The Determinants of young Adult Social well-being and Health (DASH) study: diversity, psychosocial determinants and health

Seeromanie Harding, Ursula Read, Oarabile R Malaodi, Aidan Cassidy, Maria Maynard, Erik Lenguerrand, Thomas Astell-Burt, Alison Teyhan, Melissa Whitrow, Zinat E Enayat

Research output: Contribution to journalArticle (Academic Journal)

20 Citations (Scopus)

Abstract

Purpose
The Determinants of young Adult Social well-being and Health longitudinal study draws on life-course models to understand ethnic differences in health. A key hypothesis relates to the role of psychosocial factors in nurturing the health and well-being of ethnic minorities growing up in the UK. We report the effects of culturally patterned exposures in childhood.
Methods
In 2002/2003, 6643 11–13 year olds in London, ~80 % ethnic minorities, participated in the baseline survey. In 2005/2006, 4782 were followed-up. In 2012–2014, 665 took part in a pilot follow-up aged 21–23 years, including 42 qualitative interviews. Measures of socioeconomic and psychosocial factors and health were collected.
Results
Ethnic minority adolescents reported better mental health than White British, despite more adversity (e.g. economic disadvantage, racism). It is unclear what explains this resilience but findings support a role for cultural factors. Racism was an adverse influence on mental health, while family care and connectedness, religious involvement and ethnic diversity of friendships were protective. While mental health resilience was a feature throughout adolescence, a less positive picture emerged for cardio-respiratory health. Both, mental health and cultural factors played a role. These patterns largely endured in early 20s with family support reducing stressful transitions to adulthood. Education levels, however, signal potential for socio-economic parity across ethnic groups.
Original languageEnglish
Pages (from-to)1173-1188
Number of pages16
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume50
Issue number8
DOIs
Publication statusPublished - Aug 2015

Keywords

  • Longitudinal study Ethnicity Physical and mental health Psychosocial determinants Adolescence Ba

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