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Abstract：
Depression, suicidal behavior, excessive alcohol intake, and tobacco use are the main mental health problems in adolescents. To address these problems, it is necessary to understand the many factors associated with them, including parental factors. The aim of this study was to assess the associations between parental behavior and mental health problems in adolescents in Mexico. Data from the National Health and Nutrition Survey (ENSANUT) 2018-2019, representative for Mexico, were used. Households in which a parent-adolescent child pairing was identified (regardless of family type) were selected; n = 8758 households. The four outcomes of interest that were measured in the adolescents were: excessive alcohol intake, tobacco use, suicidal behavior, and depressive symptomatology. Logistic regression models using the adjusted odds ratio (AOR) and 95% confidence interval (95% CI) were estimated. Adolescents whose parents used alcohol or tobacco and reported depressive symptoms and suicidal behavior were more likely to present these behaviors themselves (AOR = 1.47, 95% CI: 1.17-1.85; AOR = 2.26, 95% CI: 1.51-3.39; AOR = 2.61, 95% CI: 1.88-3.61; AOR = 1.74, 95% CI: 1.16-2.61, respectively). Child sexual abuse was also strongly associated with the four outcomes of interest in adolescents (AOR = 1.89, 95% CI: 1.06-3.36 for excessive alcohol intake; AOR = 2.97, 95% CI: 1.49-5.91 for tobacco use; AOR = 5.15, 95% CI: 3.27-8.09 for depressive symptoms; AOR = 6.71, 95% CI: 4.25-10.59 for suicidal behavior). The family constitutes the central nucleus of care for children and adolescents; therefore, any effort to promote adolescent mental health must necessarily involve their parents and family.
摘要：
抑郁症,自杀行为,过量饮酒,烟草使用是青少年的主要心理健康问题。为了解决这些问题,有必要了解与之相关的许多因素，包括父母因素。这项研究的目的是评估墨西哥青少年父母行为与心理健康问题之间的关联。数据来自2018-2019年国家健康与营养调查（ENSANUT），墨西哥代表，被使用。选择了确定父母与青少年配对的家庭（无论家庭类型如何）；n=8758个家庭。在青少年中测量的四个感兴趣的结果是：过量饮酒，烟草使用,自杀行为,和抑郁症状。使用调整后的比值比（AOR）和95％置信区间（95％CI）估计Logistic回归模型。父母饮酒或吸烟并报告抑郁症状和自杀行为的青少年更有可能自己出现这些行为（AOR=1.47，95％CI：1.17-1.85；AOR=2.26，95％CI：1.51-3.39；AOR=2.61，95％CI：1.88-3.61；AOR=1.74，95％CI：1.16-2.61）。儿童性虐待也与青少年兴趣的四个结果密切相关（对于过量饮酒，AOR=1.89，95％CI：1.06-3.36；对于吸烟，AOR=2.97，95％CI：1.49-5.91；对于抑郁症状，AOR=5.15，95％CI：3.27-8.09；对于自杀行为，AOR=6.71，95％CI：4.25-10.59）。家庭是照顾儿童和青少年的核心；因此，任何促进青少年心理健康的努力都必须让他们的父母和家人参与进来。
