Social determinants of mental health and adolescent anxiety and depression: Findings from the 2018 to 2019 National Survey of Children’s Health
Background: There is a current crisis in children’s mental health. Defining social determinants of mental health (SDMH) facilitates investigations of social impact on mental health. Aims: To examine associations between nine SDMH and adolescent depression and anxiety in a U.S. nationally representat...
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| Veröffentlicht in: | International journal of social psychiatry 2023-05, Vol.69 (3), p.795-798 |
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| container_title | International journal of social psychiatry |
| container_volume | 69 |
| creator | Yang, Phillip Hernandez, Brian S Plastino, Kristen A |
| description | Background:
There is a current crisis in children’s mental health. Defining social determinants of mental health (SDMH) facilitates investigations of social impact on mental health.
Aims:
To examine associations between nine SDMH and adolescent depression and anxiety in a U.S. nationally representative sample.
Methods:
Poor access to health care, caregiver underemployment, food insecurity, poorly built environment, housing insecurity, household dysfunction adverse childhood experiences (ACEs), racism, caregiver poor education, and poverty/income inequality were assessed from the 2018 to 2019 National Survey of Children’s Health (NSCH) (N = 24,817).
Results:
The likelihood of reporting adolescent depression and/or anxiety was assessed for each SDMH using multinomial logistic regressions. All SDMH, besides caregiver underemployment, were associated with increased odds of reporting adolescent anxiety, depression, or anxiety and depression. Only household dysfunction ACEs and racism had statistically significant associations for all three mental health outcomes.
Conclusions:
Interventions targeting ACEs and racism may be more impactful in mitigating mental health challenges associated with SDMH during adolescence. The NSCH may provide an important public health tool to investigate SDMH in children. |
| doi_str_mv | 10.1177/00207640221119035 |
| format | Article |
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There is a current crisis in children’s mental health. Defining social determinants of mental health (SDMH) facilitates investigations of social impact on mental health.
Aims:
To examine associations between nine SDMH and adolescent depression and anxiety in a U.S. nationally representative sample.
Methods:
Poor access to health care, caregiver underemployment, food insecurity, poorly built environment, housing insecurity, household dysfunction adverse childhood experiences (ACEs), racism, caregiver poor education, and poverty/income inequality were assessed from the 2018 to 2019 National Survey of Children’s Health (NSCH) (N = 24,817).
Results:
The likelihood of reporting adolescent depression and/or anxiety was assessed for each SDMH using multinomial logistic regressions. All SDMH, besides caregiver underemployment, were associated with increased odds of reporting adolescent anxiety, depression, or anxiety and depression. Only household dysfunction ACEs and racism had statistically significant associations for all three mental health outcomes.
Conclusions:
Interventions targeting ACEs and racism may be more impactful in mitigating mental health challenges associated with SDMH during adolescence. The NSCH may provide an important public health tool to investigate SDMH in children.</description><identifier>ISSN: 0020-7640</identifier><identifier>EISSN: 1741-2854</identifier><identifier>DOI: 10.1177/00207640221119035</identifier><identifier>PMID: 35978559</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>1,2-Dimethylhydrazine ; Adolescent ; Adolescents ; Adverse childhood experiences ; Anxiety ; Anxiety - epidemiology ; Anxiety - psychology ; Built environment ; Caregivers ; Child ; Child & adolescent mental health ; Child Health ; Childhood experiences ; Childhood factors ; Children ; Childrens health ; Clinical outcomes ; Cross-sectional studies ; Depression - epidemiology ; Depression - psychology ; Discrimination ; Food security ; Health care access ; Health services ; Health status ; Healthy food ; Housing ; Humans ; Income inequality ; Insecurity ; Low income groups ; Mental depression ; Mental Health ; Mental health services ; Polls & surveys ; Poverty ; Public health ; Racism ; Social Determinants of Health ; Social factors ; Social impact ; Socioeconomics ; Underemployment ; Urban environments</subject><ispartof>International journal of social psychiatry, 2023-05, Vol.69 (3), p.795-798</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-1271d560b9dd89d626c2d997cf11d9d5c843e68fb06f85da97266786b05987913</citedby><cites>FETCH-LOGICAL-c368t-1271d560b9dd89d626c2d997cf11d9d5c843e68fb06f85da97266786b05987913</cites><orcidid>0000-0001-8883-0276</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00207640221119035$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00207640221119035$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21800,27903,27904,30978,33753,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35978559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Phillip</creatorcontrib><creatorcontrib>Hernandez, Brian S</creatorcontrib><creatorcontrib>Plastino, Kristen A</creatorcontrib><title>Social determinants of mental health and adolescent anxiety and depression: Findings from the 2018 to 2019 National Survey of Children’s Health</title><title>International journal of social psychiatry</title><addtitle>Int J Soc Psychiatry</addtitle><description>Background:
There is a current crisis in children’s mental health. Defining social determinants of mental health (SDMH) facilitates investigations of social impact on mental health.
