Relationship between family structures and adolescents' mental health and health-associated behaviors

ZOU Chaoyi; GUO Peirong; HUANG Jianping; YANG Jie; AN Na; LU Qingyun

doi:10.16835/j.cnki.1000-9817.2023.05.017

Volume 44 Issue 5

May 2023

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ZOU Chaoyi, GUO Peirong, HUANG Jianping, YANG Jie, AN Na, LU Qingyun. Relationship between family structures and adolescents' mental health and health-associated behaviors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 715-719. doi: 10.16835/j.cnki.1000-9817.2023.05.017

Citation:

ZOU Chaoyi, GUO Peirong, HUANG Jianping, YANG Jie, AN Na, LU Qingyun. Relationship between family structures and adolescents' mental health and health-associated behaviors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 715-719. doi: 10.16835/j.cnki.1000-9817.2023.05.017

Citation:

ZOU Chaoyi, GUO Peirong, HUANG Jianping, YANG Jie, AN Na, LU Qingyun. Relationship between family structures and adolescents' mental health and health-associated behaviors[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(5): 715-719. doi: 10.16835/j.cnki.1000-9817.2023.05.017

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Relationship between family structures and adolescents' mental health and health-associated behaviors

doi: 10.16835/j.cnki.1000-9817.2023.05.017

ZOU Chaoyi¹,
GUO Peirong¹,
HUANG Jianping²,
YANG Jie³,
AN Na^{2
,
,},
LU Qingyun^{1
,
,}

1.
Department of Maternal and Child Health, School of Public Health, Nantong University, Nantong(226019), Jiangsu Province, China

Received Date: 2022-12-02
Rev Recd Date: 2023-02-16

Available Online: 2023-05-25

Publish Date: 2023-05-25

Abstract

Abstract

Objective To explore the associations of family structure with adolescent mental health and health-associated behaviors, to support interventions to decrease the occurrence of psychological problems and adverse health-associated behaviors among adolescents in families without two parents. Methods The multi-stage stratified random cluster sampling method was used to select 18 700 adolescents of the 13 districts and cities from Jiangsu Province for a questionnaire survey on mental health and health-associated behaviors, to compare differences in mental health and health-associated behaviors among adolescents with different family structures. Results Among the adolescents, 82.1% had two-parent families, 8.6% had single-mother families, 4.0% had single-father families, and 5.3% had families with both parents absent. After controlling for age, urban/rural areas, gender, academic period and region, Logistic multivariate regression analysis showed that compared with adolescents from two-parent families, the incidence of depression, social anxiety and bullying on campus of adolescents with single-mother families increased significantly(OR=1.31, 1.15, 1.36, P < 0.05). Compared with adolescents in two-parent families, adolescents in families without two parents had significantly more types of health risk behaviors, and those in single-mother families had significantly less frequent intake of a healthful diet(OR=0.81), significantly more smoking(OR=1.20), drinking behaviors(OR=1.22), and significantly less moderate intensity physical activity (OR=0.84) and shorter duration of sleep(OR=0.87)(P < 0.05). Conclusion Psychological and health-associated problems were significantly higher among adolescents in families without two parents than in those with two-parent families. Psychological problems and adverse health-associated behaviors were particularly prominent among adolescents in single-mother families.
- Family,
- Mental health,
- Behavior,
- Regression analysis,
- Adolescent

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References(30)

