Socioeconomic inequalities in adolescent health complaints: A multilevel latent class analysis in 45 countries.

Our study evaluated the relationship between adolescent health complaints and socioeconomic position in 45 countries. Data are from the 2017/2018 international Health Behaviour in School-aged Children survey which used proportionate sampling among adolescents aged 11 to 15 years old (n=228,979). Multilevel, multinomial regression analysis assessed the association between the multilevel latent classes with socioeconomic status (SES; at the household and country level). Three distinct latent classes were identified: No Complaints, Psychological Complaints, and a Physical and Psychological Complaints class; where, low household SES was highest for the physical and psychological complaints class. The findings suggest that health promotion policies and interventions among adolescents should consider the specific needs of adolescents living with low household SES as they report more subjective health complaints.

Mental Health during COVID-19 Pandemic: Qualitative Perceptions among Lithuanian Adolescents.

BACKGROUND: Since the COVID-19 pandemic emerged, humanity has had to face unprecedented change in daily routines. Therefore, the pandemic has also had an impact on mental health. Most of the literature analyzes adult experiences during the COVID-19 pandemic, while the youth is less investigated. The purpose of this study was to reveal adolescent experiences during COVID-19. METHODS: This qualitative study consisted of 19 adolescents from 11-17 years old. Semi-structured in-depth interviews were conducted, and thematic analysis was applied. RESULTS: Five themes were identified: ambivalent feelings; daily routine changes; disappointment with distance education; coping strategies; and discoveries. CONCLUSION: The study revealed adolescents' mostly negative feelings such as sadness, anger, loneliness, or boredom. They shared about frustrating daily routine changes and shifting to a distance education mode that was quite limited in effectiveness and convenience. Nonetheless, communication with family, peers, pets, active leisure, and favorite activities helped them to cope with the difficulties during COVID-19. During this period, adolescents had more free time for themselves and personal growth, found new activities, or improved some relationships. Overall, the COVID-19 pandemic had mostly negative side effects, and regardless of positive experiences, it was mainly considered by adolescents as an adversity for their mental health.

Measuring Happiness in Adolescent Samples: A Systematic Review.

BACKGROUND: Happiness is a phenomenon that relates to better mental and physical health and even longevity. There has been an increase in surveys assessing subjective well-being as well as happiness, one of the well-being components that reflect one's feelings or moods. Happiness is mostly measured in adult samples. There is a lack of an overview of the tools used to evaluate adolescent happiness, so this paper aimed to review them. METHODS: A literature search was performed in the PubMed and PsycArticles databases (2010-2019). In total, 133 papers met the eligibility criteria for this systematic review. RESULTS: The results are grouped according to the type of measure, single or multiple items, that was used in a study. Almost half of the studies (64 of 133) evaluated subjective happiness using single-item measures. The most commonly used scales were the 4-item Subjective Happiness Scale and the Oxford Happiness Questionnaire. Among the 133 articles analyzed, 18 reported some validation procedures related to happiness. However, in the majority of cases (14 studies), happiness was not the central phenomenon of validation, which suggests a lack of happiness validation studies. CONCLUSIONS: Finally, recommendations for future research and for the choice of happiness assessment tools are presented.

Single-Item Happiness Measure Features Adequate Validity Among Adolescents.

Background: Happiness is becoming increasingly relevant in recent research, including adolescents. Many studies are using the single-item measure for adolescent happiness, however, its validity is not well known. We aimed to examine the validity of this measure among adolescents in three countries from distinct European regions - Eastern (Lithuania), Southern (Portugal), and Western (Scotland). Materials and Methods: The analysis included data from Health Behaviour in School-aged Children (HBSC) study from three countries and three last surveys (2009/10, 2013/14, and 2017/18). The total sample comprised 47,439 schoolchildren. For validity, the indicators reflecting subjective health, life satisfaction, quality of life, well-being, social support, health complaints, bullying, and self-directed violence were assessed. The calculations were conducted in the total sample and by gender, age, survey year, and country. Results: The different indicators of concurrent and convergent validity revealed consistent correlations with happiness, with better well-being, health, and subjective perceptions being related to higher happiness. Meanwhile, health complaints, bullying behaviors, and self-directed violence were related to lower happiness. The subgroup differences were consistent across gender, age groups, countries, and survey rounds. The extent of differences was more expressed among girls. Conclusion: The single item for adolescent happiness measurement features a consistent pattern of validity concerning indicators of concurrent and convergent validity. Higher self-reported happiness is associated with better mental and physical health and well-being, and less expressed negative factors (complaints, bullying, and self-directed violence). In addition, among girls the correlations tend to be stronger than boys.

Possible Effects of Social Media Use on Adolescent Health Behaviors and Perceptions.

Social media use is one of the most popular leisure activities among adolescents. Concomitant to this is a growing concern regarding problematic social media use and its relationship with health behaviors. To further increase the body of research into this phenomenon, our study explored the relationship between problematic social media use and physical activity levels, sleep peculiarities, and life satisfaction in Lithuanian children and adolescents. The study was conducted in April to June 2018 during the Health Behaviour in School-aged Children survey in Lithuania, a collaborative project of the World Health Organization. The sample comprised 4,191 school children (mean age 13.9 ± 1.69 years). The findings show that problematic social media use associates with about two times higher odds for worse sleep quality and lower life satisfaction. Problematic social media use was related to lower levels of vigorous physical activity in girls, but the possible effect on moderate physical activity was in boys and was inverse-boys with problematic social media use reported higher levels of moderate physical activity. Overall, in our study, girls with problematic social media use tended to have more negative health perceptions than boys. The results suggest that problematic social media use is an independent risk factor for negative health behaviors. This study adds to the accumulating knowledge that problematic social media use among adolescents may lead to worse health perceptions and, likely, further negative health outcomes.