Aims:
To examine associations between nine SDMH and adolescent depression and anxiety in a U.S. nationally representative sample.
Methods:
Poor access to health care, caregiver underemployment, food insecurity, poorly built environment, housing insecurity, household dysfunction adverse childhood experiences (ACEs), racism, caregiver poor education, and poverty/income inequality were assessed from the 2018 to 2019 National Survey of Children’s Health (NSCH) (N = 24,817).
Results:
The likelihood of reporting adolescent depression and/or anxiety was assessed for each SDMH using multinomial logistic regressions. All SDMH, besides caregiver underemployment, were associated with increased odds of reporting adolescent anxiety, depression, or anxiety and depression. Only household dysfunction ACEs and racism had statistically significant associations for all three mental health outcomes.
Conclusions:
Interventions targeting ACEs and racism may be more impactful in mitigating mental health challenges associated with SDMH during adolescence. The NSCH may provide an important public health tool to investigate SDMH in children.</description><subject>1,2-Dimethylhydrazine</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adverse childhood experiences</subject><subject>Anxiety</subject><subject>Anxiety - epidemiology</subject><subject>Anxiety - psychology</subject><subject>Built environment</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child & adolescent mental health</subject><subject>Child Health</subject><subject>Childhood experiences</subject><subject>Childhood factors</subject><subject>Children</subject><subject>Childrens health</subject><subject>Clinical outcomes</subject><subject>Cross-sectional studies</subject><subject>Depression - epidemiology</subject><subject>Depression - psychology</subject><subject>Discrimination</subject><subject>Food security</subject><subject>Health care access</subject><subject>Health services</subject><subject>Health status</subject><subject>Healthy food</subject><subject>Housing</subject><subject>Humans</subject><subject>Income inequality</subject><subject>Insecurity</subject><subject>Low income groups</subject><subject>Mental depression</subject><subject>Mental Health</subject><subject>Mental health services</subject><subject>Polls & surveys</subject><subject>Poverty</subject><subject>Public health</subject><subject>Racism</subject><subject>Social Determinants of Health</subject><subject>Social factors</subject><subject>Social impact</subject><subject>Socioeconomics</subject><subject>Underemployment</subject><subject>Urban environments</subject><issn>0020-7640</issn><issn>1741-2854</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kU1uFDEQhS0EIkPgAGyQJTZsOvin_ccOjQhBimARWLc87eqMo257sN0Rs-MKWeZ6nAR3JoAEYlWqV997pVIh9JySE0qVek0II0q2hDFKqSFcPEArqlraMC3ah2i1zJsFOEJPcr4itaeEP0ZHXBilhTArdHMRe29H7KBAmnywoWQcBzxBKFXegh3LFtvgsHVxhNxXvbbfPJT9nexglyBnH8MbfOqD8-Ey4yHFCZctYEaoxiUu1eCPtlSspl7M6Rr2y5r11o8uQfjx_Tbjs7tlT9GjwY4Znt3XY_Tl9N3n9Vlz_un9h_Xb86bnUpeGMkWdkGRjnNPGSSZ75oxR_UCpM070uuUg9bAhctDCWaOYlErLDRFGK0P5MXp1yN2l-HWGXLrJ1_PG0QaIc-6YItzotpoq-vIv9CrOqV5SKU0U562RpFL0QPUp5pxg6HbJTzbtO0q65V_dP_-qnhf3yfNmAvfb8etBFTg5ANlewp-1_0_8CdO8nIA</recordid><startdate>202305</startdate><enddate>202305</enddate><creator>Yang, Phillip</creator><creator>Hernandez, Brian S</creator><creator>Plastino, Kristen A</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8883-0276</orcidid></search><sort><creationdate>202305</creationdate><title>Social determinants of mental health and adolescent anxiety and depression: Findings from the 2018 to 2019 National Survey of Children’s Health</title><author>Yang, Phillip ; Hernandez, Brian S ; Plastino, Kristen A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-1271d560b9dd89d626c2d997cf11d9d5c843e68fb06f85da97266786b05987913</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>1,2-Dimethylhydrazine</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adverse childhood experiences</topic><topic>Anxiety</topic><topic>Anxiety - epidemiology</topic><topic>Anxiety - psychology</topic><topic>Built environment</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child & adolescent mental health</topic><topic>Child Health</topic><topic>Childhood experiences</topic><topic>Childhood factors</topic><topic>Children</topic><topic>Childrens health</topic><topic>Clinical