Contextual factors related to chronic condition in portuguese adolescents: highlights from the HBSC/WHO study

Abstract

Adolescence's changes may become more pronounced when living with a chronic condition (CC). This study aims to examined the differences in satisfaction with family life, perception of school competence and "pressure with homework" of Portuguese adolescents' 1) living with CC; 2) how living with CC affects school participation; taking into account age, gender and family socioeconomic status (SES). Five thousand fifty Portuguese adolescents (mean age 14 ± 1.85) of the Health Behaviour in School-aged Children (HBSC/WHO) were included. Results showed increased vulnerability in adolescents living with CC, presenting a lower satisfaction with family life and poor school outcomes. Younger boys, having a higher SES and not having CC are significantly associated with satisfaction with family life. Older girls, having a lower SES and living with CC were associated with more stress related to school work. Future interventions should include these features combined with 'listening' to adolescents and their needs, allowing their participation in the promotion of personal health.

Gender-specific substance use patterns and associations with individual, family, peer, and school factors in 15-year-old Portuguese adolescents: a latent class regression analysis

“…The objective of the HBSC study is to increase the understanding of health, lifestyle behaviours and social context of young people aged 11, 13 and 15 years. Further details on this survey, including design, theoretical framework and ethical approval can be found elsewhere [11]. The Portuguese HBSC 2010 sample comprised 4036 school-aged children from 124 randomly selected public schools.…”

Chronic Conditions, School Participation and Quality of Life of Portuguese Adolescents: Highlights from the Health Behavior in School aged Children study - HBSC 2018

“…Adolescence has several biological, cognitive, and socioemotional changes associated (Dahl et al, 2018;Rapee et al, 2019;Santrock, 2014) and is a stage in which some of the challenges inherent to the human development acquire an even more significant importance (Simões et al, 2010). The difficulty of this challenges can increase substantially when a chronic condition (CC) is present (Forgeron et al, 2018;Santos et al, 2016bSantos et al, , 2018Simões et al, 2010). These health conditions require adaptation to their specificities and limitations and increase the adolescents' vulnerability regarding mental health problems (Butler et al, 2018;Conversano, 2019;Gaspar et al, 2016;Huff et al, 2010;Moreira et al, 2015;Santos et al, 2016b;Valero-Moreno et al, 2019) Chronic condition is a very heterogeneous concept, since there are different types of health conditions and needs within this spectrum (Muntaner et al, 2014).…”

“…The difficulty of this challenges can increase substantially when a chronic condition (CC) is present (Forgeron et al, 2018;Santos et al, 2016bSantos et al, , 2018Simões et al, 2010). These health conditions require adaptation to their specificities and limitations and increase the adolescents' vulnerability regarding mental health problems (Butler et al, 2018;Conversano, 2019;Gaspar et al, 2016;Huff et al, 2010;Moreira et al, 2015;Santos et al, 2016b;Valero-Moreno et al, 2019) Chronic condition is a very heterogeneous concept, since there are different types of health conditions and needs within this spectrum (Muntaner et al, 2014). Chronic diseases or noncommunicable diseases (NCD) are long-term health conditions, usually of slow progression, not transmissible from person to person and that require management that is done throughout life (World Health Organization [WHO], 2018a, 2020).…”

“…When school participation is reduced, this can lead to psychosocial losses for the adolescent (Allen et al, 2018;Bethell et al, 2012;Lum et al, 2019b;Santos et al, 2016a). There is evidence that points to the fact that the adolescents with chronic conditions tend to have a lower life satisfaction (Marquez & Main, 2021;Santos et al, 2016b) and worse school results, which reflect an increased vulnerability (Layte & McCrory, 2013;Lum et al, 2017;Maslow et al, 2011;Minier et al, 2018;Santos et al, 2016b).…”

Qualidade de vida, adolescência e doença crônica

“…Eventuais restrições impostas ao que ser refere às atividades físicas, posologia e vias de administração de medicamentos, dietas especiais podem gerar sobrecarga para a rotina basal, de atividades físicas e de lazer, podendo acarretar prejuízo na socialização e absenteísmo escolar, em alguns casos, afetando as perspectivas educacionais e profissionais. (30) Aberastury e Knobel descreveram a Síndrome da Adolescência Normal, que inclui características desta etapa da vida como sexualidade, busca de identidade, sentimento de invulnerabilidade, vivência temporal singular, afastamento progressivo de pais e a tendência grupal. (31) anos, quando possuem potencial biológico adequado e apoio social e emocional.…”