Family Socioeconomic Status and Adolescent Depressive Symptoms in a Chinese Low– and Middle– Income Sample: The Indirect Effects of Maternal Care and Adolescent Sense of Coherence

Xu, Fei; Cui, Wei; Xing, Tingting; Parkinson, Monika

doi:10.3389/fpsyg.2019.00819

Cited by 24 publications

(19 citation statements)

References 68 publications

(74 reference statements)

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“…Moreover, adolescent mothers in SSA tend to experience greater barriers and stigma in navigating health services , being taken seriously by the health workers and relatives, which further exacerbates their stress and negative parenthood experience [ 24 – 27 ]. These cumulative stressors experienced during adolescent motherhood aggravates parenting stress [ 28 ] and increase the risk for depression [ 29 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of being an adolescent mother on subsequent maternal health, parenting, and child development in Kenyan low-income and high adversity informal settlement context

Kumar

Huang

2021

PLoS ONE

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Background Women who have experienced adolescent pregnancy and early motherhood are disproportionately affected in terms of their health and parenting capabilities, as well as their offspring’s health. Guided by Stress Process and Social Determinants of Health (SDH) Frameworks, which posit that multiple sources of stressors and structural determinants of adolescent pregnancy influence adolescent mothers’ subsequent health and quality of parenting (Xavier et al 2018, McLoyd 1998, Conger et al 2010, Gipson et al 2008). These dynamics then further impact offspring’s outcomes. Using an Integrated Stress-SDH Process for Health Disparities model and we test on whether early motherhood is associated with and subsequent maternal and child health from two informal settlements in Nairobi. Methods A cross-sectional design with 394 mothers of 2–16 years old children who sought maternal and child health services at Kariobangi and Kangemi public health centers between October 2015 to April 2016 were recruited. Participating mothers were asked questions related to their adolescent pregnancy history, their current health, wellbeing, and parenting practices, and their child’s health. Structural equation modeling (SEM) was utilized to examine hypothesized mediational pathways that adolescent pregnancy history has negative influences on women’s health and parenting during adulthood, which also influence their child’s health and development. Results Our study supports that women with a history of adolescent motherhood have poor physical and mental health outcomes as adults after adjusting for demographic confounders. SEM results partially support the Stress-SDH Process model that history of adolescent pregnancy had negative consequences on women’s adulthood health, which also negatively impacted offspring’s physical and mental health. Conclusion Consistent with the Stress Process and SDH literature, we found consistent cross-cultural literature that adolescent pregnancy set the stage for, subsequent poor maternal health and child outcomes. Although history of adolescent pregnancy and motherhood was not necessarily associated with negative parenting, consistent with parenting literature, negative parenting was associated with poor child mental health. Findings suggest importance of providing integrated care that address health and parenting needs to optimize offspring’s development in instances of early motherhood.

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Section: Introductionmentioning

confidence: 99%

Impact of being an adolescent mother on subsequent maternal health, parenting, and child development in Kenyan low-income and high adversity informal settlement context

Kumar

Huang

2021

PLoS ONE

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“…Nevertheless, social inequalities in adolescents' wellbeing are often measured by examining disparities in adolescents' socioeconomic status (SES) while social capital is largely overlooked. Socioeconomic status (SES) has been found to impact health and wellbeing directly [2,[8][9][10][11] and indirectly through psychosocial factors such as the poor's inability to establish bonds and networks for their benefits [6,7,11]. These psychosocial factors, however, can function as protective mechanisms to offset some effects of SES inequalities on wellbeing.…”

Section: Introductionmentioning

confidence: 99%

The mediating role of social capital in the relationship between socioeconomic status and adolescent wellbeing: evidence from Ghana

