Factors contributing to the psychological well-being for Hong Kong Chinese children from low-income families: a qualitative study

Ka Yan Ho, William H C Li, Joyce Oi Kwan Chung, Katherine Ka Wai Lam, Sophia S C Chan, Wei Xia, Ka Yan Ho, William H C Li, Joyce Oi Kwan Chung, Katherine Ka Wai Lam, Sophia S C Chan, Wei Xia

Abstract

Background: Despite compelling evidence demonstrating the negative impact of poverty and income disparity on children's psychological well-being, there has been a lack of qualitative information which addresses its contributing factors. This study aimed to shed light on this area by comparing the experiences toward daily life between children living in low- and high-income families.

Methods: A qualitative study using a phenomenological approach was conducted from May 2012 to January 2013. A random sample of 42 children aged 10-13, with 25 from low- and 17 from high-income families were asked to voluntarily response to a demographic sheet and undergo individual semi-structured interviews which lasted about 25-30 min. Content analysis was used to analyze the data. Approval for the study was obtained from the Institutional Review Board of the University of Hong Kong/Hospital Authority Hong Kong West Cluster (reference UW 12-237).

Results: The findings of this study revealed that the living environment, physical health, social life and ability to function at school of children from low-income families are severely impaired.

Conclusions: It fills a gap in the literature by showing how poverty and income disparity affect the daily lives of children from low-income families on different levels. Also, adopting a sedentary lifestyle and unhealthy eating habits are possible factors mediating the effects of poverty and income disparity on the psychological well-being of children from low-income families. It is vital for healthcare professionals going beyond their normal roles to give advice on healthy lifestyles and behaviors by building multidisciplinary partnerships with schools and the community. Additionally, healthcare professionals should also target on these two possible factors to develop and implement appropriate interventions for promoting the psychological well-being among children living in poverty. Trial registration NCT02877719. 19 August 2016 retrospectively registered.

Keywords: Experience; Income disparity; Poverty; Quality of life; Self-esteem.

References

    1. Elstad JL, Pedersen AW. The impact of relative poverty on Norwegian adolescents’ subjective health: a casual analysis with propensity score matching. Int J Environ Res Public Health. 2012;9(12):4715–4731. doi: 10.3390/ijerph9124715.
    1. Evans GW, Kim P. Childhood poverty and health: cumulative risk exposure and stress dysregulation. Psychol Sci. 2007;18(11):953–957. doi: 10.1111/j.1467-9280.2007.02008.x.
    1. Nikiema B, Zunzunegui MV, Se´guin L, Gauvin L, Potvin L. Poverty and cumulative hospitalization in infancy and early childhood in the Quebec birth cohort: a puzzling pattern of association. Matern Child Health J. 2008;12(4):534–544. doi: 10.1007/s10995-007-0259-3.
    1. Pickett KE, Wilkinson RG. Inequality: an under-acknowledged source of mental illness and distress. Br J Psychiatry. 2010;197(6):426–428. doi: 10.1192/bjp.bp.109.072066.
    1. Ho KY, Li WH, Chan SS. The effect of poverty and income disparity on the psychological well-being of Hong Kong children. Public Health Nurs. 2015;32(3):212–222. doi: 10.1111/phn.12147.
    1. Tracy M, Zimmerman FJ, Galea S, McCauley E, Stoep AV. What explains the relation between family poverty and childhood depressive symptoms? J Psychiatr Res. 2008;42(14):1163–1175. doi: 10.1016/j.jpsychires.2008.01.011.
    1. Twenge JM, Campbell WK. Self-esteem and socioeconomic status: a meta-analytic review. Pers Soc Psychol Rev. 2002;6(1):59–71. doi: 10.1207/S15327957PSPR0601_3.
    1. Hong Kong Council of Social Service. Rate of persons in low income households by age (2001–2012 1st Half). 2013. . Accessed 8 Dec 2015.
    1. Census and Statistics Department. Thematic report: household income distribution of Hong Kong. 2012. . Accessed 8 Dec 2015.
    1. Cantor N, Sanderson AC. Life task participation and well-being: The importance of taking part in daily life. In: Kahneman D, Diener E, Schwarz N, editors. Well-Being: foundations of hedonic psychology. New York City: Russell Sage Foundation; 1999.
    1. Bolger N, DeLongis A, Kessler RC, Schilling EA. Effects of daily stress on negative mood. J Pers Soc Psychol. 1989;57(5):808–818. doi: 10.1037/0022-3514.57.5.808.
    1. Knitzer J. Early childhood mental health services: a policy and systems development perspective. In: Shonkoff JP, Meisels SJ, editors. Handbook of early childhood intervention. New York: Cambridge University Press; 2000.
    1. Evans GW. The environment of childhood poverty. Am Psychol. 2004;59(2):77. doi: 10.1037/0003-066X.59.2.77.
    1. Sargert S, Evans GW. Poverty, housing niches, and health in the United States. J Soc Issues. 2003;59(3):569–589. doi: 10.1111/1540-4560.00078.
    1. Evans GW, English K. The environment of poverty: multiple stressor exposure, psychophysiological stress, and socioemotional adjustment. Child Dev. 2002;73(4):1238–1248. doi: 10.1111/1467-8624.00469.
    1. Halpern D. Mental health and the built environment: more than bricks and mortar? 1. London: Taylor & Francis; 2012.
    1. Evans GW. Child development and the physical environment. Annu Rev Psychol. 2006;57:423–451. doi: 10.1146/annurev.psych.57.102904.190057.
    1. Krieger J, Higgins D. Housing and health: time again for public health action. Am J Public Health. 2002;92(5):758–768. doi: 10.2105/AJPH.92.5.758.
    1. Cohen S. Behavior, health, and environmental stress. 1. New York: Plenum Press; 1986.
    1. Attree P. The social costs of child poverty: a systematic review of the qualitative evidence. Child Soc. 2006;20(1):54–66.
    1. Festinger L. A theory of social comparison process. Human Relat. 1954;7(2):117–140. doi: 10.1177/001872675400700202.
    1. Lynch JW, Kaplan GA. Understanding how inequality in the distribution of income affects health. J Health Psychol. 1997;2(3):297–314. doi: 10.1177/135910539700200303.
    1. Wilkinson RG. Unhealthy societies: the afflictions of inequality. 1. New York: Routledge Press; 1996.
    1. Thomas A, Sawhill I. For love and money? The impact of family structure on family income. Future Child. 2005;15(2):57–74. doi: 10.1353/foc.2005.0020.
    1. Teychenne M, Ball K, Salmon J. Sedentary behaviour and depression among adults: a review. Int J Behav Med. 2010;17(4):246–254. doi: 10.1007/s12529-010-9075-z.
    1. Asare M, Danquah SA. The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescent. Child Adolesc Psychiatry Ment Health. 2015;9:11. doi: 10.1186/s13034-015-0043-x.
    1. Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep. 1985;100(2):195–202.
    1. Bloom W. The endorphin effect: a breakthrough strategy for holistic health and spiritual wellbeing. 1. London: Hachette Digital; 2012.
    1. Strauss CC, Smith K, Frame C, Forehand R. Personal and interpersonal characteristics associated with childhood obesity. J Pediatr Psychol. 1985;10(3):337–343. doi: 10.1093/jpepsy/10.3.337.
    1. Field F. The foundation years: preventing poor children becoming poor adults: the report of the independent review on poverty and life chances. London: Cabinet Office; 2010.

Source: PubMed

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