Analysis of Predictive Factors on Minors’ Mental Health According to the Spanish National Health Survey
Abstract
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Instrument
2.3. Procedure
2.4. Analyitic Approach
3. Results
4. Discussion and Conclusions
Author Contributions
Conflicts of Interest
References
- Beecham, J. Annual research review: Child and adolescent mental health interventions: A review of progress in economic studies across different disorders. J. Child Psychol. Psychiatry 2014, 55, 714–732. [Google Scholar] [CrossRef] [PubMed]
- Kieling, C.; Baker-Henningham, H.; Belfer, M.; Conti, G.; Ertem, I.; Omigbodun, O.; Rohde, L.A.; Srinath, S.; Ulkuer, N.; Rahman, A. Child and Adolescent Mental Health Worldwide: Evidence for Action. Lancet 2011, 378, 1515–1525. [Google Scholar] [CrossRef]
- Collishaw, S. Annual Research Review: Secular Trends in Child and Adolescent Mental Health. J. Child Psychol. Psychiatry 2015, 56, 370–393. [Google Scholar] [CrossRef] [PubMed]
- Plass-Christl, A.; Haller, A.-C.; Otto, C.; Barkmann, C.; Wiegand-Grefe, S.; Hölling, H.; Schulte-Markwort, M.; Ravens-Sieberer, U.; Klasen, F. Parents with mental health problems and their children in a German population based sample: Results of the BELLA study. PLoS ONE 2017, 12, 1–14. [Google Scholar] [CrossRef] [PubMed]
- Belfer, M.L. Child and Adolescent Mental Disorders: The Magnitude of the Problem across the Globe. J. Child Psychol. Psychiatry 2008, 49, 226–236. [Google Scholar] [CrossRef] [PubMed]
- Alonso-Fernández, N.; Jiménez-García, R.; Alonso-Fernández, L.; Hernández-Barrera, V.; Palacios-Ceña, D. Mental Health and Quality of Life Among Spanish-born and Immigrant Children in Years 2006 and 2012. J. Pediatr. Nurs. 2017, 36, 103–110. [Google Scholar] [CrossRef] [PubMed]
- Goodman, R. The Strengths and Difficulties Questionnaire: A Research Note. J. Child Psychol. Psychiatry 1997, 38, 581–586. [Google Scholar] [CrossRef] [PubMed]
- Kovess-Masfety, V.; Husky, M.M.; Keyes, K.; Hamilton, A.; Pez, O.; Bitfoi, A.; Carta, M.; Goelitz, D.; Kuijpers, R.; Otten, R.; et al. Comparing the prevalence of mental health problems in children 6–11 across Europe. Soc. Psychiatry Psychiatr. Epidemiol. 2016, 51, 1093–1103. [Google Scholar] [CrossRef] [PubMed]
- Fajardo-Bullón, F.; León, B.; Felipe-Castaño, E.; Santos, E.J. Mental Health in the Age Group 4–15 Years Based on the Results of the National Survey of Health 2006. Rev. Esp. Salud Publica 2012, 86, 445–451. [Google Scholar] [PubMed]
- Ortuño-Sierra, J.; Fonseca-Pedrero, E.; Aritio-Solana, R.; Velasco, A.M.; de Luis, E.C.; Schumann, G.; Lawrence, C. New evidence of factor structure and measurement invariance of the SDQ across five European nations. Eur. Child Adolesc. Psychiatry 2015, 24, 1523–1534. [Google Scholar] [CrossRef] [PubMed]
- Ministerio de Sanidad Servicios Sociales e Igualdad, and Insituto Nacional de Estadística. Encuesta Nacional de Salud 2011–2012. Instituto Nacional de Estadística, 2013. Available online: https://www.msssi.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2011.htm (accessed on 1 May 2017).