Addae¹

2020

BMC Public Health

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Background: Social capital is generally portrayed to be protective of adolescents' health and wellbeing against the effects of socioeconomic inequalities. However, few empirical evidence exist on this protective role of social capital regarding adolescents' wellbeing in the low-and middle-income country (LMIC) context. This study examines the potential for social capital to be a protective health resource by investigating whether social capital can mediate the relationship between socioeconomic status (SES) and wellbeing of Ghanaian adolescents. It also examines how SES and social capital relate to different dimensions of adolescents' wellbeing in different social contexts. Methods: The study employed a cross-sectional survey involving a randomly selected 2068 adolescents (13-18 years) from 15 schools (8 Senior and 7 Junior High Schools) in Ghana. Relationships were assessed using multivariate regression models. Results: Three measures of familial social capital (family sense of belonging, family autonomy support, and family control) were found to be important protective factors of both adolescents' life satisfaction and happiness against the effects of socioeconomic status. One measure of school social capital (school sense of belonging) was found to augment adolescents' wellbeing but played no mediating role in the SES-wellbeing relationship. A proportion of about 69 and 42% of the total effect of SES on happiness and life satisfaction were mediated by social capital respectively. Moreover, there were variations in how SES and social capital related to the different dimensions of adolescents' wellbeing. Conclusion: Social capital is a significant mechanism through which SES impacts the wellbeing of adolescents. Social capital is a potential protective health resource that can be utilised by public health policy to promote adolescents' wellbeing irrespective of socioeconomic inequalities. Moreover, the role of the family (home) in promoting adolescents' wellbeing is superior to that of school which prompts targeted policy interventions. For a holistic assessment of adolescents' subjective wellbeing, both life evaluations (life satisfaction) and positive emotions (happiness) should be assessed concomitantly.

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“…Another study found inverse associations between PTS symptoms and strong SOC and supported the idea that SOC is strongly related to mental health [ 36 ]. Additionally, the study using analysis of structural equation modeling found that SES was associated with adolescent depressive symptoms indirectly through maternal care separately, as well as through maternal care and adolescent SOC sequentially [ 37 ]. Furthermore, a recent study found that adolescents with a weaker sense of coherence and a tendency toward depression were much more likely to become addicted to energy drinks, while a strong sense of coherence diminishes the effects of depression [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Predictors of Adolescent Depressive Symptoms

Malinauskienė

Malinauskas

2021

IJERPH

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The present study expands the existing literature and supplements today’s knowledge on the relationship between personal, psychosocial and lifestyle factors and depressive symptoms among adolescents. The study aimed to investigate the variety of depressive symptoms predictors—personal resources, adverse school and family, health, lifestyle-related (sense of coherence, self-esteem, school involvement, negative acts at school, family stress and violence, psychosomatic health complaints, physical activity, smoking, alcohol) as well as gender, employing hierarchical linear regression analysis in a large representative sample of adolescents (N = 2212) in Kaunas, Lithuania. Four blocks of predictors were employed in hierarchical linear regression analysis. In the final model 64.9% of depressive symptoms were explained by all the predictors. Sense of coherence was the strongest predictor of depressive symptoms (standardized regression coefficient β = −605, p < 0.001 in the first model and β = −263, p < 0.001 in the final model after adjustment for all other independent variables) and accounted for 36.6% of variance. In conclusion, this study supports the notion that depressive symptoms among adolescents have multifactorial origins with many predictors showing significant effect seizes. Therefore, high sense of coherence and self-esteem, school involvement, higher levels of physical activity would be protective and influence lower levels of depressive symptoms among adolescents. Exposure to negative acts at school and negative experiences in the family, psychosomatic health complaints, smoking would increase the probability of depressive symptoms. Girls are more prone to depression as compared to boys.

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Family Socioeconomic Status and Adolescent Depressive Symptoms in a Chinese Low– and Middle– Income Sample: The Indirect Effects of Maternal Care and Adolescent Sense of Coherence

Cited by 24 publications

References 68 publications

Impact of being an adolescent mother on subsequent maternal health, parenting, and child development in Kenyan low-income and high adversity informal settlement context

Impact of being an adolescent mother on subsequent maternal health, parenting, and child development in Kenyan low-income and high adversity informal settlement context

The mediating role of social capital in the relationship between socioeconomic status and adolescent wellbeing: evidence from Ghana

Predictors of Adolescent Depressive Symptoms

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