Background
A considerable proportion of adolescents grow up with a seriously or chronically ill parent. School climate is a strong predictor of life satisfaction. Moreover, studies indicate that school climate may operate as a protective factor for adolescents at-risk of low life satisfaction. We examine the relationship between parental illness and life satisfaction and the potential effect modification of the school climate on this association. Furthermore, we describe the use of student counselors among adolescent with and without ill parents.
Methods
Data include 9,565 students from lower secondary schools and youth education programs who participated in the cross-sectional survey Well-being Despite. Multilevel logistic regression models including joint effect analyses were performed.
Results
A total of 1,424 (14.9%) students had one or more ill parents. The odds ratio of low life satisfaction among adolescents was 1.21 (95% CI, 0.99-1.48) with a physically ill parent with no functional impairment, 1.70 (1.32-2.20) with a physically ill parent with functional impairment, 2.60 (2.01-3.35) with a mentally ill parent, and 3.05 (2.12-4.38) with more than one ill parents, compared to adolescents with no ill parents. Not being part of the classroom community, not trusting your teachers, and wanting more academic support from teachers was more frequent among adolescents with ill parents. Joint effect analysis did not show any buffering effect of school climate indicators in the associations between parental illness and life satisfaction among adolescents. The odds ratio of having talked to a student counselor ranged from 1.26 (1.03-1.54) for adolescents with a physically ill parent with no functional impairment to 2.42 (1.65-3.55) among adolescents with several ill parents, compared to no ill parents.
Conclusions
Parental illness is strongly associated of low life satisfaction among adolescents, especially among adolescent with a mentally ill parent or several ill parents. For both adolescents with and without an ill parent, negative school climate indicators were strongly associated with low life satisfaction and were more frequent among adolescents with ill parents. Unexpectedly, school climate did not help children of ill parents to achieve a higher life satisfaction, over and above the effect on life satisfaction for all children.