What are the factors associated with good mental health among Aboriginal children in urban New South Wales, Australia? Phase I findings from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH).

Auteur(s) :
Williamson A., D'Este C., Clapham K., Redman S., Manton T., Eades S., Schuster L., Raphael B.
Date :
Juil, 2016
Source(s) :
BMJ open. #6:7 pe011182
Adresse :
School of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia The Sax Institute, Haymarket, New South Wales, Australia. [email protected]

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OBJECTIVE
To identify the factors associated with 'good' mental health among Aboriginal children living in urban communities in New South Wales, Australia.

DESIGN
Cross-sectional survey (phase I of a longitudinal study).

SETTING
4 Aboriginal Community Controlled Health Services that deliver primary care. All services were located in urban communities in New South Wales, Australia.

PARTICIPANTS
1005 Aboriginal children aged 4-17 years who participated in phase I of the Study of Environment on Aboriginal Resilience and Child Health (SEARCH).

PRIMARY OUTCOME MEASURE
Carer report version of the Strengths and Difficulties Questionnaire. Scores <17 were considered to indicate 'good' mental health for the purposes of this article.

RESULTS
The majority (72%) of SEARCH participants were not at high risk for emotional or behavioural problems. After adjusting for the relative contributions of significant demographic, child and carer health factors, the factors associated with good mental health among SEARCH children were having a carer who was not highly psychologically distressed (OR=2.8, 95% CI 1.6 to 5.1); not suffering from frequent chest, gastrointestinal or skin infections (OR=2.8, 95% CI 1.8 to 4.3); and eating two or more servings of vegetables per day (OR=2.1, 95% CI 1.2 to 3.8). Being raised by a foster carer (OR=0.2, 95% CI 0.01 to 0.71) and having lived in 4 or more homes since birth (OR=0.62, 95% CI 0.39 to 1.0) were associated with significantly lower odds of good mental health. Slightly different patterns of results were noted for adolescents than younger children.

CONCLUSIONS
Most children who participated in SEARCH were not at high risk for emotional or behavioural problems. Promising targets for efforts to promote mental health among urban Aboriginal children may include the timely provision of medical care for children and provision of additional support for parents and carers experiencing mental or physical health problems, for adolescent boys and for young people in the foster care system.

Source : Pubmed
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