Suchergebnisse

Introduction -- Overview of literature -- Data and measures -- Health and behavior -- Family process -- Mental health and behavior -- Physical health -- Conclusion.

Using the National Longitudinal Study of Adolescent Health, the authors explore how aspects of stepfather involvement are related to adolescent well-being and whether these relationships depend on maternal involvement, non-residential father involvement, or amount of time in the household. Results indicate that a close, nonconflictual stepfather-stepchild relationship improves adolescent well-being, but it is most beneficial when the adolescent also has a close, nonconflictual mother-child relationship. Engaging in shared activities with the stepfather decreases depression when the stepfather has been in the household for a longer period of time. The relationships between stepfather involvement and adolescent well-being are separate from nonresidential father involvement.

As part of a settlement needs assessment of 220 recently arrived Sudanese refugees and immigrants in seven cities, we examined overall health status, indicators of mental distress, economic hardship and expectations of life in Canada. Data were collected in a community-based study using qualitative and quantitative techniques. Results indicate that those Sudanese for whom life in Canada was not what they expected and those who experienced economic hardship as measured by worry over having enough money for food or medicine experienced poorer overall health and reported a greater number of symptoms of psychological distress. After controlling for demographic and related variables, we found that individuals who were experiencing economic hardship were between 2.6 and 3.9 times as likely to experience loss of sleep, constant strain, unhappiness and depression, and bad memories as individuals who do not experience hardship. Healthcare providers should be aware of how postmigration social disadvantages may increase the risk of mental distress particularly among refugees.

Background: Canadian households experienced unexpected changes in their economic well-being during the COVID-19 pandemic. The extent of the impact of the pandemic on household debt and its effect on health and mental health remains unknown. Aim: The aim of the study was to examine the associations of change in household debt due to COVID-19 with serious psychological distress (SPD) and general health measures. Methods: Data were from the 2020 Monitor study, a repeated cross-sectional survey of adults 18 years and older in Ontario, Canada. The 2020 cycle employed a web-based panel survey of 3,033 adults. The survey included measures of change in household debt due to the COVID-19 pandemic, mental and general health. Odds ratios (OR) were estimated from logistic regression models accounting for sociodemographic factors. Results: Overall, 17.5% of respondents reported that their household debt increased due to the COVID-19 pandemic. Such an increase in household debt was significantly associated with SPD (OR = 2.92, 95% CI, 2.05–4.16), fair/poor mental health (OR = 2.02, 95% CI, 1.59–2.56), frequent mental distress days (OR = 1.80, 95% CI, 1.31–2.48), fair/poor general health (OR = 1.93, 95% CI, 1.47–2.52), and suicidal ideation (OR = 3.71, 95% CI, 2.41–5.70) after adjusting for potential confounders including education, income and employment. Conclusions: Household debt during the COVID-19 pandemic is an important determinant of health. Individuals who reported an increase in household debt due to COVID-19 were more likely to report serious mental health concerns including suicidal ideation. This suggests that debt-related interventions may be needed to alleviate the adverse effects of indebtedness on health.

The objective of this study was to examine the associations of family, school, peer, and attitudinal factors with cannabis use among three immigrant generations of youth. The sample consisted of 3,134 students from the 2009 Ontario Student Drug Use and Health Survey, a provincewide survey of 7th- to 12th-grade students. Results indicate that the odds of using cannabis were lower among first-generation immigrant youth than among second as well as third and later generations. The immigrant generations were more similar than different in the significance of family, school, peers, and attitudinal factors on cannabis use. Parental education, however, was found to differ in its effect on cannabis use across generations. Findings suggest that factors that influence cannabis use may be similar across immigrant generations and that further research is needed on the effects of parental education and the mechanisms through which protection and risk to immigrant generations occur.

OBJECTIVES: Public health concern about increasing levels of child/youth overweight and obesity has resulted in initiatives to address this issue. In 2012, the Ontario Ministry of Health and Long-Term Care (MOHLTC) established a target to reduce childhood obesity by 20% within five years. In this paper, we examine trends and establish baseline levels of overweight/obesity to assess the impacts of population-level interventions. METHODS: We analyzed 10 years (2003–2013) of data accumulated from six cycles of the Ontario Student Drug Use and Health Survey using logistic regression to assess trends in the prevalence of overweight/obesity among middle and high school students. The 2013 data are used to begin monitoring progress toward achieving the MOHLTC target. RESULTS: From 2003 through 2013, the prevalence of overweight/obesity among middle school students in the province remained stable overall and among all subgroups except 7th-grade females, who showed a significant linear decline. Among high school students, the prevalence of overweight/obesity showed a significant linear increase and an increase among 11th graders, females, and 10th- and 11th-grade females specifically. The prevalence remained stable but elevated among 9th- and 12th-grade females as well as among males in all grades. In 2013 (baseline for the MOHLTC target), 25.1% of students in grades 7–12 were overweight or obese, implying a presumed 2018 target of 20.1%. CONCLUSION: Ten-year trends in overweight/obesity indicate stability among males and significant linear increases in some female subgroups. Also, baseline data (2013) will facilitate the monitoring of future interventions aimed at achieving the 2018 MOHLTC target.