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Despite substantial efforts to investigate the inequalities in mental health among people with marginalized identities, most research has concentrated on single social identities rather than complete persons. The current study aimed to explore the mechanisms underlying the relationship between the intersectionality of multiple social identities with depression among US adults. Data for this study came from the National Health and Nutrition Examination Survey waves between 2015 and 2018, including a total of 11,268 US adults. A latent class analysis (LCA) was conducted to identify latent subpopulations based on sex, race/ethnicity, immigrant status, disability, household income, employment status, and education level. Interclass differences in lifestyle factors and depression were examined. Multiple mediation analysis was used to examine the mediating roles of lifestyle behaviors. LCA identified four potential subpopulations: "least marginalized", "immigrant minorities", "disabled, less-educated non-workers", and "low-income minorities" groups. There was enormous heterogeneity in mental health among immigrant minority individuals. The "disabled, less-educated non-workers" group had the highest rates of depression; in contrast, the "immigrant minorities" group had the best mental health, even better than that of the "least marginalized" group. Distributions of lifestyle factors followed a similar pattern. In addition, lifestyle behaviors significantly mediated the relationship between intersectional social identities and depression. The cross-sectional design prevented establishment of the causality of relationships. This study suggests that applying a person-centered approach is important when examining intersectional inequalities in mental health and highlights the effects of structural social hierarchies on individuals' health behaviors and mental health. • The intersectionality of social identities among US adults presented four latent subpopulations. • Depression and lifestyle varied across four latent subpopulations. • Structural social hierarchies shape individuals' health behaviors and mental health. • Lifestyle behaviors significantly mediated the relationship between intersectional social identities and depression. [ABSTRACT FROM AUTHOR]

Background: Parent‒child communication in migrant families is essential to family bonds and the mental health of left-behind children (LBC). Little is known about the different patterns of communication between migrant parents and LBC and associated communication quality and mental health outcomes. Methods: A sample of 2,183 Chinese children (mean age = 12.95 ± 1.29 years) from Anhui province, including LBC whose parents had both migrated (n = 1,025) and children whose parents had never migrated (never-LBC, n = 1,158), was analyzed. With the LBC sample, latent class analysis was applied to identify the patterns of parent‒child communication. Multinomial logistic regression analysis was conducted to assess the associations between the sociodemographic variables and class membership of LBC. Analysis of covariance and chi-square tests were used to compare communication quality and mental health outcome differences among the classes of LBC and between each of the classes and never-LBC. Results: Five latent classes of communication formed through different media or channels between migrant parents and their LBC were identified. Higher household economic status (OR = 2.81, p < 0.05) was associated with adequate communication. LBC in Class 1, defined by frequent technologically-mediated and face-to-face communication, had a significantly higher quality of communication with their migrant parents (F = 8.92, p < 0.001) and better mental health than those in other latent classes; these children did not have significantly worse mental health outcomes compared to never -LBC. Conclusions: Facilitating multichannel parent‒child communication is a practical way of reducing mental health inequities between LBC and their peers. [ABSTRACT FROM AUTHOR]

