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Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children

Children grow up in homes where varying environmental and socioeconomic contexts have a bearing on their emotional and behavioral health (EBH). This study used data from a representative sample of the child supplement of the US National Health Information Survey (NHIS) and applied the social determi...

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Autores principales: Enelamah, Ngozi V., Lombe, Margaret, Yu, Mansoo, Villodas, Melissa L., Foell, Andrew, Newransky, Chrisann, Smith, Lisa C., Nebbitt, Von
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377858/
https://www.ncbi.nlm.nih.gov/pubmed/37508597
http://dx.doi.org/10.3390/children10071100
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author Enelamah, Ngozi V.
Lombe, Margaret
Yu, Mansoo
Villodas, Melissa L.
Foell, Andrew
Newransky, Chrisann
Smith, Lisa C.
Nebbitt, Von
author_facet Enelamah, Ngozi V.
Lombe, Margaret
Yu, Mansoo
Villodas, Melissa L.
Foell, Andrew
Newransky, Chrisann
Smith, Lisa C.
Nebbitt, Von
author_sort Enelamah, Ngozi V.
collection PubMed
description Children grow up in homes where varying environmental and socioeconomic contexts have a bearing on their emotional and behavioral health (EBH). This study used data from a representative sample of the child supplement of the US National Health Information Survey (NHIS) and applied the social determinants of health (SDoH) framework to explore factors associated with child EBH. We conducted a path analysis of the child’s EBH measured by the strengths and difficulties questionnaire (SDQ) from their macro and socioeconomic contexts, e.g., policy, household, and other health system risk factors. For children in the sample, aged 4 to 17 years old (n = 9205), most path relationships to child SDQ scores were statistically significant. The total effects from a child’s visit to a mental health specialist (0.28) and child’s age (0.22) had the highest coefficients to child SDQ scores. A modified model showed a better fit with X2 (4) = 22.124, RMSEA = 0.021, and 90% CI [0.013–0.03], CFI = 0.98. Findings indicate that child factors such as being older, the use of mental healthcare services, and family socioeconomic status were significantly associated with EBH, calling attention to the need for more responsive policy and behavioral health interventions that address household/familial and child-level factors, critical determinants of child wellbeing.
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spelling pubmed-103778582023-07-29 Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children Enelamah, Ngozi V. Lombe, Margaret Yu, Mansoo Villodas, Melissa L. Foell, Andrew Newransky, Chrisann Smith, Lisa C. Nebbitt, Von Children (Basel) Article Children grow up in homes where varying environmental and socioeconomic contexts have a bearing on their emotional and behavioral health (EBH). This study used data from a representative sample of the child supplement of the US National Health Information Survey (NHIS) and applied the social determinants of health (SDoH) framework to explore factors associated with child EBH. We conducted a path analysis of the child’s EBH measured by the strengths and difficulties questionnaire (SDQ) from their macro and socioeconomic contexts, e.g., policy, household, and other health system risk factors. For children in the sample, aged 4 to 17 years old (n = 9205), most path relationships to child SDQ scores were statistically significant. The total effects from a child’s visit to a mental health specialist (0.28) and child’s age (0.22) had the highest coefficients to child SDQ scores. A modified model showed a better fit with X2 (4) = 22.124, RMSEA = 0.021, and 90% CI [0.013–0.03], CFI = 0.98. Findings indicate that child factors such as being older, the use of mental healthcare services, and family socioeconomic status were significantly associated with EBH, calling attention to the need for more responsive policy and behavioral health interventions that address household/familial and child-level factors, critical determinants of child wellbeing. MDPI 2023-06-22 /pmc/articles/PMC10377858/ /pubmed/37508597 http://dx.doi.org/10.3390/children10071100 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Enelamah, Ngozi V.
Lombe, Margaret
Yu, Mansoo
Villodas, Melissa L.
Foell, Andrew
Newransky, Chrisann
Smith, Lisa C.
Nebbitt, Von
Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title_full Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title_fullStr Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title_full_unstemmed Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title_short Structural and Intermediary Social Determinants of Health and the Emotional and Behavioral Health of US Children
title_sort structural and intermediary social determinants of health and the emotional and behavioral health of us children
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377858/
https://www.ncbi.nlm.nih.gov/pubmed/37508597
http://dx.doi.org/10.3390/children10071100
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