| 引用本文：和红, 王攀, 闫辰聿, 王鑫, 张琳梓.家庭健康促进视角下青少年抑郁的代际传递研究——基于CFPS2018的实证分析[J].中国卫生政策研究,2022,15(7):45-57 |
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| 家庭健康促进视角下青少年抑郁的代际传递研究——基于CFPS2018的实证分析 |
| 投稿时间：2022-05-23 修订日期：2022-07-11 PDF全文浏览 HTML全文浏览 |
| 和红1,2,3, 王攀2,3, 闫辰聿2,3, 王鑫2,3, 张琳梓2,3 |
1. 中国人民大学人口与发展研究中心 北京 100872;
2. 中国人民大学健康科学研究所 北京 100872;
3. 中国人民大学社会与人口学院 北京 100872 |
| 摘要:目的：基于家庭健康促进视角，探究青少年抑郁的代际传递，为青少年心理健康促进提供理论和政策依据。方法：基于2018年CFPS数据，使用线性回归模型和Shapley值分解法分析父母抑郁水平对青少年抑郁水平的影响及其相对贡献度；利用中介和调节效应分析探讨父母日常关怀和家庭结构在抑郁代际传递中的作用机制。结果：父母抑郁水平显著影响青少年抑郁水平；亲子系统对青少年抑郁的相对贡献度最高；父母抑郁水平可通过青少年感知到的行踪关注来影响青少年抑郁水平；父母对青少年的学习和生活关怀可弱化父母抑郁对青少年抑郁的影响；与完整家庭相比，单亲家庭的抑郁代际传递效应更强。结论：青少年抑郁水平受其父母抑郁水平及所处家庭环境的影响，建议重视家庭心理健康建设，协同推进青少年心理健康促进与家庭教育形成政策合力。 |
| 关键词:家庭健康促进|抑郁|代际传递|青少年|心理健康 |
| 基金项目:中国人民大学公共健康与疾病预防控制跨学科交叉重大创新平台成果（2022PDPC） |
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| Intergenerational transmission of depression in adolescents from the perspective of family-centered health promotion: An empirical analysis based on CFPS 2018 |
| HE Hong1,2,3, WANG Pan2,3, YAN Chen-yu2,3, WANG Xin2,3, ZHANG Lin-zi2,3 |
1. Population Development Studies Center, Renmin University of China, Beijing 100872, China;
2. Institute of Health Science Research, Renmin University of China, Beijing 100872, China;
3. School of Sociology and Population Studies, Renmin University of China, Beijing 100872, China |
| Abstract:Objective: To explore the intergenerational transmission of depression in adolescents from the perspective of family-centered health promotion, and to provide theoretical foundations and policy recommendations. Methods: Based on the CFPS 2018 database, OLS models and Shapley value decomposition were used to analyze the effects of parental depression levels on adolescent depression levels and calculate the relative contributions.Mediation and moderating effect analysis were used to test the impact mechanisms of daily parental care and family structure in the intergenerational transmission of depression.Results: Depression levels among parents were significantly associated with depression levels among adolescents, and the parent-child system had the highest relative contribution to adolescent depression levels.Meanwhile, adolescent depression levels can be affected by parental depression through adolescent's perceived parental concerns, and parental involvement in adolescent's education and daily life could weaken the impact of parental depression on adolescent depression.Furthermore, the effects of intergenerational transmission of depression are more pronounced in single-parent families than in dual-parent families.Conclusions: The levels of depression in adolescents are influenced by their parent's depression levels and the shared family environment.Therefore, it is recommended that policymakers and health practitioners should pay attention to the construction of family mental health.In addition, they should promote synergy between adolescent mental health promotion and family education policies. |
| Key words:Family-centered health promotion|Depression|Intergenerational transmission|Adolescent|Mental health |
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