Health Inequalities in Children and Adolescents: A Scoping Review of the Mediating and Moderating Effects of Family Characteristics

被引：13

作者：

Blume, Miriam ^{[1
]}

Rattay, Petra ^{[1
]}

Hoffmann, Stephanie ^{[2
]}

Spallek, Jacob ^{[2
]}

Sander, Lydia ^{[2
]}

Herr, Raphael ^{[3
]}

Richter, Matthias ^{[4
]}

Moor, Irene ^{[4
]}

Dragano, Nico ^{[5
]}

Pischke, Claudia ^{[5
]}

Iashchenko, Iryna ^{[6
]}

Hoevener, Claudia ^{[1
]}

Wachtler, Benjamin ^{[1
]}

机构：

[1] Robert Koch Inst, Dept Epidemiol & Hlth Monitoring, D-13353 Berlin, Germany

[2] Brandenburg Univ Technol Cottbus Senftenberg, Dept Publ Hlth, D-01968 Senftenberg, Germany

[3] Heidelberg Univ, Med Fac Mannheim, Mannheim Inst Publ Hlth Social & Prevent Med, D-68167 Mannheim, Germany

[4] Martin Luther Univ Halle Wittenberg, Med Fac, Inst Med Sociol, D-06112 Halle, Germany

[5] Heinrich Heine Univ Dusseldorf, Med Fac, Ctr Hlth & Soc, Inst Med Sociol, D-40225 Dusseldorf, Germany

[6] Tech Univ Munich, Hlth Econ, D-80992 Munich, Germany

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2021年 / 18卷 / 15期

关键词：

health inequalities; socioeconomic position; health; health behavior; moderation; mediation; school-age parenting; parent-child relationship; family conflict; SOCIOECONOMIC INEQUALITIES; ECONOMIC HARDSHIP; MENTAL-HEALTH; MULTILEVEL ANALYSIS; CHILDHOOD HEALTH; STRESS MODEL; POVERTY; INCOME; ADJUSTMENT; SMOKING;

D O I：

10.3390/ijerph18157739

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

This scoping review systematically mapped evidence of the mediating and moderating effects of family characteristics on health inequalities in school-aged children and adolescents (6-18 years) in countries with developed economies in Europe and North America. We conducted a systematic scoping review following the PRISMA extension for Scoping Reviews recommendations. We searched the PubMed, PsycINFO and Scopus databases. Two reviewers independently screened titles, abstracts and full texts. Evidence was synthesized narratively. Of the 12,403 records initially identified, 50 articles were included in the synthesis. The included studies were conducted in the United States (n = 27), Europe (n = 18), Canada (n = 3), or in multiple countries combined (n = 2). We found that mental health was the most frequently assessed health outcome. The included studies reported that different family characteristics mediated or moderated health inequalities. Parental mental health, parenting practices, and parent-child-relationships were most frequently examined, and were found to be important mediating or moderating factors. In addition, family conflict and distress were relevant family characteristics. Future research should integrate additional health outcomes besides mental health, and attempt to integrate the complexity of families. The family characteristics identified in this review represent potential starting points for reducing health inequalities in childhood and adolescence.

引用

页数：33

共 94 条

[1] Parental psychopathology and socioeconomic position predict adolescent offspring's mental health independently and do not interact: the TRAILS study [J].

Amone-P'Olak, K. ;

Burger, H. ;

Huisman, M. ;

Oldehinkel, A. J. ;

Ormel, J. .

JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2011, 65 (01) :57-63

[2]

[Anonymous], 2021, Commission on social determinants of health, 2005-2008, DOI DOI 10.1016/S0140-6736(08)61690-6

[3]

[Anonymous], 2012, Social determinants of health and well-being among young people. Health behaviour in school-aged children (HBSC) Study

[4]

Arksey H., 2005, INT J SOC RES METHOD, V8, P19, DOI [DOI 10.1080/1364557032000119616, 10.1080/1364557032000119616, https://doi.org/10.1080/1364557032000119616]

[5] Children's Health Status: Examining the Associations among Income Poverty, Material Hardship, and Parental Factors [J].