fe2ffae2a00eacbd8248ebeb6d2a70ae eursoc_a2026v28n4p716iENG.pdf 9c77999c3541660a6bc3c1a47810c77b475f95b6 eursoc_a2026v28n4p716iENG.pdf 22104cfd04c86155b14432afd4ec9f11b02d48d56faba87a0f4a69cb2d6d9e5e eursoc_a2026v28n4p716iENG.pdf Title: Adolescent mental health, disability conditions, and family socioeconomic status: a cross-national study of 16 countries Subject: DOI: 10.1162/EUSO.a.99 European Societies, 28, 4, . Abstract: Adolescents with disability conditions and from disadvantaged socioeconomic status (SES) report disproportionately low mental health. Yet, how disability status and inequalities interplay in explaining adolescent mental health across countries is unclear. Using an intersectional micro-macro approach, this study examined how adolescent mental health outcomes (i.e., life satisfaction and psychological complaints) differ by disability condition both within and across countries, and how country-level factors (i.e., public spending, income inequalities) and family-level SES moderate this relationship. We applied a two-step meta-analytic approach to data from 16 countries participating in the 2018 Health Behaviour in School-aged Children study (N = 90,882; age = 13.5). Results showed that adolescents with disabilities reported lower life satisfaction and higher psychological complaints than non-disabled adolescents in all countries. Country-level public spending and income inequalities were weak moderators of the relationship between adolescent disability and mental health. Adolescent mental health gaps by disability status were constant across SES groups in most of the countries that were examined. Yet, mental health gaps by adolescent disability status declined with family SES in some countries (i.e., Denmark, Ireland) and increased with family SES in some other countries (i.e., Austria, Czech Republic, France). The study implications and future research avenues are discussed. Keywords: Adolescence,mental health,disabilities,chronic conditions,cross-national,income inequality Author: Tarantino Giampiero, Gracia Pablo, Cosma Alina Creator: MIT Press Producer: Acrobat Distiller 11.0 (Windows); modified using iTextSharp.LGPLv2.Core 3.7.4.0 CreationDate: Tue Aug 18 13:18:45 2026 CEST ModDate: Wed Sep 16 11:43:23 2026 CEST Custom Metadata: yes Metadata Stream: yes Tagged: yes UserProperties: no Suspects: no Form: AcroForm JavaScript: no Pages: 32 Encrypted: no Page size: 442.203 x 663.31 pts Page rot: 0 File size: 4643344 bytes Optimized: no PDF version: 1.6 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- ONBGNO+ITCFranklinGothicStd-Book Type 1C Custom yes yes yes 90 0 ONBGNP+dummy-space Type 1C WinAnsi yes yes no 91 0 ONBIEH+ITCFranklinGothicStd-Med Type 1C Custom yes yes yes 92 0 ONBILG+ITCFranklinGothicStd-BookIt Type 1C Custom yes yes yes 241 0 ONBILH+MTSY Type 1C Custom yes yes yes 191 0 ONBIMH+RMTMI Type 1C Custom yes yes yes 192 0 AINDTD+ArialMT CID TrueType Identity-H yes yes yes 1 0 ONBINI+ArnoPro-Regular Type 1C Custom yes yes yes 93 0 ONBINJ+ArnoPro-Italic Type 1C Custom yes yes yes 94 0 ONBJNE+ITCFranklinGothicStd-MedIt Type 1C Custom yes yes yes 118 0 ONBOFJ+ArnoPro-BoldItalic Type 1C Custom yes yes yes 228 0 ONBOOH+ArnoPro-Bold Type 1C Custom yes yes yes 238 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2026-09-17 04:13:28 CEST RepresentationInformation: eursoc_a2026v28n4p716iENG.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2026-09-16 11:45:50 CEST Size: 4643344 Format: PDF Version: 1.6 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf Profile: Tagged PDF PDFMetadata: Objects: 2053 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: true NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: OneColumn PageMode: UseOutlines Language: en-US Outlines: Item: Title: Introduction Destination: section*.1 Item: Title: Background Destination: section*.2 Children: Item: Title: Conceptualisation of adolescent disabilities Destination: section*.3 Item: Title: Theoretical perspectives on adolescent disability and mental health Destination: section*.4 Item: Title: Micro-level processes: the role of family SES Destination: section*.5 Item: Title: Macro-level processes: the role of public spending and income inequalities Destination: section*.6 Item: Title: Methodology Destination: section*.7 Children: Item: Title: Data Destination: section*.8 Item: Title: Dependent variables Destination: section*.9 Item: Title: Independent and control variables Destination: section*.10 Item: Title: Empirical strategy Destination: section*.11 Item: