1. Social Inequalities in Adolescents’ Psychological and Somatic Complaints: Cross-National Trends Between 2002 and 2022 and the Role of Societal Changes
- Author
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Mathilde E. Brons, Paola Berchialla, Marco Helbich, Maxim Dierckens, Michela Lenzi, Joanna C. Inchley, and Gonneke W. J. M. Stevens
- Subjects
adolescents’ psychological and somatic complaints ,family SES ,social inequalities ,cross-national trends ,HBSC ,income inequality ,Public aspects of medicine ,RA1-1270 - Abstract
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.
- Published
- 2025
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