青少年及年轻母亲危险行为对儿童行为问题的影响

Abstract

目的 调查青少年及年轻母亲的危险行为对子女行为问题的影响。

方法 2015年1至6月通过中国香港地区的综合年轻母亲援助计划招募中国香港地区华裔青少年及年轻母亲。通过对母亲进行问卷调查了解社会人口学特征、危险行为史，使用标准化长处与困难问卷评估儿童行为问题。使用多元回归分析来寻找母亲危险行为和儿童行为的关系。

结果 在201名符合资格的母亲当中，187名(93.0%)有饮酒史，136名(67.7%)有吸烟史，83名(41.3%)有药物滥用史。相对于母亲无药物滥用史组，母亲有药物滥用史的儿童困难总分异常的风险较高(OR=2.60, P=0.01)，而母亲曾吸烟的儿童品行问题得分显著高于母亲无吸烟组(B=0.74, P=0.01)。在调整混杂因素后，母亲曾饮酒的儿童行为困难总分和品行问题的得分均显著高于母亲无饮酒组(B=3.82、1.37, P=0.01、0.01)。调整混杂因素后，当前活跃药物滥用母亲组的儿童出现了更多的情绪症状(B=1.77, P=0.04)和多动或注意力缺陷(B=2.14, P=0.03)。

结论 母亲的危险行为史和儿童的行为问题显著相关。

Objective: To examine the impact of maternal risky behaviors on the behaviors of children born to adolescent and young mothers. Methods: Adolescents and young Chinese mothers were recruited from an integrated young mother supportive program in Hong Kong between January and June 2015. Eligible mothers were asked to complete a questionnaire on their sociodemographic characteristics and history of risky behavior as well as their children's behaviors. Multiple regression analyses were conducted to explore the association between maternal risky behaviors and their children's behaviors. Results: Among 201 respondents, there were 187 (93.0％) ex-drinkers,136 (67.7％) ex-smokers, and 83 (41.3％) ex-addicts. Compared to the reference group, children of mothers with drug use behaviors were more likely to have abnormal SDQ total difficulties scores (odds ratio 2.60,P=0.01), those of ex-drinking mothers had more behavioral difficulties and more conduct problems (B=3.82 and 1.37,P both=0.01) and those of ex-smoking mothers had more conduct problems (B=0.74,P=0.01) after adjustment for confounders. Children of active drug-taking mothers also had more emotional symptoms (B=1.77,P=0.04) and hyperactivity/inattention problems (B=2.14,P=0.03). Conclusion: The history of mother's risky behavior was significantly associated with the behavioral problems of the children.