Changing family relationships and mental health of Chinese adolescents: the role of living arrangements

Public Health. 2020 Sep:186:110-115. doi: 10.1016/j.puhe.2020.06.026. Epub 2020 Aug 12.

Abstract

Objective: This study examined the association between changing family relationships (marital relationships and parent-child relationships) and adolescents' mental health in transitional China. It further explored the potential moderating role of living arrangements in the abovementioned associations.

Study design: The study design used in the study is a longitudinal study.

Methods: Data were derived from wave 1 (academic year: 2013-2014, grade 7) and wave 2 (academic year: 2014-2015, grade 8) of the China Education Panel Survey (CEPS). We used fixed-effects models in the longitudinal data analysis (N = 7237).

Results: Descriptive analysis indicated significant changes in both adolescents' mental health and self-reported family relationships during the transition from grade 7 to grade 8. The fixed-effects models showed that high marital quality and close parent-child relationships improved the mental health of adolescents. Interaction analysis suggested that paternal living arrangements significantly moderated the association between the father-child relationships and adolescents' mental health: effects of the father-child relationships were weaker among those living away from their biological fathers than among those living with their biological fathers.

Conclusions: Family relationships play an important role in shaping Chinese adolescents' psychological status. However, the effect of the father-child relationships varies based on the paternal living arrangements. This finding highlights the importance of considering the context in examining the effects of family relationships on adolescents' well-being.

Keywords: Adolescents; Family relationships; Fixed-effects models; Marital quality; Mental health; Parent-child relationships.

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Asian People
  • Child
  • China
  • Family Characteristics
  • Family Relations*
  • Father-Child Relations
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Marriage
  • Mental Health*
  • Models, Statistical
  • Parent-Child Relations
  • Self Report
  • Surveys and Questionnaires