Well-being and Health among adolescents living in a rural area in Northern Germany (East Friesland) - Result of the WOGE study

Abstract

Background Relationship of wellbeing of adolescent and community determinants in rural areas are mainly unknown. The aims of this study is 1) to provide data on wellbeing of adolescents in a rural area, 2) to analyses the association of sociodemographic variables and satisfaction with their community with adolescents` wellbeing. Methods We conducted a representative cross-sectional study (June 2018 - May 2019) in a rural catchment area including adolescents aged 14-18 years. We included socio-demographics (age, gender, education status), and time spent with parents in our study. Additionally, we measured wellbeing with the Ryff wellbeing scale (42 Items) and satisfaction with the community with a self-developed scale (21 Items). Data were analysed with uni- and multivariate linear regression models. Results A total of n = 157 adolescents (n = 82 girls/n=73 boys, age mean=16.7 years) participated in this families health study. The majority (97%/n=152) lived with their parents, and 70% (n = 110) had siblings. Among them were n = 146 adolescents (93%) who are in school-based education, and n = 11 (7%) are under work training education. Overall, adolescents reported high well-being scores (mean=166.78, SD = 32.8, 95%CI=161.24-172.19) and high satisfaction with their community (mean=13.67, SD = 1.63, 95%CI=13.45-14.03). Surprisingly, adolescents loved to spend time with their parents. Multivariate analyses suggest no significant associations of age (p-value=0,565), gender (p-value=0.961), education status (p-value=0.271) with well-being. However, community satisfaction is associated with well-being (p-value=0,006). Conclusions Sociodemographic variables were not associated with adolescents' satisfaction but with well-being in this rural community. A potential explanation might be that adolescents rely on their families rather than the wider community. Further studies are necessary to investigate the role of family relations in explaining the high well-being of this population.