1
|
Chen J, Zhou S, Zhang Y, Huang S, Li P, Yang C, Zhang Q, Li X, Luo C, Lin J, Diao J, Zhong K, Hu Y, Zhang R, Ma L. Ecological analysis of air particulate matter exposure and depression among adolescents in developing regions of Hubei, China. J Psychiatr Res 2025; 181:46-54. [PMID: 39603161 DOI: 10.1016/j.jpsychires.2024.11.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2024] [Revised: 11/11/2024] [Accepted: 11/22/2024] [Indexed: 11/29/2024]
Abstract
BACKGROUND Adolescent depression is a health issue influenced by various factors, with the impact of environmental factors, particularly air pollution, being insufficiently understood. This study investigates the relationship between particulate matter (PM2.5) and adolescent mental health. METHODS A survey of middle school students in two rural counties of Hubei Province-Tongcheng and Lichuan-was conducted using multi-stage probability sampling. Data on demographics, mental health, and social conditions were collected via self-administered questionnaires. PM2.5 exposure levels were obtained from the NASA Giovanni database using a two-step machine learning model. Depression levels were measured with the PHQ-9 scale. Generalized linear regression and structural equation modeling were used to analyze the relationship between PM2.5 and depression. RESULTS The study included 2780 valid responses (mean age 13.49 years, 52.73% male). The findings indicated a correlation between PM2.5 exposure, left-behind children status, and negative coping strategies with higher PHQ-9 scores. Each unit increase in PM2.5 was associated with a 1.004 increase in the PHQ-9 score (P < 0.01). Left-behind children had scores 1.023 times higher than their peers (P = 0.039), while positive coping correlated with lower scores (RR = 0.855, P < 0.001). The influence of PM2.5 on depression was fully indirect, mediated by personal traits and family/community environments (β = -0.003, P = 0.855). LIMITATIONS The cross-sectional design limits causal inferences, and self-reporting may introduce bias. The focus on middle schoolers from two counties may limit broader applicability. CONCLUSIONS This research underscores the complex factors contributing to adolescent depression, with individual characteristics playing a crucial role. The impact of air pollution on depression is mediated by personal traits and the community environment.
Collapse
Affiliation(s)
- Juntao Chen
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Suhua Zhou
- Institute for the Prevention and Treatment of Chronic Diseases, Hubei Provincial Center for Disease Control and Prevention, China
| | - Yifan Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Shiqi Huang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Peizheng Li
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Chenlu Yang
- Institute for the Prevention and Treatment of Chronic Diseases, Hubei Provincial Center for Disease Control and Prevention, China
| | - Qingyu Zhang
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Xiangying Li
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Chenxi Luo
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China
| | - Jing Lin
- School of Public Health, Wuhan University, China
| | - Jiayi Diao
- School of Public Health, Wuhan University, China
| | - Kehan Zhong
- China Three Gorges University, College of Basic Medicine Sciences, China
| | - Yuqi Hu
- Mental Health Center of Tongcheng County, China
| | - Rui Zhang
- Mental Health Center of Lichuan County, China
| | - Lu Ma
- Department of Epidemiology and Biostatistics, School of Public Health, Wuhan University, China.
| |
Collapse
|
2
|
Tong Y, Xie F, Wen X, Li Y, Yuan M, Zhang X, Chen J, Wang G, Su P. Longitudinal Association between Bullying Victimization and Depressive Symptoms in Chinese Early Adolescents: The Effect of Life Satisfaction. Depress Anxiety 2024; 2024:6671415. [PMID: 40226671 PMCID: PMC11918514 DOI: 10.1155/2024/6671415] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 04/18/2024] [Accepted: 06/12/2024] [Indexed: 04/15/2025] Open
Abstract
Bullying victimization is associated with an increased risk of depression among adolescents. However, few studies have examined the association between bullying victimization and depressive symptoms, the impact of particular dimensions of life satisfaction on this relationship, and whether these associations vary by gender. A multilevel model (MLM) was used to explore the relationship between 1,611 Chinese early adolescents' incidence of bullying victimization and depression and life satisfaction's effect on this relationship (60.5% boys, M age = 12.48, SD = 0.48 at baseline). Bullying victimization was found to predict a high risk of depression in early adolescence. Further, we observed that life satisfaction mitigated the relationship between bullying victimization and depression; the MLM analysis indicated that these associations somewhat differed between genders. This study emphasized-based on ecological theory-four special dimensions of life satisfaction and bullying victimization in relation to depression risk. Additionally, this study provides novel insights into the correlation between bullying victimization and depression among Chinese early adolescents.
