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Depressive symptoms and the associations with individual, psychosocial, and structural determinants in Swedish adolescents
Hälsovetenskap, Mittuniversitetet, Sundsvall.
2012 (English)In: Health, ISSN 1949-5005, Vol. 4, no 10, 881-889 p.Article in journal (Refereed) Published
Abstract [en]

Depressive symptoms in adolescents are an in-creasing public health issue in Sweden and in most Western countries. Aim: To explore how individual, psychosocial, and structural deter-minants are associated with depressive symp-toms in Swedish adolescents. Methods: A web- based questionnaire was answered by 1193 13- to 16-year-old boys (n = 566) and girls (n = 627). Stepwise logistic regressions were employed to analyse the association between depressive sym- ptoms and various determinants at the individ-ual level (self-efficacy), the psychosocial level (parental, peer, and teacher support, school de-mands, sexual harassment, and bullying) and the structural level (family affluence, having less money than friends, and parental foreign back-ground). Results: Determinants at the individual, psychosocial, and structural levels were inde-pendently associated with high levels of depres-sive symptoms in both boys and girls. The full model explained a high proportion of the vari-ance in depressive symptoms in both genders; 34.1% in boys and 36.8% in girls. The psycho-social level contributed the most to explaining the variance in depressive symptoms in boys. In girls, when harassment variables were separated from psychosocial variables, the harassment var- iables contributed as much to the full model as the rest of the psychosocial variables combined. Conclusions: Addressing psychosocial determi-nants provides the greatest benefits for prevent-ing depressive symptoms in adolescents. Ac-knowledging the association between sexual harassment and depressive symptoms for girls and having less money than their friends for boys and girls are particularly important.

Place, publisher, year, edition, pages
Irvine, CA: Scientific Research Publishing, 2012. Vol. 4, no 10, 881-889 p.
Keyword [en]
Mental health, Individual determinants, psychosocial determinants, structural determinants, socioeconomic factors, gender, harassment, social support, school, adolesence
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-112519OAI: oai:DiVA.org:umu-112519DiVA: diva2:878720
Available from: 2015-12-09 Created: 2015-12-09 Last updated: 2015-12-09

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Landstedt, Evelina
Public Health, Global Health, Social Medicine and Epidemiology

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