References

[1]	刘艳. 青少年健康状况及健康需求分析[D]. 南京: 南京邮电大学, 2019. LIU Y. Analysis of adolescent health and health needs[D]. Nanjing: Nanjing University of Posts and Telecommunications, 2019. (in Chinese)
[2]	TANG X, TANG S, REN Z, et al. Prevalence of depressive symptoms among adolescents in secondary school in mainland China: a systematic review and Meta-analysis[J]. J Affect Disord, 2019, 245: 498-507. doi: 10.1016/j.jad.2018.11.043
[3]	吴愈晓, 王鹏, 杜思佳. 变迁中的中国家庭结构与青少年发展[J]. 中国社会科学, 2018(2): 98-120, 206-207. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSHK201802005.htm WU Y X, WANG P, DU S J. China's changing family structure and adolescent development[J]. Soc Sci Chin, 2018(2): 98-120, 206-207. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZSHK201802005.htm
[4]	GOTEA M, BUSUIOC M. Maternal single-parent family in social risk situation. Psychosocial and behavioral characteristics[J]. Bull Transilv Univ Braşov(Series Ⅶ Soc Sci Law), 2016, 9: 97-108.
[5]	SINGHAMMER J, RIED-LARSEN M, MOLLER N C, et al. Single parent status and children's objectively measured level of physical activity[J]. Sports Med Open, 2015, 1(1): 10. doi: 10.1186/s40798-015-0020-1
[6]	LAM L T. Parental mental health and Internet addiction in adolescents[J]. Addict Behav, 2015, 42: 20-23. doi: 10.1016/j.addbeh.2014.10.033
[7]	KATIKIREDDI S V, WHITLEY E, LEWSEY J, et al. Socioeconomic status as an effect modifier of alcohol consumption and harm: analysis of linked cohort data[J]. Lancet Public Health, 2017, 2(6): e267-e276. doi: 10.1016/S2468-2667(17)30078-6
[8]	MCLANAHAN S, TACH L, SCHNEIDER D. The causal effects of father absence[J]. Ann Rev Sociol, 2013, 39: 399-427. doi: 10.1146/annurev-soc-071312-145704
[9]	DISSING A S, DICH N, ANDERSEN A N, et al. Parental break-ups and stress: roles of age & family structure in 44 509 pre-adolescent children[J]. Eur J Public Health, 2017, 27(5): 829-834. doi: 10.1093/eurpub/ckx040
[10]	王梅, 温煦, 吕燕. 家庭结构对于青少年健康行为的影响[J]. 体育科学, 2012, 32(5): 34-41. doi: 10.3969/j.issn.1000-677X.2012.05.004 WANG M, WEN X, LYU Y. Influence of family structure on adolescents' health behaviors[J]. Chin Sport Sci, 2012, 32(5): 34-41. (in Chinese) doi: 10.3969/j.issn.1000-677X.2012.05.004
[11]	RADLOFF L S. The CES-D scale: a self-report depression scale for research in the general population[J]. Appl Psychol Meas, 1977, 1(3): 385-401. doi: 10.1177/014662167700100306
[12]	汪向东, 王希林, 马弘. 心理卫生评定量表手册(增订版)[J]. 中国心理卫生杂志, 1999(增刊): 244-246. WANG X D, WANG X L, MA H. Manual of mental health rating scale (updated version)[J]. Chin Ment Health J, 1999(S1): 2244-246. (in Chinese)
[13]	中华人民共和国国家卫生健康委员会办公厅. 关于印发全国学生常见病和健康影响因素监测方案(2018年版)的通知[EB/OL]. (2018-04-08)[2023-04-27]. http://www.nhc.gov.cn/jkj/s5898bm/201804/88cec86c347c4c48aa508b742c7abd1a.shtml. General Office of the National Health Commission of the PRC. Notice on the issuance of the national monitoring program of common diseases and health influencing factors of students (2018 edition)[EB/OL]. (2018-04-08) [2023-04-27]. http://www.nhc.gov.cn/jkj/s5898bm/201804/88cec86c347c4c48aa508b742c7abd1a.shtml. (in Chinese)
[14]	樊萌语, 吕筠, 何平平. 国际体力活动问卷中体力活动水平的计算方法[J]. 中华流行病学杂志, 2014, 35(8): 961-964. FAN M Y, LYU J, HE P P. Chinese guidelines for data processing and analysis concerning the International Physical Activity Questionnaire[J]. Chin J Epidemiol, 2014, 35(8): 961-964. (in Chinese)