Background: Parents are significantly important in shaping the screen use of children within a family system. This study aimed to examine the associations of Chinese children's screen time (ST) over four years with parents' attitudes toward their own screen use and physical activities (PA) and health behaviors including their ST, PA, cigarette smoking, and alcohol drinking. Methods: The current study utilized data from two waves (2011 and 2015) of the China Health and Nutrition Survey (CHNS), including 1,941 mother-father-child triads in 2011 and 2,707 mother-father-child triads in 2015 (with children aged 0-17-years-old). The ST of children and the parental attitudes and health behaviors were measured via self-report or proxy-report (for children under 6 years old) questionnaires. Pool-OLS regression models were used to assess the associations of parental attitudes and health behaviors with the ST of children. Moderation models were built to assess whether these associations depended on the gender, age, and family income of children, as well as whether paternal and maternal influences were moderated by the other parent. A multilevel cross-lagged panel model (CLPM) was used to assess parental influences on children's ST over four years. Results: Paternal ST (β = 0.09, p < 0.001), maternal ST (β = 0.10, p < 0.001), and paternal alcohol drinking (β = 0.30, p < 0.05) were positively associated with children's ST. In addition, maternal smoking had a positive association with girls' ST (β = 0.53, p < 0.05). Moreover, the association between maternal ST and children's ST was observed to decline as family income increased (β = -0.03, p < 0.001). Paternal ST had a larger positive association with children's ST when the ST of mothers exceeded 14 h/week (β = 0.06, p < 0.05). Furthermore, lagged associations were found between paternal attitudes toward PA (β = -1.63, p < 0.05) or maternal cigarette smoking (β = 1.46, p < 0.05) and children's ST measured four years later. Conclusion: Children establish a healthy lifestyle within the family system. From the perspective of the healthy family climate, the current study suggests that future programs for reducing children's ST should be built through an integrative approach with special attention to parental attitudes and health behaviors. [ABSTRACT FROM AUTHOR]

Background: Stigma has been recently identified as a crucial factor associated with the psychosocial burden of those who have chronic skin diseases. The self-stigma experiences of children living with atopic dermatitis (AD) have yet to be fully investigated, and questions of how these children respond to public stigma and how AD symptoms further affect their self-stigma experiences remain unresolved. The current qualitative study aimed to (1) describe the main manifestations of self-stigma in children living with AD; (2) investigate factors that might influence their self-stigma experiences; and (3) explore the potential mechanisms underlying the impacts of AD on their psychosocial well-being from the self-stigma perspective. Methods: We performed a secondary analysis of the qualitative literal transcription data which were collected earlier by using the participatory, drawing-based qualitative interviews with 17 children aged 8–12 who were diagnosed with severe or moderate AD. Results: The qualitative findings indicated that the visible and invisible symptoms of AD and its management exerted unique influences on self-stigma in children living with AD, which manifested in cognitive, affective, and behavioral aspects and ultimately affected their psychosocial well-being. Conclusions: Findings of this study allowed us to advocate for eliminating public stigma of people with skin diseases and propose recommendations for helping children living with AD relieve their self-stigma. [ABSTRACT FROM AUTHOR]

The strengths of drawing‐based approaches for encouraging children's participation in health research and facilitating communication with them have been increasingly acknowledged in the medical literature. However, there is a lack of methodological discussion on drawing‐based approaches suitable for researching children living with physical health problems. The present study systematically reviewed qualitative research using drawing‐based approaches on the experiences of children living with physical health problems and summarised how the approaches were used as well. We identified 54 studies from five databases. The characteristics of qualitative methods and drawing‐based approaches were analysed. To obtain an overall understanding of the illness‐related experiences of these children, qualitative data generated from the included studies were synthesised using the thematic synthesis approach. This systematic review highlights the appropriateness and accuracy of the use of drawings‐based approaches in health research with children on their illness‐related experiences, fostering inclusive participation and engagement of young generations. [ABSTRACT FROM AUTHOR]

• Raising children puts families at a disadvantage within income distribution • Household income changes affect adolescents' subjective well-being complexly • Upward income mobility reduces adolescent subjective well-being by limiting parental care • Severe income inequality hampers both income gains and effective parenting • Upward mobility's impact on subjective well-being varies across demographic groups The relationship between adult happiness and income has been a topic of extensive discussion. However, among children and adolescents, who are not directly engaged in economic activities, the relationship between household income over time and happiness is more complex and remains less explored. We used nationally representative data from the China Family Panel Study (CFPS) from 2012 to 2018. The analytic sample consisted of 3,607 Chinese adolescents aged 10 to 19 years in 2018. Using an ordinary least squares model, we investigated the associations of 2-year (2016–2018), 4-year (2014–2018), and 6-year (2012–2018) household income mobility (i.e., upward mobility and downward mobility) with adolescents' subjective well-being (i.e., happiness and depression) in 2018. We further explored the potential mediating effects of parental care on these associations and whether they were moderated by adolescent age, adolescent sex, and initial household economic status. We found that upward mobility in household income was associated with decreased subjective well-being and parental care mediated this association. Furthermore, we found that the effects of upward mobility on adolescent subjective well-being varied by age, sex, and initial household economic status. Additionally, downward income mobility did not significantly impact adolescents' subjective well-being. Our findings emphasized that economic progress and upward mobility should not come at the expense of parental care, as this would decrease adolescents' subjective well-being. Collaboration between the government and families is crucial to address the conflicts between work and family responsibilities, ensuring that parents are available and supportive to their children. [ABSTRACT FROM AUTHOR]

Atopic dermatitis (AD) imposes significant physical and psychosocial burdens on affected children. However, little has been done to learn from the subjective experiences, perspectives and emotions of children living with AD. Their voices are not heard in healthcare settings. This study aims to share these children's voices and provide a deep understanding of the subjective experiences of children living with AD. We conducted qualitative research by conducting semi‐structured interviews and analysing the drawings of 17 children in Hong Kong aged between 8 and 12 years who were diagnosed with AD. Using a phenomenological approach, we transcribed, coded and described the interviews. We found that for the children in this study, living with AD meant contending with an accumulation of challenges and crises. At the individual level, the essential experience of living with AD manifested a vicious cycle of skin and mental issues. At the family level, conflicts between children and parents concerning AD management coexisted with parental support. The children commonly experienced bullying and isolation in school and discrimination and stigmatisation in their neighbourhood, thereby making living with AD a traumatic experience. The synergy between individual and environmental factors contributed to shaping an incapable and wounded "self" living with AD. Based on our findings, we propose a child‐centred biopsychosocial framework for understanding the living experiences of children with AD. This study suggests different practice strategies for healthcare professionals working with the individual challenges experienced by children living with AD and the challenges these children experience in their family, school, and neighbourhood. The needs of these children should be addressed through an integrated, holistic approach for improving their long‐term health outcomes. [ABSTRACT FROM AUTHOR]

Intra-individual variability in affect has been associated with aspects of individuals' lives, such as everyday social interactions. Ecological momentary assessment (EMA) has been tailored to assess the dynamics of everyday events and feelings and in recent decades there has been a burgeoning of EMA research on the intra-individual links between social interactions and momentary affect in daily life. This systematic review and meta-analysis was conducted to identify within-person relationships between social interactions with positive affect (PA) and negative affect (NA). Both quantitative and qualitative features of social interaction (i.e., uniqueness of the partner, interpersonal perceptions of an interaction) predict within-person variance in PA and NA. The results of meta-analysis indicated small-sized associations between quantitative features of social interactions with PA and NA, and moderate-sized associations between qualitative features of social interactions with PA and NA, which were only somewhat moderated by methodological factors. We conclude that EMA is a promising method of investigating intra-individual variability in affect unfolding in everyday social environments and offer suggestions for substantiating the within-person perspective to both researchers and clinicians. [ABSTRACT FROM AUTHOR]

The reporting of suspected CSA cases to authorities in a timely manner is important in preventing continued abuse and protecting abused children at early ages. The current study seeks to explore parents’ intentions of reporting their own children’s CSA experiences to authorities as well as their reporting willingness when they become aware of possible CSA cases happening to children in other families. Two rounds of semi-structured interviews were conducted among a sample of 26 parents in Beijing; these parents were purposefully selected so as to be diverse in terms of gender, age, and socioeconomic status. The data were analyzed thematically. The findings showed that the reporting of suspected CSA to authorities was a choice made by only a few Chinese parents; it was often even a last resort. By using a holistic-interactionistic approach, the interaction between Chinese parents’ intentions of reporting CSA and the Chinese socio-cultural context was analyzed as a dynamic and continuously ongoing process. The impacts of the definition and perceptions of CSA on reporting, the balance of children’s rights and parents’ power, and the double effect of informal social control are discussed. The implications, both locally and globally, are also discussed. [ABSTRACT FROM AUTHOR]