Collapse
Affiliation(s)
- Yingying Tong
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Faliang Xie
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Xue Wen
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Yonghan Li
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Mengyuan Yuan
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
| | - Xueying Zhang
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York 10029, NY, USA
| | - Juan Chen
- Affiliated Psychological Hospital of Anhui Medical University, Anhui Mental Health Center, Fourth People's Hospital of Hefei, No.316 Huangshan Road, Hefei 230032, Anhui, China
| | - Gengfu Wang
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
- Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
- Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei 230032, Anhui, China
| | - Puyu Su
- Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No.81 Meishan Road, Hefei 230032, Anhui, China
- Key Laboratory of Population Health Across Life Cycle, Ministry of Education of the People's Republic of China, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China
- Anhui Provincial Key Laboratory of Population Health and Aristogenics, No 81 Meishan Road, Hefei 230032, Anhui, China
| |
Collapse
|
3
|
Park H, Son H, Jang H, Kim J. Chronic bullying victimization and life satisfaction among children from multicultural families in South Korea: Heterogeneity by immigrant mothers' country of origin. CHILD ABUSE & NEGLECT 2024; 151:106718. [PMID: 38431991 DOI: 10.1016/j.chiabu.2024.106718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 12/08/2023] [Accepted: 02/26/2024] [Indexed: 03/05/2024]
Abstract
BACKGROUND Despite existing literature on the link between bullying victimization and psychological well-being, little is known about the potential lasting negative effects of chronic bullying victimization, especially among children from multicultural families (CMF). OBJECTIVE This study examined the longitudinal association between chronic bullying victimization and life satisfaction among CMF in Korea, and further investigated whether this association differs by immigrant mothers' country of origin. PARTICIPANTS AND SETTING This study utilized data from the Multicultural Adolescents Panel Study (MAPS) 2011-2019, a nationally representative longitudinal study of CMF in Korea who were between the ages of 9 and 12 at baseline (N = 1375). METHODS Fixed effects models were employed to address potential bias resulting from unobserved time-invariant confounders. Three theoretical models were proposed to examine the trajectory patterns of change in life satisfaction among chronically bullied children: cumulative effects, immediate-sustained effects, and short-lived effects models. RESULTS The longitudinal trajectories of change in life satisfaction associated with chronic bullying victimization were consistent with an immediate-sustained effects model. Heterogeneous patterns in the association by mothers' country of origin were observed. A cumulative effects model was supported for children with Southeast Asian mothers, indicating that chronic bullying victimization leads to a cumulative decrease in life satisfaction. For children with Chinese and Japanese mothers, the results supported either immediate-sustained or short-lived effects models. CONCLUSIONS Efforts to improve the psychological well-being of CMF should consider the potential long-term risk of chronic bullying victimization, particularly among youth with mothers from Southeast Asia.
