| Titre : | How Early do Social Determinants of Health Begin to Operate? Results From the Fragile Families and Child Wellbeing Study (2017) |
| Auteurs : | Anao Zhang ; Yolanda Padilla ; Yeonwoo Kim |
| Type de document : | Article |
| Dans : | Journal of Pediatric Nursing (Vol. 37, November/December 2017) |
| Article en page(s) : | p. 42-50 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Famille ; Fragilité ; Harcèlement |
| Mots-clés: | Déterminants sociaux en santé ; Auto-évaluation de l'état de santé |
| Résumé : |
Purpose
From a life course perspective, important insights about how social determinants of health operate can be gained by analyzing the various forms that social climate can take in different life periods. For children, a critical aspect of social climate is exposure to bullying. Bullying can serve as a proxy for power imbalance and social exclusion analogous to adult social climate of discrimination and racism. Design and Methods We used the Year 9 follow-up data of the Fragile Families and Child Wellbeing Study (N = 3301) that, for the first time included interviews with the children. We drew on a national sample of children and their families, which allowed us to account for broader contextual variables and represented a broad range of geographic areas and schools. Multinomial logistic regression was used to estimate the effects of exposure to bullying on self-rated health among primarily 9- to 10-year-old children while controlling for socio-demographic and diagnosed health-conditions. Results Both frequency and forms of bullying were positively associated with lower odds of reporting excellent, very good or good health. The effect of forms of bullying on children's self-rated health fell on a gradient. Subgroup analysis indicated a significant effect on self-rated health for children who experienced peer rejection but not for those who experienced physical aggression. Conclusions The results of the study provide new evidence that the harmful health consequences of power imbalance and discriminatory practices may extend to children in early development. It also accentuates the need to study social determinants of health from both an ecological/contextual and a developmental angle. Practice Implications Echoing a plethora of nursing literature on the critical role of psycho-social pediatric care, this study further encourages pediatric nurses to expand their assessment and intervention priorities beyond a familial and developmental perspective, and to consider the evident physical health consequence of a child's overall social climate determinants. |
| Disponible en ligne : | Non |
Exemplaires (1)
| Cote | Support | Localisation | Section | Disponibilité |
|---|---|---|---|---|
| REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |
