Country of birth, parental background and self-rated health among adolescents: A population-based study

Lindström, Martin; Modén, Birgit

doi:10.1177/1403494814545104

Cited by 12 publications

(5 citation statements)

References 23 publications

(42 reference statements)

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“…Similar to earlier studies, having a close friend or finding it easy to talk with friends was sometimes associated with unhealthy behaviors ( Johansen et al, 2006 ). Heavy alcohol use has previously been reported to be lower among pupils with foreign background or born abroad ( Lindström, Modén, & Rosvall, 2014 ). Lack of trust and lack of participation in organizations during the past year were significantly associated with daily tobacco smoking among pupils in both grades.…”

Section: Discussionmentioning

confidence: 99%

Daily tobacco smoking, heavy alcohol use, and hashish use among adolescents in southern Sweden: A population-based multilevel study

Lindström

2015

Addictive Behaviors Reports

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IntroductionThe aim of this study was to investigate school contextual effects on daily tobacco smoking, heavy alcohol use and hashish use among adolescents, using multilevel analyses adjusting for individual-level factors.MethodsThe 2012 public health survey among adolescents in Skåne includes pupils in ninth grade in primary school (predominantly 15–16 years old) and second grade in secondary school (gymnasium) (predominantly 17–18 years old). Multilevel logistic regressions were performed.ResultsThe prevalence of all three behaviors was higher in the second grade in the gymnasium. Several sociodemographic, psychosocial and parental factors were associated with these behaviors. In the ninth grade, variance partition coefficients (VPCs) for tobacco smoking decreased from 10.2% in the empty model to 1.9% in the fully adjusted model, for heavy alcohol use from 6.5% to 6.3%, while VPCs for hashish increased from 9.9% to 11.0%. In the second grade, VPCs for daily tobacco smoking decreased from 13.6% in the empty model to 6.5% in the fully adjusted model, VPCs for heavy alcohol use decreased from 4.6% to 1.7%, and VPCs for hashish use increased from 7.3% to 8.3%.ConclusionsDaily tobacco smoking (in both grades) and heavy alcohol use in the second grade in the gymnasium may be preventable by actions directed against individual-level protective factors including social capital, social support and peer/parent behavior and attitude, while interventions directed at school contexts may be more important for alcohol use in the ninth grade and hashish use in both grades.

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Section: Discussionmentioning

confidence: 99%

Daily tobacco smoking, heavy alcohol use, and hashish use among adolescents in southern Sweden: A population-based multilevel study

Lindström

2015

Addictive Behaviors Reports

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“…This study was based on The Scania public health survey among children and adolescents conducted in 2012, addressing all 33 municipalities in the county of Scania. The study population has previously been described in detail elsewhere [ 34 ]. In short: Among pupils in the 6th and 9th grade of elementary school and second grade of high school self-reported anonymous questionnaires covering school conditions, health issues, leisure time habits, food habits, alcohol, tobacco and drug habits, were distributed and gathered in the classroom by teachers, during school hours.…”

Section: Methodsmentioning

confidence: 99%

Age at smoking initiation and self-rated health among second grade high school boys and girls in Scania, Sweden, a cross-sectional study

Hansen

Lindström

2015

BMC Public Health

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BackgroundSmoking is usually initiated early in life and most adult regular smokers have started smoking before 18 years of age. A younger age at smoking initiation is associated with risk taking behaviours and worse health outcomes regarding psychological and somatic conditions, suggested to be caused by exposure during critical developmental periods. The present study aims to investigate self-rated health among second grade high school boys and girls related to age at smoking initiation (<14 years of age and ≥ 14 years of age) among current and former smokers, compared to never smokers.MethodsData was derived from the Scania public health survey among children and adolescents in 2012. The study was cross-sectional with retrospective information about first time cigarette smoking experiences among 3245 boys and 3434 girls in second grade of high school. Self-rated health was assessed with the question “How do you rate your general health”. Associations of age at smoking initiation, current smoking status and poor self-rated health were investigated with logistic regression models.ResultsCrude odds ratios of poor self-rated health were increased for all smoking groups compared to never smokers. Former smoking boys and currently smoking girls with early smoking initiation had the highest odds ratios of poor self-rated health, with odds ratios (OR) 2.4 (95 % confidence interval (CI): 1.5–3.7) and OR 2.9 (95 % CI: 2.3–3.6), respectively. After adjustments for sociodemographic factors, health-related behaviours, psychosocial factors, weight and functional disabilities, the results were attenuated, but remained statistically significant regarding former and current smoking boys with early smoking initiation, OR 2.0 (95 % CI: 1.1–3.7) and OR 1.7 (95 % CI: 1.1–2.4) and for current smoking girls with early and later smoking initiation, OR 2.1 (95 % CI: 1.5–2.8) and OR 1.5 (95 % CI: 1.1–2.0).ConclusionBoys and girls in second grade of high school with early smoking initiation reported poorer self-rated health than later initiators and never smokers. Poorer self-rated health persisted also after smoking cessation among early initiating boys. Further studies are needed to understand the adverse health effects associated with timing of smoking initiation.

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“…1 A body of evidence points to an increased risk of mental health problems among children and young people (aged up to 25 years) from migrant backgrounds, which does vary among this diverse population. [2][3][4][5][6][7] A systematic review on the mental health of refugee children in the Organisation for Economic Co-operation and Development (OECD) countries, for…”

Section: Introductionmentioning

confidence: 99%

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

et al. 2021

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ObjectivesTo develop conceptual understanding of perceived barriers to seeking care for migrant children and young people (aged 0–25 years) with mental health problems and/or neurodevelopmental differences in high-income countries.DesignQualitative evidence synthesis using meta-ethnography methodology. We searched four electronic databases (Medline, PsycINFO, Global Health and Web of Science) from inception to July 2019 for qualitative studies exploring barriers to care (as perceived by migrant communities and service providers) for migrant children and young people in high-income countries with neurodevelopmental differences and/or mental health problems. The quality of included studies was explored systematically using a quality assessment tool.ResultsWe screened 753 unique citations and 101 full texts, and 30 studies met our inclusion criteria. We developed 16 themes representing perceived barriers to care on the supply and demand side of the care-seeking process. Barriers included: stigma; fear and mistrust of services; lack of information on mental health and service providers lacking cultural responsiveness. Themes were incorporated into Levesque et al’s conceptual framework of patient-centred access to healthcare, creating a version of the framework specific to migrant children and young people’s mental health and neurodevelopmental differences.ConclusionsThis is the first qualitative evidence synthesis on barriers to care for mental health problems and/or neurodevelopmental differences in migrant children and young people in high-income countries. We present an adapted conceptual framework that will help professionals and policy-makers to visualise the complex nature of barriers to care, and assist in improving practice and designing interventions to overcome them. Similar barriers were identified across study participants and migrant populations. While many barriers were also similar to those for children and young people in general populations, migrant families faced further, specific barriers to care. Interventions targeting multiple barriers may be required to ensure migrant families reach care.

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Country of birth, parental background and self-rated health among adolescents: A population-based study

Cited by 12 publications

References 23 publications

Daily tobacco smoking, heavy alcohol use, and hashish use among adolescents in southern Sweden: A population-based multilevel study

Daily tobacco smoking, heavy alcohol use, and hashish use among adolescents in southern Sweden: A population-based multilevel study

Age at smoking initiation and self-rated health among second grade high school boys and girls in Scania, Sweden, a cross-sectional study

Perceived barriers to care for migrant children and young people with mental health problems and/or neurodevelopmental differences in high-income countries: a meta-ethnography

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