Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes

ObjectivesCross-national differences in long-term trends in social inequalities in adolescents’ mental health remain poorly understood, as does the impact of societal changes. We tested (1) whether the association between family socioeconomic status and psychological and somatic complaints changed b...

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Main Authors: Mathilde E. Brons, Paola Berchialla, Marco Helbich, Maxim Dierckens, Michela Lenzi, Joanna C. Inchley, Gonneke W. J. M. Stevens
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:International Journal of Public Health
Subjects:
Online Access:https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607709/full
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author Mathilde E. Brons
Paola Berchialla
Marco Helbich
Maxim Dierckens
Michela Lenzi
Joanna C. Inchley
Gonneke W. J. M. Stevens
author_facet Mathilde E. Brons
Paola Berchialla
Marco Helbich
Maxim Dierckens
Michela Lenzi
Joanna C. Inchley
Gonneke W. J. M. Stevens
author_sort Mathilde E. Brons
collection DOAJ
description ObjectivesCross-national differences in long-term trends in social inequalities in adolescents’ mental health remain poorly understood, as does the impact of societal changes. We tested (1) whether the association between family socioeconomic status and psychological and somatic complaints changed between 2002 and 2022, (2) the extent to which these trends varied across countries, and (3) whether changes in income inequality, schoolwork pressure, and internet activity within countries were related to these trends.MethodsUsing data from 903,344 adolescents across 32 countries from the Health Behaviour in School-aged Children (HBSC) study between 2002 and 2022, we employed multilevel models to investigate the research questions.ResultsWe observed a nonlinear increase in psychological and somatic complaints over time. On average, social inequalities in both outcomes remained stable across countries, although the trends varied from one country to another. Only income inequality explained the differences between countries in these trends. In countries where income inequality increased over time, social inequalities in psychological complaints became smaller.ConclusionOur study highlights ongoing global disparities in adolescents’ mental health problems, urging for more effective health policies.
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institution Kabale University
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spelling doaj-art-d2b09610fee948c388c5f8fa022658c62025-01-31T04:11:19ZengFrontiers Media S.A.International Journal of Public Health1661-85642025-01-016910.3389/ijph.2024.16077091607709Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal ChangesMathilde E. Brons0Paola Berchialla1Marco Helbich2Maxim Dierckens3Michela Lenzi4Joanna C. Inchley5Gonneke W. J. M. Stevens6Department of Interdisciplinary Social Science, Utrecht University, Utrecht, NetherlandsDepartment of Clinical and Biological Sciences, University of Torino, Torino, ItalyDepartment of Human Geography and Spatial Planning, Utrecht University, Utrecht, NetherlandsDepartment of Public Health and Primary Care, Ghent University, Ghent, BelgiumDepartment of Developmental and Social Psychology, University of Padova, Padova, ItalyMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United KingdomDepartment of Interdisciplinary Social Science, Utrecht University, Utrecht, NetherlandsObjectivesCross-national differences in long-term trends in social inequalities in adolescents’ mental health remain poorly understood, as does the impact of societal changes. We tested (1) whether the association between family socioeconomic status and psychological and somatic complaints changed between 2002 and 2022, (2) the extent to which these trends varied across countries, and (3) whether changes in income inequality, schoolwork pressure, and internet activity within countries were related to these trends.MethodsUsing data from 903,344 adolescents across 32 countries from the Health Behaviour in School-aged Children (HBSC) study between 2002 and 2022, we employed multilevel models to investigate the research questions.ResultsWe observed a nonlinear increase in psychological and somatic complaints over time. On average, social inequalities in both outcomes remained stable across countries, although the trends varied from one country to another. Only income inequality explained the differences between countries in these trends. In countries where income inequality increased over time, social inequalities in psychological complaints became smaller.ConclusionOur study highlights ongoing global disparities in adolescents’ mental health problems, urging for more effective health policies.https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607709/fulladolescents’ psychological and somatic complaintsfamily SESsocial inequalitiescross-national trendsHBSCincome inequality
spellingShingle Mathilde E. Brons
Paola Berchialla
Marco Helbich
Maxim Dierckens
Michela Lenzi
Joanna C. Inchley
Gonneke W. J. M. Stevens
Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
International Journal of Public Health
adolescents’ psychological and somatic complaints
family SES
social inequalities
cross-national trends
HBSC
income inequality
title Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
title_full Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
title_fullStr Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
title_full_unstemmed Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
title_short Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
title_sort social inequalities in adolescents psychological and somatic complaints cross national trends between 2002 and 2022 and the role of societal changes
topic adolescents’ psychological and somatic complaints
family SES
social inequalities
cross-national trends
HBSC
income inequality
url https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607709/full
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