Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma

Abstract Adolescents with asthma are at heightened risk of somatic and mental health challenges, particularly during large-scale stressors such as the COVID-19 pandemic. This study explored the self-reported prevalence of asthma, co-occurring somatic complaints, psychological distress, and perceived...

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Main Authors: Maria Emilsson, Kourosh Bador, Catrin Johansson, Nóra Kerekes
Format: Article
Language:English
Published: Nature Portfolio 2025-08-01
Series:npj Primary Care Respiratory Medicine
Online Access:https://doi.org/10.1038/s41533-025-00444-8
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author Maria Emilsson
Kourosh Bador
Catrin Johansson
Nóra Kerekes
author_facet Maria Emilsson
Kourosh Bador
Catrin Johansson
Nóra Kerekes
author_sort Maria Emilsson
collection DOAJ
description Abstract Adolescents with asthma are at heightened risk of somatic and mental health challenges, particularly during large-scale stressors such as the COVID-19 pandemic. This study explored the self-reported prevalence of asthma, co-occurring somatic complaints, psychological distress, and perceived pandemic impact in a multinational sample of 4802 upper secondary school students (aged 15–19) from Sweden, the United States, Serbia, Morocco, and Vietnam. Participants completed a web-based survey between November 2020 and June 2021. Approximately 9% reported having a physician-diagnosed asthma condition, with prevalence varying across countries. An additional 3.2% of the total sample reported uncertainty about whether they had asthma, with this uncertainty most frequently observed in Vietnam and Morocco. Adolescents with asthma reported slightly higher psychological distress than their peers without asthma, particularly among females, yet paradoxically reported a lower perceived impact of the pandemic on daily life. Physical activity levels were comparable between groups. Asthma was found to be associated with several co-occurring somatic complaints, with one gender-specific pattern observed in relation to thyroid disease. The observed variability in asthma prevalence and diagnostic uncertainty underscores the influence of national healthcare systems, health literacy, and communication practices. These findings highlight the need for gender-sensitive and context-aware approaches in adolescent health care, especially during global public health disruptions.
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spelling doaj-art-329cdb12782e4ffcb0f922487c5742612025-08-20T03:42:19ZengNature Portfolionpj Primary Care Respiratory Medicine2055-10102025-08-013511810.1038/s41533-025-00444-8Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthmaMaria Emilsson0Kourosh Bador1Catrin Johansson2Nóra Kerekes3Department of Health Sciences, University WestCenter for Holistic Psychiatry Research (CHoPy)Department of Health Sciences, University WestDepartment of Health Sciences, University WestAbstract Adolescents with asthma are at heightened risk of somatic and mental health challenges, particularly during large-scale stressors such as the COVID-19 pandemic. This study explored the self-reported prevalence of asthma, co-occurring somatic complaints, psychological distress, and perceived pandemic impact in a multinational sample of 4802 upper secondary school students (aged 15–19) from Sweden, the United States, Serbia, Morocco, and Vietnam. Participants completed a web-based survey between November 2020 and June 2021. Approximately 9% reported having a physician-diagnosed asthma condition, with prevalence varying across countries. An additional 3.2% of the total sample reported uncertainty about whether they had asthma, with this uncertainty most frequently observed in Vietnam and Morocco. Adolescents with asthma reported slightly higher psychological distress than their peers without asthma, particularly among females, yet paradoxically reported a lower perceived impact of the pandemic on daily life. Physical activity levels were comparable between groups. Asthma was found to be associated with several co-occurring somatic complaints, with one gender-specific pattern observed in relation to thyroid disease. The observed variability in asthma prevalence and diagnostic uncertainty underscores the influence of national healthcare systems, health literacy, and communication practices. These findings highlight the need for gender-sensitive and context-aware approaches in adolescent health care, especially during global public health disruptions.https://doi.org/10.1038/s41533-025-00444-8
spellingShingle Maria Emilsson
Kourosh Bador
Catrin Johansson
Nóra Kerekes
Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
npj Primary Care Respiratory Medicine
title Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
title_full Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
title_fullStr Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
title_full_unstemmed Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
title_short Somatic and mental health of and the COVID-19 pandemic’s impact on adolescents diagnosed with asthma
title_sort somatic and mental health of and the covid 19 pandemic s impact on adolescents diagnosed with asthma
url https://doi.org/10.1038/s41533-025-00444-8
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