Adolescent Loneliness in 70 Countries Across Africa, America, and Asia: A Comparison of Prevalence and Correlates
Adolescent Loneliness in 70 Countries Across Africa, America, and Asia: A Comparison of Prevalence and Correlates
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DOI：
10.1016/j.jadohealth.2022.12.029
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发表时间：
2023-05-16
影响因子：
7.6
通讯作者：
Iso, Hiroyasu
中科院分区：
文献类型：
--
作者：
Igami, Kenta;Hosozawa, Mariko;Iso, Hiroyasu
目的：新兴的研究解决青少年孤独的公共卫生问题，因为它与不良健康的负面联系。然而，在非西方、低收入和中等收入国家，关于青少年孤独感及其相关性的证据很少。这项研究调查了孤独的流行程度及其相关因素（即，方法：数据收集自13 - 17岁（2003 - 2018年）儿童的全球校本学生健康调查。孤独感的定义是根据自我报告，在过去12个月内大部分时间或总是感到孤独。孤独的患病率进行了估计，多变量逻辑回归确定患病率的相关国家。Meta-analysis被用来检查区域和整体汇总estimates. Results：在248，017名学生包括在研究中，孤独的整体患病率为11.7%（95%置信区间（CI）：10.6 - 12.7），与国家之间的显着差异。女孩（与男孩相比）患病率（PR = 1.4，95% CI：1.3 - 1.4），经历过欺凌受害的学生（PR = 2.2，95% CI：2.1 - 2.3）和报告缺乏亲密朋友的学生（PR = 1.8，95% CI：1.7 - 1.9）经历孤独的风险增加。有显着的heterogeneity国家之间的性和缺乏亲密的朋友，但不是欺凌victimination.Discussion：青少年孤独是普遍的全球性，特别是在非洲和东地中海。其普遍性和相关性的相当大的差异表明，适合国情可能有利于政策举措。欺凌可能是所有国家共同的干预目标。(c)2023年青少年健康和医学协会。爱思唯尔公司出版这是一个在CC BY许可证下的开放获取文章（http：//creativecommons.org/licenses/by/4.0/）。
Purpose: Emerging studies address adolescent loneliness a public health problem due to its negative associations with adverse health. However, evidence concerning adolescent loneliness and its correlation in nonwestern, low-and middle-income countries is scarce. This study exam-ined the prevalence of loneliness and its correlates (i.e., sex, bullying victimization, and peer support) across 70 countries from five WHO regions.Methods: Data were collected from the Global School-based Student Health Survey of children aged 13-17 (2003-2018) years. Loneliness was defined as feeling lonely most of the time or al-ways in the past 12 months based on self-reports. The prevalence of loneliness was estimated, and multivariable logistic regression ascertained prevalence ratios of correlates by country. Meta -analysis was used to examine regional and overall pooled estimates.Results: Among the 248,017 students included in the study, the overall prevalence of loneliness was 11.7% (95% confidence interval (CI): 10.6-12.7), with significant variations across countries. Girls (vs. boys prevalence ratio (PR = 1.4 95% CI: 1.3-1.4), students who experienced bullying victimization (PR = 2.2, 95% CI: 2.1-2.3), and students who reported a lack of close friends (PR = 1.8, 95% CI: 1.7-1.9) were at increased risk of experiencing loneliness. There was significant het-erogeneity between countries for sex and lack of close friends but not for bullying victimization.Discussion: Adolescent loneliness is prevalent globally, especially in Africa and the Eastern Mediterranean. The considerable heterogeneity in its prevalence and correlates suggest that tailoring to the country context may benefit policy initiatives. Bullying may be a common inter-vention target in all countries.(c) 2023 Society for Adolescent Health and Medicine. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).