Risk factors in adolescence as predictors of trajectories of somatic symptoms over 27 years

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dc.contributor.authorBerg, N.
dc.contributor.authorNummi, T.
dc.contributor.authorBean, C.G.
dc.contributor.authorWesterlund, H.
dc.contributor.authorVirtanen, P.
dc.contributor.authorHammarström, A.
dc.date.issued2022
dc.description.abstractBackground: Somatic symptoms among adolescents are common, yet little is known about long-term trajectories of somatic symptoms and the factors in adolescence that shape them. We examined individual, family and schoolbased factors at age 16 as predictors of trajectories of somatic symptoms over 27 years. Methods: Participants from the Northern Swedish Cohort (n=1001) responded to questions about individual factors (e.g. health behaviours), family factors (e.g. contact with parents, social and material adversity) and school satisfaction at age 16; as well as 10 somatic symptoms at ages 16, 18, 21, 30 and 43. Teacher assessments at age 16 included overall ability at school and peer relations. Age 16 predictors of somatic symptom trajectory group membership were analysed using multinomial logistic regression. Results: Poor contact with mother and poor school satisfaction were significant predictors of adverse symptom trajectories among both men and women. Low birth weight and low parental academic involvement were contributing factors for women, while smoking and social adversity were more relevant factors for men. Conclusions: Our findings emphasize the importance of a holistic approach that considers the unique contributions of individual, family and school-based factors in the development of trajectories of somatic symptoms from adolescence to middle age.
dc.description.statementofresponsibilityNoora Berg, Tapio Nummi, Christopher G. Bean, Hugo Westerlund, Pekka Virtanen, Anne Hammarström
dc.identifier.citationEuropean Journal of Public Health, 2022; 32(5):696-702
dc.identifier.doi10.1093/eurpub/ckac081
dc.identifier.issn1101-1262
dc.identifier.issn1464-360X
dc.identifier.orcidBean, C.G. [0000-0003-3249-3383]
dc.identifier.urihttps://hdl.handle.net/2440/146556
dc.language.isoen
dc.publisherOxford University Press
dc.rightsThe Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.source.urihttps://doi.org/10.1093/eurpub/ckac081
dc.subjectsmoking; adolescent; mothers; parent; medically unexplained symptoms; child and adolescent health
dc.subject.meshHumans
dc.subject.meshRisk Factors
dc.subject.meshCohort Studies
dc.subject.meshLongitudinal Studies
dc.subject.meshParents
dc.subject.meshInterpersonal Relations
dc.subject.meshAdolescent
dc.subject.meshMiddle Aged
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshMedically Unexplained Symptoms
dc.titleRisk factors in adolescence as predictors of trajectories of somatic symptoms over 27 years
dc.typeJournal article
pubs.publication-statusPublished

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