Title: Results Destination: section*.12 Children: Item: Title: Descriptive analyses Destination: section*.13 Item: Title: Meta-analysis of life satisfaction and psychological complaints Destination: section*.14 Item: Title: Meta-regressions testing country-level moderators Destination: section*.15 Item: Title: Linear mixed-effects model: interaction between family SES and disability status Destination: section*.16 Item: Title: Robustness checks Destination: section*.17 Item: Title: Discussion Destination: section*.18 Item: Title: AI use disclosure Destination: section*.19 Item: Title: Data and code availability Destination: section*.20 Item: Title: Declaration of interest statement Destination: section*.21 Item: Title: Ethical approval Destination: section*.22 Item: Title: Supplements Destination: section*.23 Info: Title: Adolescent mental health, disability conditions, and family socioeconomic status: a cross-national study of 16 countries Author: Tarantino Giampiero, Gracia Pablo, Cosma Alina Subject: DOI: 10.1162/EUSO.a.99 European Societies, 28, 4, . Abstract: Adolescents with disability conditions and from disadvantaged socioeconomic status (SES) report disproportionately low mental health. Yet, how disability status and inequalities interplay in explaining adolescent mental health across countries is unclear. Using an intersectional micro-macro approach, this study examined how adolescent mental health outcomes (i.e., life satisfaction and psychological complaints) differ by disability condition both within and across countries, and how country-level factors (i.e., public spending, income inequalities) and family-level SES moderate this relationship. We applied a two-step meta-analytic approach to data from 16 countries participating in the 2018 Health Behaviour in School-aged Children study (N = 90,882; age = 13.5). Results showed that adolescents with disabilities reported lower life satisfaction and higher psychological complaints than non-disabled adolescents in all countries. Country-level public spending and income inequalities were weak moderators of the relationship between adolescent disability and mental health. Adolescent mental health gaps by disability status were constant across SES groups in most of the countries that were examined. Yet, mental health gaps by adolescent disability status declined with family SES in some countries (i.e., Denmark, Ireland) and increased with family SES in some other countries (i.e., Austria, Czech Republic, France). The study implications and future research avenues are discussed. 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Published under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license. All Rights Reserved application/pdf doi:10.1162/EUSO.a.99 © 2026 European Sociological Association. Published under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license. Tarantino Giampiero Gracia Pablo Cosma Alina MIT Press DOI: 10.1162/EUSO.a.99 European Societies, 28, 4, . Abstract: Adolescents with disability conditions and from disadvantaged socioeconomic status (SES) report disproportionately low mental health. Yet, how disability status and inequalities interplay in explaining adolescent mental health across countries is unclear. Using an intersectional micro-macro approach, this study examined how adolescent mental health outcomes (i.e., life satisfaction and psychological complaints) differ by disability condition both within and across countries, and how country-level factors (i.e., public spending, income inequalities) and family-level SES moderate this relationship. We applied a two-step meta-analytic approach to data from 16 countries participating in the 2018 Health Behaviour in School-aged Children study (N = 90,882; age = 13.5). Results showed that adolescents with disabilities reported lower life satisfaction and higher psychological complaints than non-disabled adolescents in all countries. Country-level public spending and income inequalities were weak moderators of the relationship between adolescent disability and mental health. Adolescent mental health gaps by disability status were constant across SES groups in most of the countries that were examined. Yet, mental health gaps by adolescent disability status declined with family SES in some countries (i.e., Denmark, Ireland) and increased with family SES in some other countries (i.e., Austria, Czech Republic, France). The study implications and future research avenues are discussed. 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