Stressful life events,psychosocial health and general health in preschool children before age 4

作     者：Jie Luo Amy van Grieken Shuang Zhou Yuan Fang Hein Raat Jie Luo;Amy van Grieken;Shuang Zhou;Yuan Fang;Hein Raat

作者机构：Department of Public HealthErasmus MCDr.Molewaterplein 403015 GD RotterdamThe Netherlands Department of Maternal and Child HealthSchool of Public HealthPeking UniversityBeijingChina 

出 版 物：《World Journal of Pediatrics》 (世界儿科杂志（英文版）)

年 卷 期：2023年第19卷第3期

页      面：243-250页

核心收录：

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 040203[教育学-应用心理学] 04[教育学] 1002[医学-临床医学] 

基　　金：supported by ZonMw(grant number 729301001) funded by the Chinese Government Scholarship(CN)(grant number 201806170061). 

主　　题：Child health Preschool children Stressful life event 

摘      要：Background The impact of stressful life events(SLEs)in early childhood is often ignored.We aimed to examine longitudinal associations between SLEs and psychosocial and general health in preschool children.Methods Twelve SLEs occurring before the age of 24 months were assessed and categorized by frequency(no events,1-2 SLEs,and2 SLEs)and overall tension(no events,low,and high)(n=1431).Psychosocial and general health were meas-ured three times at the age of 24,36 and 45 months.The associations were examined by logistic regression models using generalized estimating equations to handle repeated measurements.Results Half(48.4%)of the families experienced SLEs,and 23.8%perceived high-tension SLEs before the children were aged 24 months.Gender differences were observed in the association between SLEs and psychosocial health.Compared to girls without SLEs,girls who experienced2 SLEs[OR=3.31,95%confidence interval(CI)2.05-5.35]or high-tension SLEs(OR=3.01,95%CI 2.07-4.39)had higher odds of psychosocial problems from 24 to 45 months.The odds ratios in boys were 2.10(95%CI 1.36-3.24)and 1.47(95%CI 1.06-2.03),respectively.Moreover,only girls risk of psychosocial problems increased after experiencing 1-2 SLEs(OR=2.15,95%CI 1.54-3.00)or low-tension SLEs(OR=1.90,95%CI 1.31-2.74).Regarding general health,children who experienced2 SLEs(OR=1.96,95%CI 1.21-3.18)and high-tension SLEs(OR=1.60,95%CI 1.12-2.28)had higher odds of poor general health from 24 to 45 months.Conclusions The findings emphasized that young children s psychosocial and general health can be impacted by experienc-ing SLEs in early childhood.Attention and adequate support for families experiencing SLEs are needed to minimize the potential negative effect of SLEs on child health,particularly in girls.