Cumulative effect of multiple health and social factors on adolescent mental well-being : a cross-sectional study in Catalonia
Robles Muñoz, Marina (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Bosque Prous, Marina (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)
Folch, Cinta (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
González Casals, Helena (Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública)
Drou-Roget, Gemma (Generalitat de Catalunya. Departament de Salut)
Torrado Cortés, Cristina (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Muntaner, Carles, 1957- (University of Toronto)
Espelt, Albert (Universitat Autònoma de Barcelona. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut)

Data:	2026
Descripció:	12 pàg.
Resum:	BACKGROUND: While numerous studies have explored factors contributing to poor mental health, few have examined the combined influence of multiple health and social factors and their cumulative effect. This study specifically aimed to analyze the cumulative effect of multiple health and social factors associated with poor mental well-being in school-aged adolescents (12-18 years old) in Central Catalonia during the 2021-2022 academic year. METHODS: Cross-sectional study using data from the 2021-2022 DESKcohort project, with a total sample of 9265 high-school aged students in Central Catalonia (49. 2% boys and 50. 8% girls). To identify factors associated with poor mental well-being (score < 44 on the Warwick-Edinburgh Mental Well-being Scale), Multilevel Poisson regression models with robust variance were estimated, obtaining prevalence ratios (PR) with their respective 95% confidence intervals (95% CI). The cumulative effect score was derived by summing the factors that were associated with poor mental well-being. RESULTS: We observe a gradient where the likelihood of experiencing poor mental well-being increases statistically significantly with exposure to a greater number of multiple health and social factors. In boys, the prevalence ratio increases statistically significantly from PR = 1. 59 (p < . 040) to PR = 24. 52 (p < . 001) for 1 and 10 health and social factors combined, and in girls, increases statistically significantly from PR = 2. 56 (p < . 001) to PR = 16. 23 (p < . 001) for 1 and 11 health and social factors combined, respectively. CONCLUSION: The findings of this study highlight the multifaceted nature of mental health and the co-presence of multiple axes of inequality, where overall health, family and psychosocial factors, and health behaviors form a cumulative association with adolescents' poor mental well-being.
Nota:	Altres ajuts: acords transformatius de la UAB
Nota:	Altres ajuts: This project has been funded by the Plan Nacional Sobre Drogas (2021|86) and the Subprograma de Desigualdades sociales en la Salud y en los comportamientos de Salud de las personas jóvenes de España del Centro de Investigación Biomédica en Red de Epidemiologia y Salud Pública (CIBERESP) (ESPCP41/2022)
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió acceptada per publicar
Matèria:	Adolescence ; Mentalhealth ; Risk factors ; Public health
Publicat a:	Child and Adolescent Mental Health, 14 January 2026, ISSN 1475-3588

DOI: 10.1111/camh.70070
PMID: 41536022

12 p, 268.6 KB

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