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挪威青少年感知孤独感和社会人口因素与主观心理健康和幸福感的关系。

The role of perceived loneliness and sociodemographic factors in association with subjective mental and physical health and well-being in Norwegian adolescents.

机构信息

Norwegian University of Science and Technology, Trondheim, Norway Department of Public Health and Nursing/NTNU Centre for Health Promotion Research, Norway.

出版信息

Scand J Public Health. 2022 Jun;50(4):432-439. doi: 10.1177/1403494821997219. Epub 2021 Mar 12.

Abstract

AIMS

Adolescence is a particularly salient period for understanding the role of perceived loneliness for subjective health and well-being. This study investigated sociodemographic differences (sex, age, self-reported socio-economic status (SES)) in loneliness and associations between sociodemographic factors, loneliness and self-rated health (SRH), subjective health symptoms, symptoms of depression/anxiety and mental well-being (MWB) in a sample of Norwegian adolescents.

METHODS

The study was based on a cross-sectional sample of 1816 adolescents aged 15-21 years. The participants reported scores on an 11-item scale assessing subjective health complaints (SHC), one item each assessing SRH and loneliness, the 10-item version of the Hopkins Symptom Checklist and the seven-item version of the Warwick-Edinburgh Mental Well-Being Scale. SES was assessed using perceived family economy and parents' education. Data were analysed with descriptive, comparative and multiple linear regression analyses.

RESULTS

The multivariate results showed that boys scored significantly higher on MWB than girls did, whereas girls scored significantly higher on loneliness, depression/anxiety and SHC. Perceptions of poorer family finances were significantly associated with higher levels of SHC and depression/anxiety, lower levels of MWB and more negative SRH. Loneliness showed significant positive associations with depression/anxiety and SHC, and significant negative associations with MWB and SRH. A significant moderation effect of sex by loneliness was found in association with depression/anxiety, with stronger associations for girls.

CONCLUSIONS

The findings in this study support the significant roles of sex, perceptions of family finances and loneliness in association with adolescent's subjective mental and physical health and well-being, especially mental health.

摘要

目的

青春期是理解孤独感对主观健康和幸福感的作用的一个特别重要的时期。本研究调查了挪威青少年样本中孤独感的社会人口统计学差异(性别、年龄、自我报告的社会经济地位(SES)),以及社会人口统计学因素、孤独感与自我报告的健康状况(SRH)、主观健康症状、抑郁/焦虑症状和心理健康(MWB)之间的关联。

方法

该研究基于 1816 名年龄在 15-21 岁的青少年的横断面样本。参与者报告了 11 项主观健康投诉(SHC)评分、一项孤独感评分、一项 SRH 评分、霍普金斯症状清单 10 项版本和沃里克-爱丁堡心理健康量表 7 项版本。SES 是通过感知家庭经济状况和父母教育来评估的。使用描述性、比较性和多元线性回归分析对数据进行了分析。

结果

多变量结果显示,男孩在 MWB 上的得分显著高于女孩,而女孩在孤独感、抑郁/焦虑和 SHC 上的得分显著更高。较差的家庭经济状况感知与更高水平的 SHC 和抑郁/焦虑、较低水平的 MWB 和更消极的 SRH 显著相关。孤独感与抑郁/焦虑呈显著正相关,与 MWB 和 SRH 呈显著负相关。性别与孤独感之间存在显著的调节作用,与女孩的关联更强。

结论

本研究的结果支持性别、家庭经济感知和孤独感在与青少年主观身心健康和幸福感,特别是心理健康方面的重要作用。

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