- Barriuso-Lapresa, L.M.; Hernando-Arizaleta, L.; Rajmil, L. Reference values of the Strengths and Difficulties Questionnaire (SDQ) version for parents in the Spanish population, 2006. Actas Esp. Psiquiatr. 2014, 42, 43–48. [Google Scholar] [PubMed]
- Ortuño-Sierra, J.; Fonseca-Pedrero, E.; Inchausti, F.; Sastre i Riba, S. Assesing behavioural and emotional dificulties in the child adolescent population: The strengths and difficulties questionnaire (SDQ). Papeles Psicol. 2016, 37, 14–26. [Google Scholar]
- Perou, R.; Bitsko, R.H.; Blumberg, S.J.; Pastor, P.; Ghandour, R.M.; Gfroerer, J.C.; Hedden, S.L.; Crosby, A.E.; Visser, S.N.; Schieve, L.A.; et al. Mental Health Surveillance among Children—United States, 2005–2011. Morb. Mortal. Wkly. Report. Surveill. Summ. 2013, 62, 1–35. [Google Scholar]
- Rajmil, L.; Fernández de Sanmamed, M.J.; Choonara, I.; Faresjö, T.; Hjern, A.; Kozyrskyj, A.L.; Lucas, P.J.; Raat, H.; Séguin, L.; Spencer, L.; et al. Impact of the 2008 Economic and Financial Crisis on Child Health: A Systematic Review. Int. J. Environ. Res. Public Health 2014, 11, 6528–6546. [Google Scholar] [CrossRef] [PubMed]
- Fajardo-Bullón, F.; León, B.; Felipe-Castaño, E.; Polo, M.I.; Santos, E.J. Salud mental en menores españoles. Variables socioeducativas. Salud Ment. 2015, 38, 329–335. [Google Scholar] [CrossRef]
- Alegría, M.; Bijl, R.V.; Lin, E.; Walters, E.E.; Kessler, R.C. Income differences in persons seeking outpatient treatment for mental disorders: A comparison of the United States with Ontario and The Netherlands. Arch. Gen. Psychiatry 2000, 57, 383–391. [Google Scholar] [CrossRef] [PubMed]
- Fernández-Rivas, A.; González-Torres, M.A. The Economic Crisis in Spain and Its Impact on the Mental Health of Children and Adolescents. Eur. Child Adolesc. Psychiatry 2013, 22, 583–586. [Google Scholar] [PubMed]
- Shibata, Y.; Okada, K.; Fukumoto, R.; Nomura, K. Psychometric Properties of the Parent and Teacher Forms of the Japanese Version of the Strengths and Difficulties Questionnaire. Brain Dev. 2015, 37, 501–507. [Google Scholar] [CrossRef] [PubMed]
- Stone, L.L.; Otten, R.; Engels, R.C.; Vermulst, A.A.; Janssens, J.M. Psychometric Properties of the Parent and Teacher Versions of the Strengths and Difficulties Questionnaire for 4- to 12-Year-Olds: A Review. Clin. Child Fam. Psychol. Rev. 2010, 13, 254–274. [Google Scholar] [CrossRef] [PubMed]
- Goodman, A.; Goodman, R. Population Mean Scores Predict Child Mental Disorder Rates: Validating SDQ Prevalence Estimators in Britain. J. Child Psychol. Psychiatry 2011, 52, 100–108. [Google Scholar] [CrossRef] [PubMed]
- Gómez-Beneyto, M.; Nolasco, A.; Moncho, J.; Pereyra-Zamora, P.; Tamayo-Fonseca, N.; Munarriz, M.; Salazar, J.; Tabarés-Seisdedos, R.; Girón, M. Psychometric Behaviour of the Strengths and Difficulties Questionnaire (SDQ) in the Spanish National Health Survey 2006. BMC Psychiatry 2013, 13. [Google Scholar] [CrossRef] [PubMed]
- Rodríguez-Hernández, P.J.; Betancort, M.; Ramírez-Santana, G.M.; García, R.; Sanz-Álvarez, E.J.; De las Cuevas-Castresana, C. Psychometric Properties of the Parent and Teacher Versions of the Strength and Difficulties Questionnaire (SDQ) in a Spanish Sample. Int. J. Clin. Health Psychol. 2012, 12, 265–279. [Google Scholar]
- Domingo-Salvany, A.; Regidor, E.; Alonso, J.; Alvarez-Dardet, C. Una Propuesta de Medida de La Clase Social. Atención Primaria 2000, 25, 350–363. [Google Scholar] [PubMed]
