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National-Level Schoolwork Pressure, Family Structure, Internet Use, and Obesity as Drivers of Time Trends in Adolescent Psychological Complaints Between 2002 and 2018

  • M. Boer*
  • , A. Cosma
  • , J. M. Twenge
  • , J. Inchley
  • , H. Jeriček Klanšček
  • , G. W.J.M. Stevens
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Little is known about societal processes that contribute to changes in adolescent mental health problems. This study aims to fill this gap using data from the Health Behavior in School-aged Children study between 2002 and 2018 (n countries = 43, n individuals = 680,269, M age = 14.52 (SD = 1.06), 51.04% female), supplemented with other international data. National-level psychological complaints increased more strongly among girls than boys. National-level schoolwork pressure, single-parent households, time spent on internet, and obesity were generally rising. In both boys’ and girls’ samples, increases in national-level schoolwork pressure, obesity, and time spent on internet use were independently associated with increases national-level psychological complaints. However, national-level obesity and psychological complaints were more strongly related among girls than boys. Results highlight the potential impact of societal-level processes on adolescent mental health problems.

Original languageEnglish
Pages (from-to)2061-2077
Number of pages17
JournalJournal of Youth and Adolescence
Volume52
Issue number10
DOIs
Publication statusPublished - Oct 2023

Bibliographical note

Publisher Copyright:
© 2023, The Author(s).

Funding

M.B., G.S., J.T. and H.J.K. have not received any funding for the preparation of this manuscript. A.C. has received funding from the European Union’s Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 101028678, Project GenerationZ. J.I. is supported by the Medical Research Council (MC_UU_00022/1) and the Chief Scientist Office of the Scottish Government Health and Social Care Directorate (SPHSU16). HBSC is an international study carried out in collaboration with WHO Regional Office for Europe. The International Coordinator was Jo Inchley (University of Glasgow) for the 2018 survey and Candace Currie (Glasgow Caledonian University) for the 2002 to 2014 surveys. The Data Bank Manager was Professor Oddrun Samdal (University of Bergen). The survey data included in this study were conducted by the following principal investigators in the 43 countries: Albania (Gentiana Qirjako and Elizana Petrela), Austria (Rosemarie Felder-Puig and Wolfgang Dür), Armenia (Sergey Sargsyan), Flemish Belgium (Bart De Clercq, Carine Vereecken, Anne Hublet, and Lea Maes), French Belgium (Katia Castetbon and Danielle Piette), Bulgaria (Lidiya Vasileva) Canada (William Pickett, Wendy Craig, John Freeman, and William Boyce), Croatia (Ivana Pavic Simetin and Marina Kuzman), Czech Republic (Michal Kalman and Ladislav Csemy), Denmark (Mette Rasmussen and Pernille Due), England (Fiona Brooks, Ellen Klemera, and Antony Morgan), Estonia (Leila Oja, Katrin Aasvee, and Mai Kaser), Finland (Jorma Tynjälä), France (Emmanuelle Godeau), Germany (Matthias Richter, Petra Kolip, Ulrike Ravens-Sieberer, and Klaus Hurrelmann), Greece (Anna Kokkevi), Hungary (Ágnes Németh and Anna Aszmann), Iceland (Arsaell M. Arnarsson and Thoroddur Bjarnason), Ireland (Saoirse Nic Gabhainn), Israel (Yossi Harel-Fisch), Italy (Franco Cavallo), Latvia (Iveta Pudule), Lithuania (Kastytis Šmigelskas and Apolinaras Zaborskis), Luxembourg (Helmut Willems and Yolande Wagener), Macedonia (Lina Kjostarova Unkovska), Malta (Charmaine Gauci, Marianne Massa), Moldova (Galina Lesco), the Netherlands (Gonneke Stevens, Saskia van Dorsselaer, Wilma Vollebergh, and Tom ter Bogt), Norway (Oddrun Samdal), Poland (Joanna Mazur and Barbara Woynarowska), Portugal (Margarida Gaspar de Matos), Romania (Adriana Baban), Russia (Anna Matochkina, Oleg Churganov, and Alexander Komkov), Scotland (Jo Inchley and Candace Currie), Slovenia (Helena Jericek Klanscek and Eva Stergar), Slovakia (Andrea Madarasova Geckova, Elena Morvicova, and Miro Bronis), Spain (Carmen Moreno), Sweden (Petra Löfstedt, Lilly Augustine, and Ulla Marklund), Switzerland (Marina Delgrande-Jordan, Hervé Kuendig, Emmanuel Kuntsche, and Holger Schmid), Turkey (Oya Ercan), Ukraine (Olga Balakireva), United States (Ronald Iannotti, Mary Overpeck), and Wales (Chris Roberts). We would like to thank Genevieve Gariepy for her contribution to the conceptualization of the study and review of earlier versions of the manuscript.

FundersFunder number
Bank of Albania
Alexander Komkov
Joanna Mazur and Barbara Woynarowska
Klaus Hurrelmann
Margarida Gaspar de Matos
Tom ter Bogt
William Boyce
Yossi Harel-Fisch
Horizon 2020 Framework Programme
H2020 Marie Skłodowska-Curie Actions101028678
Chief Scientist Office, Scottish Government Health and Social Care DirectorateSPHSU16
Medical Research CouncilMC_UU_00022/1
University of Glasgow

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Gender
    • Health Behavior in School-aged Children (HBSC)
    • Mental health problems
    • Mid-adolescence
    • Trends

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