Abstract
BackgroundLimited number of studies examined the relationship between factors (lifestyle, social, emotional, cognitive) affecting adolescents’ health and well-being. The aims of this study were to identify the more important variables of the different components affecting adolescents’ health [lifestyle habits (LH); emotional status (ES); social context (SC); and cognitive abilities (CA)], and explore the relationship between the aforementioned components.MethodsData were collected between 2017 and 2018 from 756 eligible students, recruited from 5 Italian junior high school, by using KIDSCREEN-52 and cognitive processing using the Stroop Test. School engagement was estimated through questions concerning the scholastic achievement.ResultsOf 756 adolescents, 395 were boys with a mean (SD) age of 12.19 (0.81) years. Compared to International T-value of reference group for KIDSCREEN-52, autonomy, bullying, psychological well-being and mood were lower than the reference groups, while self-perception score was higher. For LH, the most important predictor was autonomy (p < .0001). The most important aspects in the SC were the relationship with the parents (p < .0001), and the adolescent’s relationships with peers (p < .0001). For ES, mood variables had the greatest contribution (p < .0001). The School performance related to Language & Literature (p < .0001) was the most important predictor in the CA latent variable. LH was positively associated with SC (p < .0001), ES (p < .0001), and CA (p < .0001). SC was positively associated with ES (p < .0001) and with CA (p < .0001).ConclusionsThis study suggests the importance of an integrated approach to characterize adolescents’ health and well-being. The approach suggested here may highlight additive synergistic effects of the various components in health and well-being assessment that may not be considered with a late approach and focused only on single factors.
Highlights
Limited number of studies examined the relationship between factors affecting adolescents’ health and well-being
Demographic and health-related quality of life information Participants consisted of 756 students with average age of 12.19 years (0.81)
lifestyle habits (LH) was positively associated with social context (SC) (β = .915, SE = .0463, p < .0001), emotional status (ES) (β = .597, SE = .050, p < .0001), and cognitive abilities (CA) (β = .203, SE = .053, p < .0001)
Summary
Limited number of studies examined the relationship between factors (lifestyle, social, emotional, cognitive) affecting adolescents’ health and well-being. The aims of this study were to identify the more important variables of the different components affecting adolescents’ health [lifestyle habits (LH); emotional status (ES); social context (SC); and cognitive abilities (CA)], and explore the relationship between the aforementioned components. We have witnessed a substantial change in definition of health, from absence of disease to a state of well-being, intending adolescence as a period when potentially deleterious behaviours begin [1]. Adolescents are central to every major current challenge in global health compared to that of children and adults, due to their fast physical, intellectual, and emotional development [2]. Despite health services targeting adolescents are highly fragmented, poorly coordinated, and uneven in quality, adolescence is a heightened period of vulnerability, Mastorci et al Health and Quality of Life Outcomes (2020) 18:77
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