The present study focuses on public perceptions of parental child beating and child physical abuse (CPA) in mainland China. In‐depth interviews were conducted with 20 parents and a quantitative survey was administered to a sample of 1033 adults in urban districts of Beijing. The quantitative and qualitative results are consistent: both parents and the general public were hesitant to consider the beating of one's own child (by biological parents) as a case of CPA. Respondents indicated that only when parents beat their children malevolently and frequently, so as to cause serious physical injuries, could it be considered CPA. The majority of respondents supported governmental interventions in severe cases of CPA. However, respondents' perceptions of CPA in mainland China are different from those that are prevalent in the West. Therefore, it is essential to develop programmes that educate the public in order to improve their awareness and knowledge of CPA in mainland China. [ABSTRACT FROM AUTHOR]

• Psychosocial needs of children with AD have been commonly ignored. • This study examines the effects of an IBMS group intervention on children with AD. • The intervention is effective in improving participants' skin symptoms and psychosocial well-being. The symptomatology of atopic dermatitis (AD) imposes heavy physical, psychological, and social burdens on children, yet their psychosocial needs have been commonly ignored in AD management. Evidence of the psychosocial effects of psychosocial interventions on childhood AD is thin. The present study aimed to examine the effects of a customized Integrative Body-Mind-Spirit (IBMS) group intervention on physical, psychological, and social outcomes for children with AD. A randomized-waitlisted controlled trial was conducted. Children of primary-school age who had been diagnosed with AD and their parents were recruited. Parent-child dyads were randomized to either the IBMS group or waitlisted controlled (WLC) group. Children and their parents attended six three-hour sessions incorporating treatment components based on the IBMS intervention model. The group intervention was conducted in parallel format that the children and parents attended independently of each other. Outcome measures included the severity of AD, generalized and social anxiety symptoms, emotion regulation, self-esteem, quality of relationships with parents, and dermatology-specific quality of life (QoL) at pre-intervention (T0), post-intervention (T1) and 5-weeks post-intervention (T2). Data from 58 children in the IBMS group and 55 children in the WLC group were analyzed. There were no differences in baseline measures. Children in the IBMS group displayed significant decrease in severity of AD, generalized anxiety and social phobia, and improvement in emotion regulation as compared with the WLC group. No significant difference in self-esteem, quality of relationships with parents, or dermatology-specific QoL between the two groups was found. With a rigorously designed evaluation, the study found that the IBMS parallel-group intervention based on a holistic perspective and Eastern philosophies on health and well-being was effective in improving skin symptoms and psychosocial well-being among 6–12-year old children living with AD. Future research needs to customize this IBMS intervention to other developmental stages of children with AD in other geographical contexts so as to benefit wider populations. [ABSTRACT FROM AUTHOR]

Childhood sexual abuse (CSA) has been shown to predict the coupling of depression and inflammation in adulthood. Trust within intimate relationships, a core element in marital relations, has been shown to predict positive physical and mental health outcomes, but the mediating role of trust in partners in the association between CSA and inflammation in adulthood requires further study. The present study aimed to examine the impact of CSA on inflammatory biomarkers (IL-6 and IL-1β) in adults with depression and the mediating role of trust. A cross-sectional survey data set of adults presenting with mood and sleep disturbance was used in the analysis. CSA demonstrated a significant negative correlation with IL-6 level (r = -0.28, p<0. 01) in adults with clinically significant depression, while trust showed a significant positive correlation with IL-6 level (r = 0.36, p <.01). Sobel test and bootstrapping revealed a significant mediating role for trust between CSA and IL-6 level. CSA and trust in partners were revealed to have significant associations with IL-6 level in adulthood. Counterintuitively, the directions of association were not those expected. Trust played a mediating role between CSA and adulthood levels of IL-6. Plausible explanations for these counterintuitive findings are discussed. [ABSTRACT FROM AUTHOR]