (n = 100, 7.7%). Children of mothers in maternity leave were at risk of heightened separation anxiety only if they experienced chronic economic hardship. Therefore, maternity leave uptake could help prevent the development of separation anxiety. Providing families with opportunity to care for the baby as their main occupation during this sensitive developmental period could help improve children's mental health.

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来源期刊
Health Education & Behavior
Health Education & Behavior PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
8.60
自引率
2.40%
发文量
75
期刊介绍: Health Education & Behavior is the official publication of the Society for Public Health Education (SOPHE). The journal publishes authoritative and practical information on critical health issues for a broad range of professionals interested in understanding factors associated with health behavior and health status, and strategies to improve social and behavioral health. The journal is interested in articles directed toward researchers and/or practitioners in health behavior and health education. Empirical research, case study, program evaluation, literature reviews, and articles discussing theories are regularly published.
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