LIFE Leipzig Research Center for Civilization Diseases, Leipzig University, Philipp-Rosenthal-Strasse 27, 04103 Leipzig, Germany.
Department of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University, Liebigstrasse 20a, 04103 Leipzig, Germany.
Int J Environ Res Public Health. 2023 Jan 6;20(2):1050. doi: 10.3390/ijerph20021050.
Stressful life events (SLEs) are understood as risk factors for mental and physical health problems, particularly in the vulnerable period of adolescence. Using a longitudinal approach, this study investigated associations between SLE and several negative health outcomes in adolescents. Moderating effects of sociodemographic factors were considered. We analyzed the data of a healthy adolescent sample from the LIFE Child study in Leipzig, Germany ( = 2024, aged 10-18 years). SLEs were measured by a questionnaire, addressing SLEs in the family and the social environment domain. Health-related quality of life (HrQoL), behavioral difficulties and BMI were compared before and after an SLE had occurred. Moderator effects of socioeconomic status (SES), age, and sex were investigated using linear regression models. All considered health parameters had, on average, deteriorated after the occurrence of an SLE in the social environment. Differences in HrQoL before and after an SLE were significantly stronger in girls. Higher SES functioned as a slight protective factor against decreased well-being after an SLE. The findings suggest that SLEs function as risk factors for mental and physical health disadvantages in adolescents. Prevention programs should seek to support adolescents in all age and SES groups affected by SLEs, with a specific focus on girls.
生活应激事件(SLEs)被认为是心理健康和身体健康问题的风险因素,尤其是在青少年这个脆弱时期。本研究采用纵向研究方法,探讨了 SLEs 与青少年几种负面健康结果之间的关联。同时考虑了社会人口因素的调节作用。我们分析了来自德国莱比锡的 LIFE 儿童研究中一个健康青少年样本的数据(n=2024,年龄 10-18 岁)。SLEs 通过一个问卷进行测量,涉及家庭和社会环境领域的 SLEs。在发生 SLE 前后,比较了与健康相关的生活质量(HrQoL)、行为困难和 BMI。使用线性回归模型探讨了社会经济地位(SES)、年龄和性别的调节效应。在社会环境中发生 SLE 后,所有考虑的健康参数平均都恶化了。在发生 SLE 前后,女孩的 HrQoL 差异明显更大。SES 较高的人群在 SLE 后幸福感下降的程度较小,这起到了轻微的保护作用。研究结果表明,SLEs 是青少年心理健康和身体健康不良的风险因素。预防计划应寻求支持所有受 SLE 影响的年龄和 SES 群体的青少年,特别是女孩。