Causal item of Brief Illness Perception Questionnaire (BIPQ) scale: The main categories.

The causal item of illness perception from Brief Illness Perception Questionnaire (BIPQ) has no clearly defined response categories. It restricts the comparison of findings across studies on illness perception. Therefore, this study analyzed the causal item responses and proposed a categorization structure. The cohort study measurements were conducted at early cardiac rehabilitation and six months later. Illness perception was assessed using BIPQ scale with qualitative responses of causal item being independently coded by two researchers who assigned the responses to categories using template analysis approach. The study identified seven main causal categories of illness perception: lifestyle, psychological causes, natural causes, working conditions, body changes, environmental factors, and other causes. The perception that acute coronary syndrome is mainly due to lifestyle factors associates with better health-related outcomes compared to other causal perceptions. The proposed categorization of BIPQ causal item could be tested in the future research among different samples accounting only the main cause.

Interplay between adolescent physical activity and life satisfaction: gender as potential effect modifier.

OBJECTIVES: Recently, adolescents fall short of adequate physical activity (PA) requirements, though the benefits of active lifestyle are well documented. In this study, we analyzed how the PA is associated with life satisfaction among adolescent girls and boys. METHODS: Data for this study were collected in April-June 2018 during the international HBSC survey in Lithuania (n = 4191, aged 13.9 ± 1.69 years). From self-report questionnaire, the indicators reflecting PA, life satisfaction, body image, somatic complaints, wellbeing, demographic, and socioeconomic status were analyzed. Bivariate analysis used Chi-squared test, multivariate associations-logistic regression method. RESULTS: Moderate-to-vigorous PA was sufficient among 18% of schoolchildren, while 66% of respondents met vigorous PA requirements. For boys vigorous PA can be regarded as the predictor of better life satisfaction (OR = 1.63, p < 0.05), while for girls the moderate-to-vigorous PA is observed as a risk factor for lower life satisfaction at borderline significance (OR = 0.67, p = 0.053). CONCLUSIONS: Addressing the PA and life satisfaction interplay, we identify essential differences between genders. Schools, parents, and policy makers should enable the adolescents with more opportunities and equipment for vigorous rather than moderate-to-vigorous PA.

Measurement of Health and Social Behaviors in Schoolchildren: Randomized Study Comparing Paper Versus Electronic Mode.

INTRODUCTION: Electronic survey mode has become a more common tool of research than it used to be previously. This is strongly associated with the overall digitization of modern society. However, the evidence on the possible mode effect on study results has been scarce. Therefore, the aim of this study is to investigate the comparability of findings on health and behaviours using a paper-versus-electronic mode of survey with randomization design among schoolchildren. METHODS: A randomized study was conducted using a mandatory questionnaire on international Health Behaviour in School-aged Children (HBSC) study in Lithuania, enrolling 531 schoolchildren aged 11-15 years. The questionnaire included health and social topics about physical activity, risk behaviours, self-reported health and symptoms, life satisfaction, bullying, fighting, family and school environment, peer relationships, electronic media communication, sociodemographic indicators, etc. The schoolchildren within classes were randomly selected for electronic or paper mode. RESULTS: It was found that by study mode differences are inconsistent and in the majority of cases do not exceed 5%-point difference between the modes. The only significant difference was that in the paper survey the participants reported more exercise than in the electronic survey (OR=8.08, P<.001). Other trends were nonsignificant and did not show a consistent pattern - in certain behaviours the paper mode was related to healthier choices, while in others - the electronic. CONCLUSIONS: The use of electronic questionnaires in surveys of schoolchildren may provide findings that are comparable with concurrent or previously conducted paper surveys.

Sufficient Social Support as a Possible Preventive Factor against Fighting and Bullying in School Children.

Background: This study aims to explore how sufficient social support can act as a possible preventive factor against fighting and bullying in school-aged children in 9 European countries. Methods: Data for this study were collected during the 2013/2014 Health Behaviour in School-aged Children (HBSC) survey. The sample consisted of 9 European countries, involving 43,667 school children in total, aged 11, 13 and 15 years. The analysed data focus on social context (relations with family, peers, and school) as well as risk behaviours such as smoking, drunkenness, fighting and bullying in adolescents. The relationships between social support and violent behaviour variables were estimated using multiple regression models and multivariate analyses. Results: Bullying, across 9 countries, was more prevalent than fighting, except for Armenia, Israel, and Poland. The prevalence among countries differed considerably, with fighting being most expressed in Armenia and bullying—in Latvia and Lithuania. The strongest risk factors for bullying and fighting were male gender (less expressed for bullying), smoking and alcohol consumption. In addition, for bullying the social support was similarly strong factor like above-mentioned factors, while for fighting—less significant, but still independent. All forms of social support were significantly relate with lower violent behaviour of school children, and family support was associated most strongly. Regardless the socioeconomic, historical, and cultural differences among selected countries, the enhancement and reinforcement of the social support from possible many different resources should be taken into consideration in prevention programs against school violence behaviours.