- Ortuño-Sierra, J.; Fonseca-Pedrero, E.; Paíno, M.; Aritio-Solana, R. Prevalence of emotional and behavioral symptomatology in Spanish adolescents. Rev. Psiquiatr. Salud Ment. 2014, 7, 121–130. [Google Scholar] [CrossRef] [PubMed]
- Arman, S.; Keypour, M.; Maracy, M.R.; Attari, A. Epidemiological Study of Youth Mental Health Using Strengths and Difficulties Questionnaire (SDQ). Iran Red Crescent Med. J. 2012, 14, 371–375. [Google Scholar] [CrossRef] [PubMed]
- Afifi, M. Gender Differences in Mental Health. Singapore Med. J. 2007, 48, 385–391. [Google Scholar] [PubMed]
- Arroyo-Borrell, E.; Renart, G.; Saurina, C.; Saez, M. Influence Maternal Background Has on Children’s Mental Health. Int. J. Equity Health 2017, 16, 63. [Google Scholar] [CrossRef] [PubMed]
- Sonego, M.; Llácer, A.; Galán, I.; Simón, F. The Influence of Parental Education on Child Mental Health in Spain. Qual. Life Res. 2013, 22, 203–211. [Google Scholar] [CrossRef] [PubMed]
- Banyard, V.; Hamby, S.; Grych, J. Health effects of adverse childhood events: Identifying promising protective factors at the intersection of mental and physical well-being. Child Abus Negl. 2017, 65, 88–98. [Google Scholar] [CrossRef] [PubMed]
- Perna, L.; Bolte, G.; Mayrhofer, H-.; Spies, G.; Mielck, A. The Impact of the Social Environment on Children’s Mental Health in a Prosperous City: An Analysis with Data from the City of Munich. BMC Public Health 2010, 10, 199. [Google Scholar] [CrossRef] [PubMed]
- Richter, M.; Moor, I.; van Lenthe, F.J. Explaining socioeconomic differences in adolescent self-rated health: The contribution of material, psychosocial and behavioural factors. J. Epidemiol. Community Health 2012, 66, 691–697. [Google Scholar] [CrossRef] [PubMed]
- Klanšček, H.; Žiberna, J.; Korošec, A.; Zurc, J.; Albreht, T. Mental Health Inequalities in Slovenian 15-Year-Old Adolescents Explained by Personal Social Position and Family Socioeconomic Status. Int. J. Equity Health 2014, 13, 26. [Google Scholar] [CrossRef] [PubMed]
- Potijk, M.R.; de Winter, A.F.; Bos, A.F.; Kerstjens, J.M.; Reijneveld, S.A. Behavioural and Emotional Problems in Moderately Preterm Children with Low Socioeconomic Status: A Population-Based Study. Eur. Child Adolesc. Psychiatry 2015, 24, 787–795. [Google Scholar] [CrossRef] [PubMed]
- Barriuso-Lapresa, L.; Hernando-Arizaleta, L.; Rajmil, L. Social Inequalities in Mental Health and Health-Related Quality of Life in Children in Spain. Pediatrics 2012, 130, e528–e535. [Google Scholar] [CrossRef] [PubMed]
- Iguacel, I.; Michels, N.; Fernández-Alvira, J.M.; Bammann, K.; De Henauw, S.; Felső, R.; Gwozdz, W.; Hunsberger, M.; Reisch, L.; Russo, P.; et al. Associations between Social Vulnerabilities and Psychosocial Problems in European Children. Results from the IDEFICS Study. Eur. Child Adolesc. Psychiatry 2017. [Google Scholar] [CrossRef] [PubMed]
- Reiss, F. Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Soc. Sci. Med. 2013, 90, 24–31. [Google Scholar] [CrossRef] [PubMed]
- Rajmil, L.; Siddiqi, A.; Taylor-Robinson, D.; Spencer, N. Understanding the Impact of the Economic Crisis on Child Health: The Case of Spain. Int. J. Equity Health 2015, 14, 95. [Google Scholar] [CrossRef] [PubMed]
