Inequalities in health complaints: 20-year trends among adolescents in Scotland, 1998–2018

Inchley, J. C. , Willis, M. , Mabelis, J. , Brown, J. and Currie, D. B. (2023) Inequalities in health complaints: 20-year trends among adolescents in Scotland, 1998–2018. Frontiers in Psychology, 14, 1095117. (doi: 10.3389/fpsyg.2023.1095117) (PMID:37020907) (PMCID:PMC10067662)

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Abstract

This study examined trends in inequalities in health complaints among early adolescents in Scotland from 1998 to 2018. We analysed data from the Health Behaviour in School-aged Children (HBSC) survey conducted in Scotland in 1998, 2002, 2006, 2010, 2014 and 2018. A self-report questionnaire was administered in schools to a nationally representative sample of 11-, 13-, and 15-year-olds (n = 29,250). Health complaints were measured using a scale comprising four psychological symptoms (feeling low, feeling nervous, irritability and sleep difficulties) and four somatic symptoms (headache, backache, stomachache and dizziness). Socio-economic status was measured using the Family Affluence Scale. Between 1998 and 2018, there were significant increases in the proportion of girls and boys reporting feeling low, feeling nervous, sleep difficulties and backache. Prevalence of the eight individual health complaints was higher among girls and adolescents from lower affluence families. Socio-economic inequalities increased over time, such that declines in mental health were greatest among low affluence adolescents. The data show worsening trends in health complaints among Scottish adolescents between 1998 and 2018, particularly for girls and adolescents from low affluence families. Increasing inequalities in mental health highlight the need to address the underlying social and structural determinants of adolescent mental health.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Currie, Ms Dorothy and Willis, Dr Malachi and Mabelis, Ms Judith and Brown, Dr Judith and Inchley, Dr Joanna
Authors: Inchley, J. C., Willis, M., Mabelis, J., Brown, J., and Currie, D. B.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Frontiers in Psychology
Publisher:Frontiers Media
ISSN:1664-1078
ISSN (Online):1664-1078
Copyright Holders:Copyright © 2023 Inchley, Willis, Mabelis, Brown and Currie
First Published:First published in Frontiers in Psychology 14: 1095117
Publisher Policy:Reproduced under a Creative Commons License
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
3048230011Complexity in healthSharon SimpsonMedical Research Council (MRC)MC_UU_00022/1HW - MRC/CSO Social and Public Health Sciences Unit
3048230061Complexity in healthSharon SimpsonOffice of the Chief Scientific Adviser (CSO)SPHSU16HW - MRC/CSO Social and Public Health Sciences Unit