National Institute of Public Health, Trubarjeva 2, 1000 Ljubljana, Slovenia.
Int J Environ Res Public Health. 2023 Jun 27;20(13):6233. doi: 10.3390/ijerph20136233.
The COVID-19 pandemic highlighted the existing inequalities in education and mental health. The aim of this study was to examine socioeconomic disadvantages and mental well-being inequalities among Slovenian adolescents in October 2020. The study used nationally representative data from 3052 adolescents aged 14 and 18 ( = 14.4 and 18.4). The WHO-5 Well-Being Index (WHO-5) was used to measure mental well-being and risk for depression. Multinomial logistic regression was used to identify differences in the pattern of associations regarding sociodemographic characteristics and experiences during the pandemic with poor well-being and risk for depression. Our study found that adolescents from socially disadvantaged families faced poorer conditions as regards academic performance, had fewer opportunities to socialise with friends online, and were more likely to feel lonely; they reported lower levels of mental well-being and were at a higher risk for depression. The unemployment of both parents and adolescents' perceptions of family wealth were found to be the most important predictors of depression risk. In addition, experiencing deprivation and economic hardship during the pandemic was also identified as a significant predictor. The study concludes that social and economic conditions were critical determinants of adolescents' mental health during the pandemic and that effective intervention is needed to promote their well-being and reduce inequalities.
新冠疫情凸显了教育和心理健康方面存在的不平等现象。本研究旨在 2020 年 10 月调查斯洛文尼亚青少年的社会经济劣势和心理健康不平等现象。该研究使用了来自 3052 名 14 岁和 18 岁青少年(分别为 14.4 岁和 18.4 岁)的全国代表性数据。采用世界卫生组织幸福度量表(WHO-5)衡量心理健康和抑郁风险。使用多项逻辑回归来确定在社会人口特征和大流行期间的经历与较差的幸福感和抑郁风险之间的关联模式存在差异。我们的研究发现,来自社会经济弱势家庭的青少年在学业成绩方面面临较差的条件,在线与朋友社交的机会较少,更容易感到孤独;他们报告的心理健康水平较低,抑郁风险较高。研究还发现,父母双方失业以及青少年对家庭财富的看法是抑郁风险的最重要预测因素。此外,大流行期间的贫困和经济困难也被确定为一个重要的预测因素。综上所述,社会和经济条件是青少年在疫情期间心理健康的关键决定因素,需要采取有效的干预措施来促进他们的幸福感并减少不平等现象。