- Basterra, V. Percentage of psychoemotional problems in Spanish children and adolescents. Differences between 2006 and 2012. Med. Clin. Barc. 2016, 147, 393–396. [Google Scholar] [CrossRef] [PubMed]
Variables | N (%) | a SDQ’s Ratings M (DT) |
---|---|---|
Sex | ||
Male | 1889 (52.49) | 8.78 (5.53) |
Female | 1710 (47.51) | 8.09 (5.43) |
Total | 3599 (100) | 8.45 (5.49) |
Education | ||
Pre-School (4–5 years old) | 628 (17.45) | 9.08 (5.33) |
Primary (6–12 years old) | 2240 (62.24) | 8.34 (5.49) |
Secondary (13–14 years old) | 731 (20.31) | 8.24 (5.61) |
Total | 3599 (100) | 8.45 (5.49) |
Occupational Class | ||
Class 1 | 720 (21.11) | 7.38 (4.95) |
Class 2 | 1172 (34.37) | 8.27 (5.41) |
Class 3 | 1518 (44.52) | 9.13 (5.66) |
Total | 3410 (100) | 8.46 (5.47) |
Perceived Health | ||
Good or very good | 3367 (93.58) | 8.22 (5.31) |
Regular | 211 (5.86) | 11.60 (6.72) |
Bad or very bad | 20 (0.56) | 14.50 (7.30) |
Total | 3598 (100) | 8.45 (5.49) |
Coefficient | DT | t | p | |
---|---|---|---|---|
Constant | 4.8829 | 0.5903 | 8.2705 | <0.0001 |
Sex | −0.7253 | 0.1826 | −3.9714 | <0.0001 |
Occupational Class | 0.8356 | 0.1177 | 7.0974 | <0.0001 |
Perceived Health | 3.3601 | 0.3283 | 10.2342 | <0.0001 |
Age | −0.2728 | 0.0684 | −3.9863 | <0.0001 |
Risk Factor | Rate a | Observed | IC (95%) | χ2 | p | |
---|---|---|---|---|---|---|
RR b | OR c | |||||
Sex | ||||||
Male Female | 0.094 0.080 | 1.169 | 1.187 | (0.945–1.447) (0.940–1.499) | 2.08 | 0.14 |
Educational Level | ||||||
Pre-School Secondary | 0.094 0.081 | 1.158 | 1.174 | (0.874–1.530) (0.862–1.595) | 1.03 | 0.31 |
Educational Level | ||||||
Pre-School Secondary | 0.093 0.094 | 0.997 | 0.997 | (0.679–1.303) (0.651–1.341) | 0.13 | 0.72 |
Occupational Class | ||||||
Executive Skilled | 0.058 0.083 | 0.705 | 0.686 | (0.497–1.001) (0.472–0.998) | 3.91 | 0.99 |
Occupational Class | ||||||
Executive Non Skilled | 0.058 0.104 | 0.560 | 0.533 | (0.403–0.778) (0.375–0.759) | 12.56 | <0.05 |
Perceived Health | ||||||
Very well/well Regular | 0.078 0.213 | 0.366 | 0.313 | (0.276–0.486) (0.220–0.445) | 46.11 | <0.05 |
Perceived Health | ||||||
Very well/well Very bad/bad | 0.078 0.300 | 0.260 | 0.198 | (0.132–0.514) (0.075–0.519) | * |
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Fajardo-Bullón, F.; Rasskin-Gutman, I.; Felipe-Castaño, E.; Ribeiro dos Santos, E.J.; León-del Barco, B. Analysis of Predictive Factors on Minors’ Mental Health According to the Spanish National Health Survey. Brain Sci. 2017, 7, 135. https://doi.org/10.3390/brainsci7100135
Fajardo-Bullón F, Rasskin-Gutman I, Felipe-Castaño E, Ribeiro dos Santos EJ, León-del Barco B. Analysis of Predictive Factors on Minors’ Mental Health According to the Spanish National Health Survey. Brain Sciences. 2017; 7(10):135. https://doi.org/10.3390/brainsci7100135
Chicago/Turabian StyleFajardo-Bullón, Fernando, Irina Rasskin-Gutman, Elena Felipe-Castaño, Eduardo João Ribeiro dos Santos, and Benito León-del Barco. 2017. "Analysis of Predictive Factors on Minors’ Mental Health According to the Spanish National Health Survey" Brain Sciences 7, no. 10: 135. https://doi.org/10.3390/brainsci7100135
APA StyleFajardo-Bullón, F., Rasskin-Gutman, I., Felipe-Castaño, E., Ribeiro dos Santos, E. J., & León-del Barco, B. (2017). Analysis of Predictive Factors on Minors’ Mental Health According to the Spanish National Health Survey. Brain Sciences, 7(10), 135. https://doi.org/10.3390/brainsci7100135