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Socioeconomic inequalities in psychosocial well-being among adolescents under the COVID-19 pandemic: a cross-regional comparative analysis in Hong Kong, mainland China, and the Netherlands.
Chung, Gary Ka-Ki; Liu, Xiaoting; Massar, Karlijn; Schelleman-Offermans, Karen; Bosma, Hans; Chan, Yat-Hang; Chan, Siu-Ming; Chen, Ji-Kang; Wong, Hung; Chung, Roger Yat-Nork.
Afiliación
  • Chung GK; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong, China.
  • Liu X; JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
  • Massar K; School of Public Affairs, Zhejiang University, Hangzhou, China.
  • Schelleman-Offermans K; Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
  • Bosma H; Department of Work and Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
  • Chan YH; Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, The Netherlands.
  • Chan SM; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong, China.
  • Chen JK; CityU Department of Social and Behavioural Sciences, The City University of Hong Kong, Hong Kong, China.
  • Wong H; Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China.
  • Chung RY; CUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong, China.
Soc Psychiatry Psychiatr Epidemiol ; 2024 Apr 04.
Article en En | MEDLINE | ID: mdl-38573376
ABSTRACT

BACKGROUND:

Despite evidence on socioeconomic inequalities in psychosocial well-being of adolescents under the COVID-19 pandemic, the explanatory factors and their potential variations across contexts remained understudied. Hence, this cross-regional study compared the extent of inequalities and the mediating pathways across Hong Kong, Mainland China, and the Netherlands.

METHODS:

Between July 2021 and January 2022, 25 secondary schools from diverse socioeconomic background were purposively sampled from Hong Kong, Zhejiang (Mainland China), and Limburg (the Netherlands). 3595 junior students completed an online survey during class about their socioeconomic position, psychosocial factors, and well-being. Socioeconomic inequalities were assessed by multiple linear regressions using the Slope Index of Inequality (SII), whereas the mediating pathways through learning difficulty, overall worry about COVID-19, impact on family' financial status, resilience, trust in government regarding pandemic management, and adaptation to social distancing were examined by mediation analyses moderated by regions.

RESULTS:

The adverse psychosocial impact of COVID-19 was stronger in the Netherlands and Hong Kong compared with Mainland China. The greatest extent of socioeconomic inequalities in the change in psychosocial well-being was observed among students in the Netherlands (SII = 0.59 [95% CI = 0.38-0.80]), followed by Hong Kong (SII = 0.37 [0.21-0.52]) and Mainland China (SII = 0.12 [0.00-0.23]). Learning difficulty and resilience were the major mediators in Mainland China and Hong Kong, but to a lesser extent in the Netherlands.

CONCLUSION:

Socioeconomic inequalities in psychosocial well-being were evident among adolescents under the pandemic, with learning difficulty and resilience of students as the key mediators. Differences in the social contexts should be considered to better understand the variations in inequalities and mediating pathways across regions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Alemania