[article]
Titre : |
Sex, ethnic and socioeconomic inequalities and trajectories in child and adolescent mental health in Australia and the UK: findings from national prospective longitudinal studies |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
S. TERHAAG, Auteur ; E. FITZSIMONS, Auteur ; G. DARAGANOVA, Auteur ; Praveetha PATALAY, Auteur |
Article en page(s) : |
p.1255-1267 |
Langues : |
Anglais (eng) |
Mots-clés : |
Adolescent Australia/epidemiology Child Child, Preschool Cohort Studies Ethnicity Female Humans Longitudinal Studies Male Mental Health Minority Groups Prospective Studies Socioeconomic Factors United Kingdom/epidemiology disadvantage inequality internalising young people |
Index. décimale : |
PER Périodiques |
Résumé : |
BACKGROUND: This study investigates the sex, ethnic and socioeconomic inequalities in emotional difficulties over childhood and adolescence using longitudinal cohort studies in the UK and Australia. Estimating cross-national differences contributes to understanding of the consistency of inequalities in mental health across contexts. METHODS: Data from 19,748 participants in two contemporary representative samples in Australia (Growing Up in Australia: The Longitudinal Study of Australian Children, n = 4,975) and UK (Millennium Cohort Study, n = 14,773) were used. Emotional difficulties were assessed using the parent-reported Strengths and Difficulties Questionnaire at ages 4/5, 6/7, 11/12 and 14/15 years and the self-reported Short Moods and Feelings Questionnaire at age 14/15. Latent Growth Curve Modelling was used to examine mental health over time. RESULTS: There were significant increases in emotional difficulties in both countries over time. Emotional difficulties were higher in Australian children at all ages. The gender gap in self-reported depressive symptoms at age 14/15 was larger in the UK (8% of UK and 13% of Australian boys were above the depression cut-off, compared with 23% of girls). Ethnic minority children had higher emotional difficulties at age 4/5 years in both countries, but over time this difference was no longer observed in Australia. In the UK, this reversed whereby at ages 11/12 and 14/15 ethnic minority children had lower symptoms than their White majority peers. Socioeconomic differences were more marked based on parent education and employment status in Australia and by parent income in the UK. UK children, children from White majority ethnicity and girls evidenced steeper worsening of symptoms from age 4/5 to 14/15 years. CONCLUSIONS: Even in two fairly similar countries (i.e. English-speaking, high-income, industrialised), the observed patterns of inequalities in mental health symptoms based on sociodemographics are not the same. Understanding country and context-specific drivers of different inequalities provides important insights to help reduce disparities in child and adolescent mental health. |
En ligne : |
http://dx.doi.org/10.1111/jcpp.13410 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 |
in Journal of Child Psychology and Psychiatry > 62-10 (October 2021) . - p.1255-1267
[article] Sex, ethnic and socioeconomic inequalities and trajectories in child and adolescent mental health in Australia and the UK: findings from national prospective longitudinal studies [Texte imprimé et/ou numérique] / S. TERHAAG, Auteur ; E. FITZSIMONS, Auteur ; G. DARAGANOVA, Auteur ; Praveetha PATALAY, Auteur . - p.1255-1267. Langues : Anglais ( eng) in Journal of Child Psychology and Psychiatry > 62-10 (October 2021) . - p.1255-1267
Mots-clés : |
Adolescent Australia/epidemiology Child Child, Preschool Cohort Studies Ethnicity Female Humans Longitudinal Studies Male Mental Health Minority Groups Prospective Studies Socioeconomic Factors United Kingdom/epidemiology disadvantage inequality internalising young people |
Index. décimale : |
PER Périodiques |
Résumé : |
BACKGROUND: This study investigates the sex, ethnic and socioeconomic inequalities in emotional difficulties over childhood and adolescence using longitudinal cohort studies in the UK and Australia. Estimating cross-national differences contributes to understanding of the consistency of inequalities in mental health across contexts. METHODS: Data from 19,748 participants in two contemporary representative samples in Australia (Growing Up in Australia: The Longitudinal Study of Australian Children, n = 4,975) and UK (Millennium Cohort Study, n = 14,773) were used. Emotional difficulties were assessed using the parent-reported Strengths and Difficulties Questionnaire at ages 4/5, 6/7, 11/12 and 14/15 years and the self-reported Short Moods and Feelings Questionnaire at age 14/15. Latent Growth Curve Modelling was used to examine mental health over time. RESULTS: There were significant increases in emotional difficulties in both countries over time. Emotional difficulties were higher in Australian children at all ages. The gender gap in self-reported depressive symptoms at age 14/15 was larger in the UK (8% of UK and 13% of Australian boys were above the depression cut-off, compared with 23% of girls). Ethnic minority children had higher emotional difficulties at age 4/5 years in both countries, but over time this difference was no longer observed in Australia. In the UK, this reversed whereby at ages 11/12 and 14/15 ethnic minority children had lower symptoms than their White majority peers. Socioeconomic differences were more marked based on parent education and employment status in Australia and by parent income in the UK. UK children, children from White majority ethnicity and girls evidenced steeper worsening of symptoms from age 4/5 to 14/15 years. CONCLUSIONS: Even in two fairly similar countries (i.e. English-speaking, high-income, industrialised), the observed patterns of inequalities in mental health symptoms based on sociodemographics are not the same. Understanding country and context-specific drivers of different inequalities provides important insights to help reduce disparities in child and adolescent mental health. |
En ligne : |
http://dx.doi.org/10.1111/jcpp.13410 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456 |
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