Intersectionality and Adolescent Mental Well-being: A Cross-Nationally Comparative Analysis of the Interplay Between Immigration Background, Socioeconomic Status and Gender

Kern, Matthias Robert; Duinhof, Elisa L.; Walsh, Sophie D.; Cosma, Alina; Moreno-Maldonado, Concepción; Molcho, Michal; Currie, Candace

doi:10.1016/j.jadohealth.2020.02.013

Cited by 57 publications

(47 citation statements)

References 38 publications

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“…Having said this, as slight changes over time at the population level may mask considerable changes over time in specific high-risk groups, continued attention for the monitoring of emotional wellbeing among adolescents, thereby taking an intersectional approach, is strongly recommended. While this study reported no gender difference in the trends in emotional wellbeing, future research may investigate potential differences in trends for adolescents who are a member of different, or multiple, disadvantaged groups in society (e.g., having low family affluence; having a migration background; Kern et al 2020 ).…”

Section: Discussionmentioning

confidence: 54%

Trends over Time in Adolescent Emotional Wellbeing in the Netherlands, 2005-2017: Links with Perceived Schoolwork Pressure, Parent-Adolescent Communication and Bullying Victimization

Looze

Cosma

Vollebergh

et al. 2020

J Youth Adolescence

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In some Scandinavian countries, the United Kingdom and the United States, there is evidence of a dramatic decline in adolescent emotional wellbeing, particularly among girls. It is not clear to what extent this decline can be generalised to other high-income countries. This study examines trends over time (2005-2009-2013-2017) in adolescent wellbeing in the Netherlands, a country where young people have consistently reported one of the highest levels of wellbeing across Europe. It also assesses parallel changes over time in perceived schoolwork pressure, parent-adolescent communication, and bullying victimization. Data were derived from four waves of the nationally representative, cross-sectional Dutch Health Behaviour in School-aged Children study (N = 21,901; 49% girls; Mage = 13.78, SD = 1.25). Trends in emotional wellbeing (i.e., emotional symptoms, psychosomatic complaints, life satisfaction) were assessed by means of multiple regression analyses with survey year as a predictor, controlling for background variables. Emotional wellbeing slightly declined among adolescent boys and girls between 2009 and 2013. A substantial increase in perceived schoolwork pressure was associated with this decline in emotional wellbeing. Improved parent-adolescent communication and a decline in bullying victimization may explain why emotional wellbeing remained stable between 2013 and 2017, in spite of a further increase in schoolwork pressure. Associations between emotional wellbeing on the one hand and perceived schoolwork pressure, parent-adolescent communication, and bullying victimization on the other were stronger for girls than for boys. Overall, although increasing schoolwork pressure may be one of the drivers of declining emotional wellbeing in adolescents, in the Netherlands this negative trend was buffered by increasing support by parents and peers. Cross-national research into this topic is warranted to examine the extent to which these findings can be generalised to other high-income countries.

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Section: Discussionmentioning

confidence: 54%

Trends over Time in Adolescent Emotional Wellbeing in the Netherlands, 2005-2017: Links with Perceived Schoolwork Pressure, Parent-Adolescent Communication and Bullying Victimization

Looze

Cosma

Vollebergh

et al. 2020

J Youth Adolescence

Self Cite

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“… Kern et al (2020) examined intersectional effects on mental health and also examined macro-level effects - this paper is discussed in a later section (Macro and micro level interactions).…”

Section: Resultsmentioning

confidence: 99%

“…A recent paper ( Kern et al, 2020 ) examined intersectional effects within countries and macro-level effects of national level indices socioeconomic equality, gender equality and migrant integration on life satisfaction and psychosomatic complaints. There were no within country intersectional effects.…”

Section: Resultsmentioning

confidence: 99%

“…At the macro-system level, we found that greater levels of inequality at the country level, whether socioeconomic or gender tend to be associated with poorer mental health in the adolescent population (for example, Zaborskis et al, 2019 ; de Looze et al, 2018 ). There were papers that looked at macro and micro/mesosystem level effects together and reported various combined effects on mental health (for example, Ottova et al, 2012; Dierckens et al, 2020 ; Kern et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

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A bio-ecological framing of evidence on the determinants of adolescent mental health - A scoping review of the international Health Behaviour in School-Aged Children (HBSC) study 1983–2020

Currie

Morgan

2020

SSM - Population Health

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This paper extracts, organises and summarises findings on adolescent mental health from a major international population study of young people using a scoping review methodology and applying a bio-ecological framework. Population data has been collected from more than 1.5 million adolescents over 37 years by the Health Behaviour in School-Aged Children: WHO Cross-National (HBSC) Study. The paper reviews the contribution that this long standing study has made to our understanding of the individual, developmental, social, economic, cultural determinants of adolescent mental health by organising the findings of 104 empirical papers that met inclusion criteria, into individual, microsystem, mesosystem and macrosystem levels of the framework. Of these selected papers, 68 were based on national data and the other 36 were based on international data, from varying numbers of countries. Each paper was allocated to a system level in the bio-ecological framework according to the level of its primary focus. The majority (51 papers) investigate individual level determinants. A further 28 concentrate primarily on the microsystem level, 6 on the mesosystem level, and 29 on the macrosystem level. The paper identifies where there is evidence on the determinants of mental health, summarises what we have learned, and highlights research gaps. Implications for the future development of this population health study are discussed in terms of how it may continue to illuminate our understanding of adolescent mental health in a changing world and where new directions are required.

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“…The first set of articles investigate structural drivers of adolescent health, from wealth, income, and gender inequality to social disadvantage. Kern et al [3] demonstrate that adolescents belonging to multiple disadvantaged social groups may particularly benefit from policies promoting inclusivity and equality. Members of disadvantaged social groups may experience aggravated negative effects in countries with restrictive migration policies and low-income equality.…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

New Findings From the Health Behaviour in School-aged Children (HBSC) Survey: Social Media, Social Determinants, and Mental Health

Nagata

2020

Journal of Adolescent Health

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Intersectionality and Adolescent Mental Well-being: A Cross-Nationally Comparative Analysis of the Interplay Between Immigration Background, Socioeconomic Status and Gender

Cited by 57 publications

References 38 publications

Trends over Time in Adolescent Emotional Wellbeing in the Netherlands, 2005-2017: Links with Perceived Schoolwork Pressure, Parent-Adolescent Communication and Bullying Victimization

Trends over Time in Adolescent Emotional Wellbeing in the Netherlands, 2005-2017: Links with Perceived Schoolwork Pressure, Parent-Adolescent Communication and Bullying Victimization

A bio-ecological framing of evidence on the determinants of adolescent mental health - A scoping review of the international Health Behaviour in School-Aged Children (HBSC) study 1983–2020

New Findings From the Health Behaviour in School-aged Children (HBSC) Survey: Social Media, Social Determinants, and Mental Health

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