outcomes</topic><topic>Cross-sectional studies</topic><topic>Depression - epidemiology</topic><topic>Depression - psychology</topic><topic>Discrimination</topic><topic>Food security</topic><topic>Health care access</topic><topic>Health services</topic><topic>Health status</topic><topic>Healthy food</topic><topic>Housing</topic><topic>Humans</topic><topic>Income inequality</topic><topic>Insecurity</topic><topic>Low income groups</topic><topic>Mental depression</topic><topic>Mental Health</topic><topic>Mental health services</topic><topic>Polls & surveys</topic><topic>Poverty</topic><topic>Public health</topic><topic>Racism</topic><topic>Social Determinants of Health</topic><topic>Social factors</topic><topic>Social impact</topic><topic>Socioeconomics</topic><topic>Underemployment</topic><topic>Urban environments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Phillip</creatorcontrib><creatorcontrib>Hernandez, Brian S</creatorcontrib><creatorcontrib>Plastino, Kristen A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of social psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Phillip</au><au>Hernandez, Brian S</au><au>Plastino, Kristen A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Social determinants of mental health and adolescent anxiety and depression: Findings from the 2018 to 2019 National Survey of Children’s Health</atitle><jtitle>International journal of social psychiatry</jtitle><addtitle>Int J Soc Psychiatry</addtitle><date>2023-05</date><risdate>2023</risdate><volume>69</volume><issue>3</issue><spage>795</spage><epage>798</epage><pages>795-798</pages><issn>0020-7640</issn><eissn>1741-2854</eissn><abstract>Background:
There is a current crisis in children’s mental health. Defining social determinants of mental health (SDMH) facilitates investigations of social impact on mental health.
Aims:
To examine associations between nine SDMH and adolescent depression and anxiety in a U.S. nationally representative sample.
Methods:
Poor access to health care, caregiver underemployment, food insecurity, poorly built environment, housing insecurity, household dysfunction adverse childhood experiences (ACEs), racism, caregiver poor education, and poverty/income inequality were assessed from the 2018 to 2019 National Survey of Children’s Health (NSCH) (N = 24,817).
Results:
The likelihood of reporting adolescent depression and/or anxiety was assessed for each SDMH using multinomial logistic regressions. All SDMH, besides caregiver underemployment, were associated with increased odds of reporting adolescent anxiety, depression, or anxiety and depression. Only household dysfunction ACEs and racism had statistically significant associations for all three mental health outcomes.
Conclusions:
Interventions targeting ACEs and racism may be more impactful in mitigating mental health challenges associated with SDMH during adolescence. The NSCH may provide an important public health tool to investigate SDMH in children.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>35978559</pmid><doi>10.1177/00207640221119035</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-8883-0276</orcidid></addata></record> |
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| ispartof | International journal of social psychiatry, 2023-05, Vol.69 (3), p.795-798 |
| issn | 0020-7640 1741-2854 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); SAGE Complete A-Z List; MEDLINE; Sociological Abstracts |
| subjects | 1,2-Dimethylhydrazine Adolescent Adolescents Adverse childhood experiences Anxiety Anxiety - epidemiology Anxiety - psychology Built environment Caregivers Child Child & adolescent mental health Child Health Childhood experiences Childhood factors Children Childrens health Clinical outcomes Cross-sectional studies Depression - epidemiology Depression - psychology Discrimination Food security Health care access Health services Health status Healthy food Housing Humans Income inequality Insecurity Low income groups Mental depression Mental Health Mental health services Polls & surveys Poverty Public health Racism Social Determinants of Health Social factors Social impact Socioeconomics Underemployment Urban environments |
| title | Social determinants of mental health and adolescent anxiety and depression: Findings from the 2018 to 2019 National Survey of Children’s Health |
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