Karen Schrijvers, Alina Cosma, Thomas Potrebny, Einar Thorsteinsson, Carolina Catunda, Franziska Reiss, Sabina Hulbert, Michaela Kostičová, Marina Melkumova, Michela Bersia, Helena Jeriček Klanšček, Tania Gaspar, Maxim Dierckens
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引用次数: 0
摘要
研究目的本研究探讨了青少年心理和躯体投诉的（非）单调时间趋势以及性别差异：方法：对来自 41 个国家的 15 岁青少年（N=470,797）在 1994 年至 2022 年期间的重复横截面学龄儿童健康行为（HBSC）数据进行了分析。测试了三种多项式逻辑回归模型（线性、二次方、三次方）的最佳拟合度，包括按性别和健康投诉维度进行的单独分析：结果：时间趋势模式因性别和健康投诉维度而异。82.3%的病例呈上升趋势（线性 25%、二次 U 型 28.7%、三次方 28.7%），14%的病例无明显趋势，3.7%的病例呈下降趋势。男生通常呈线性增长或无明显趋势，而女生一般呈立方或 U 型趋势。心理投诉通常呈 U 型或立方型，而躯体投诉大多呈线性增长：结论：各国的心理和躯体投诉呈现出不同的时间趋势模式，在线性增长的同时，还经常出现非单调模式（U 型和立方）。这些发现凸显了三十年来各国内部变化的复杂性，表明线性模型可能无法有效捕捉这种异质性。
Three Decades of Adolescent Health: Unveiling Global Trends Across 41 Countries in Psychological and Somatic Complaints (1994-2022).
Objectives: This study examined (non-)monotonic time trends in psychological and somatic complaints among adolescents, along with gender differences.
Methods: Repeated cross-sectional Health Behaviour in School-aged Children (HBSC) data from 1994 to 2022 covering 15-year-old adolescents from 41 countries (N = 470,797) were analysed. Three polynomial logistic regression models (linear, quadratic, cubic) were tested for best fit, including separate analyses by gender and health complaints dimension.
Results: Time trend patterns varied by gender and health complaints dimension. Increases were found in 82.3% of cases (linear 25%, quadratic U-shaped 28.7%, cubic 28.7%), while 14% showed no clear trend, and 3.7% decreased. Boys typically showed linear increases or no clear trend over time, whereas girls generally showed cubic or U-shaped trends. Psychological complaints often displayed U-shaped or cubic patterns, whereas somatic complaints mostly showed linear increases.
Conclusion: Psychological and somatic complaints demonstrated diverse time trend patterns across countries, with non-monotonic patterns (U-shaped and cubic) frequently observed alongside linear increases. These findings highlight the complexity of changes within countries over three decades, suggesting that linear modelling may not effectively capture this heterogeneity.
期刊介绍：
The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.
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