[15]	PARIKKA S, MAKI P, LEVALAHTI E, et al. Associations between parental BMI, socioeconomic factors, family structure and overweight in Finnish children: a path model approach[J]. BMC Public Health, 2015, 15: 271. doi: 10.1186/s12889-015-1548-1
[16]	TURNER H A, FINKELHOR D, HAMBY S L, et al. Family structure, victimization, and child mental health in a nationally representative sample[J]. Soc Sci Med, 2013, 87: 39-51. doi: 10.1016/j.socscimed.2013.02.034
[17]	PARK H, LEE K S. The association of family structure with health behavior, mental health, and perceived academic achievement among adolescents: a 2018 Korean nationally representative survey[J]. BMC Public Health, 2020, 20(1): 510. doi: 10.1186/s12889-020-08655-z
[18]	AMATO P R, KEITH B. Parental divorce and adult well-being: a Meta-analysis[J]. J Marr Family, 1991, 53: 43-58. doi: 10.2307/353132
[19]	LAFTMAN S B, FRANSSON E, MODIN B, et al. National data study showed that adolescents living in poorer households and with one parent were more likely to be bullied[J]. Acta Paediatr, 2017, 106(12): 2048-2054. doi: 10.1111/apa.13997
[20]	KENDIG S M, BIANCHI S M. Single, cohabitating, and married mothers' time with children[J]. J Marr Family, 2008, 70(5): 1228-1240. doi: 10.1111/j.1741-3737.2008.00562.x
[21]	MURRY V M, BYNUM M S, BRODY G H, et al. African American single mothers and children in context: a review of studies on risk and resilience[J]. Clin Child Fam Psychol Rev, 2001, 4(2): 133-155. doi: 10.1023/A:1011381114782
[22]	SCHLEIDER J L, CHORPITA B F, WEISZ J R. Relation between parent psychiatric symptoms and youth problems: moderation through family structure and youth gender[J]. J Abnorm Child Psychol, 2014, 42(2): 195-204. doi: 10.1007/s10802-013-9780-6
[23]	MAK K K, HO S Y, THOMAS G N, et al. Family structure, parent-child conversation time and substance use among Chinese adolescents[J]. BMC Public Health, 2010, 10(1): 1-8. doi: 10.1186/1471-2458-10-1
[24]	JONSSON J O, ÖSTBERG V. Studying young people's level of living: the Swedish child-LNU[J]. Child Indicat Res, 2009, 3(1): 47-64.
[25]	BROWN S L, MANNING W D, STYKES J B. Family structure and child well-being: integrating family complexity[J]. J Marr Fam, 2015, 77(1): 177-190. doi: 10.1111/jomf.12145
[26]	HJALMARSSON S, MOOD C. Do poorer youth have fewer friends?The role of household and child economic resources in adolescent school-class friendships[J]. Children Youth Ser Rev, 2015, 57: 201-211. doi: 10.1016/j.childyouth.2015.08.013
[27]	VAN GASSE D, MORTELMANS D. Reorganizing the single-parent family system: exploring the process perspective on divorce[J]. Fam Relat, 2020, 69(5): 1100-1112.
[28]	WAIZENHOFER R N, BUCHANAN C M, JACKSON-NEWSOM J. Mothers' and fathers' knowledge of adolescents' daily activities: its sources and its links with adolescent adjustment[J]. J Fam Psychol, 2004, 18(2): 348.
[29]	VAN DER BRUGGEN C O, STAMS G J J M, BÖGELS S M, et al. Parenting behaviour as a mediator between young children's negative emotionality and their anxiety/depression[J]. Infant Child Dev, 2010, 19(4): 354-365.
[30]	KWONG A S, MANLEY D, TIMPSON N J, et al. Identifying critical points of trajectories of depressive symptoms from childhood to young adulthood[J]. J Youth Adolesc, 2019, 48(4): 815-827.