Collapse
Affiliation(s)
- Hansol Park
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hyewon Son
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hayun Jang
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.
| |
Collapse
|
4
|
Jang H, Park H, Son H, Kim J. The Asymmetric Effects of the Transitions Into and out of Bullying Victimization on Depressive Symptoms: The Protective Role of Parental Education. J Adolesc Health 2024; 74:828-836. [PMID: 38069939 DOI: 10.1016/j.jadohealth.2023.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 07/20/2023] [Accepted: 11/06/2023] [Indexed: 03/24/2024]
Abstract
PURPOSE This study aims to examine the association between bullying victimization and depressive symptoms among youth from multicultural families in Korea, while distinguishing between the effects of entering and exiting bullying victimization. This study also investigates whether parental education moderates this association. METHODS Using data from the Multicultural Adolescent Panel Survey, a nationally representative sample of children from multicultural families in Korea, this study employed novel asymmetric fixed-effects models that separately assess the effects of entering and exiting bullying victimization. Interaction models were conducted to consider the moderating roles of maternal and paternal college attainment. RESULTS Conventional fixed-effects models showed that bullying victimization is significantly associated with an increase in depressive symptoms (b = 0.261). Asymmetric fixed-effects models suggest that the magnitude of the entry effect (b = 0.299) was significantly larger than that of the exit effect (b = -0.237). Furthermore, maternal college education amplified the mental health benefits of exiting from bullying victimization but did not buffer the harmful effects of entering bullying victimization. Gender-stratified analyses indicate that this protective effect of maternal college education was only significant for girls. Paternal college education, on the other hand, did not moderate either the entry or exit effects of bullying victimization. DISCUSSION The study's findings on the asymmetric effects of bullying victimization on depressive symptoms emphasize the importance of providing follow-up care and mental health support for multicultural family youth who have experienced bullying, with particular attention to those with a history of victimization.
Collapse
Affiliation(s)
- Hayun Jang
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hansol Park
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Hyewon Son
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, Wisconsin.
| |
Collapse
|
5
|
Son H, Ahn E, Kim J. Children's bullying victimization and maternal suicidal ideation among multicultural families in South Korea: Heterogeneity by family socioeconomic status. Soc Sci Med 2024; 341:116545. [PMID: 38160609 DOI: 10.1016/j.socscimed.2023.116545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 07/12/2023] [Accepted: 12/20/2023] [Indexed: 01/03/2024]
Abstract
RATIONALE Children from multicultural families in Korea are vulnerable to bullying victimization. Despite growing evidence on the mental health consequences of bullying victimization for victims, little is known about the spillover effects on their immigrant mothers. OBJECTIVE This study examined the association between children's bullying victimization and their immigrant mothers' suicidal ideation. The potential moderating role of family socioeconomic status was also investigated. METHODS Using nine waves of the Multicultural Adolescents Panel Study spanning from 2011 to 2019 (N = 1466), this study estimated individual fixed effects models to control for unobserved individual-level heterogeneity. Interaction models were used to investigate potential heterogeneity by family socioeconomic status, including maternal education, household income, and maternal occupational status. RESULTS Fixed effects estimates revealed that children's bullying victimization is associated with an increased likelihood of suicidal ideation among marriage migrant mothers (b = 0.012, p < 0.05), even after controlling for unobserved time-invariant confounders as well as a set of time-varying covariates. Family socioeconomic status moderated this association. The association between children's bullying victimization and immigrant mothers' suicidal ideation was stronger for those with low levels of education and household income. No such moderating effects were observed for maternal occupation. CONCLUSIONS The findings of this study suggest that efforts to address the mental health consequences of bullying victimization among multicultural family children should extend beyond the victim to their immigrant mothers. When developing interventions to reduce suicidal ideation among immigrant mothers whose children have been victimized, policymakers may wish to consider the moderating role of family socioeconomic status.
Collapse
Affiliation(s)
- Hyewon Son
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea
| | - Eunhye Ahn
- George Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, MO, USA
| | - Jinho Kim
- Department of Health Policy and Management, Korea University, Seoul, Republic of Korea; Interdisciplinary Program in Precision Public Health, Korea University, Seoul, Republic of Korea; Center for Demography of Health and Aging, University of Wisconsin-Madison, Madison, WI, USA.
| |
Collapse
|