A Multi-Country Study of Risk and Protective Factors for Emotional and Behavioral Problems Among Early Adolescents.

Journal: The Journal of adolescent health : official publication of the Society for Adolescent Medicine

Volume: 71

Issue: 4

Year of Publication: 2022

Affiliated Institutions:  Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Electronic address: slfine@jhu.edu. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. Center for Reproductive Health, College of Medicine, University of Malawi, Blantyre, Malawi. Department of Epidemiology and Biostatistics, Faculty of Medicine, Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo. Center for Reproductive Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. NHC Key Lab of Reproduction Regulation (Shanghai Institute for Biomedical and Pharmaceutical Technologies), Fudan University, Shanghai, China. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Abstract summary 

Early adolescence (ages 10-14) is a critical period for psychosocial development, but few studies have focused on risk and protective factors for emergent psychosocial challenges among youth living in low- and middle-income countries. This study explored the contribution of social environmental factors to patterns of emotional and behavioral problems among early adolescents across four low- and middle-income countries.Participants were drawn from the Global Early Adolescent Study, and included 10,437 early adolescents from six low-resource urban settings in the Democratic Republic of Congo, Malawi, Indonesia, and China. Multivariate latent class regression was used to examine the associations between distinct patterns of emotional and behavioral problems and risk and protective factors across the family, peer, school, and neighborhood levels.Across countries, childhood adversity, peer bullying behaviors, and a perceived lack of school safety were consistently associated with emotional and behavioral problems. With some contextual variability, peer substance use and a perceived lack of neighborhood safety also emerged as significant risk factors. The magnitude of these associations was generally greatest among a subgroup of early adolescents with co-occurring emotional and behavioral problems.The overall consistency of findings across countries is suggestive of the generalizability of risk factors in early adolescence and indicates that interventions bolstering psychosocial adjustment among this age group may have applicability in diverse cross-national settings. Given the significance of peer bullying behaviors and school safety, multicomponent school-based interventions may be an especially applicable approach.

Authors & Co-authors:  Fine Shoshanna L SL Musci Rashelle J RJ Bass Judith K JK Chipeta Effie E Mafuta Eric M EM Pinandari Anggriyani W AW Wilopo Siswanto A SA Zuo Xiayun X Blum Robert W RW

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Kieling C., Baker-Henningham H., Belfer M., et al. Child and adolescent mental health worldwide: Evidence for action. Lancet. 2011;378:1515–1525.
Authors :  9
Identifiers
Doi : 10.1016/j.jadohealth.2022.05.002
SSN : 1879-1972
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Early adolescents;Emotional and behavioral problems;Low- and middle-income countries;Psychosocial development;Risk and protective factors
Study Design
Study Approach
Country of Study
Democratic republic of Congo
Publication Country
United States