Socio-Economic Inequalities in Adolescent Summer Holiday Experiences, and Mental Wellbeing on Return to School: Analysis of the School Health Research Network/Health Behaviour in School-Aged Children Survey in Wales
Open Access
- 28 March 2019
- journal article
- research article
- Published by MDPI AG in International Journal of Environmental Research and Public Health
- Vol. 16 (7), 1107
- https://doi.org/10.3390/ijerph16071107
Abstract
The socioeconomic inequalities found in child and adolescent mental wellbeing are increasingly acknowledged. Although interventions increasingly focus on school holidays as a critical period for intervention to reduce inequalities, no studies have modelled the role of summer holiday experiences in explaining socioeconomic inequalities in wellbeing. For this study, we analysed survey data of 103,971 adolescents from 193 secondary schools in Wales, United Kingdom, which included measures of family affluence, experiences during the summer holidays (hunger, loneliness, time with friends and physical activity) and mental wellbeing and internalising symptoms on return to school. Structural equation modelling was used to analyse the data. Although family affluence retained a direct inverse association with student mental wellbeing (r = −0.04, p < 0.001), 65.2% of its association with mental wellbeing was mediated by the experiences over the summer holidays. FAS score was not directly associated with the student’s self-reports of internalising symptoms (r = 0.00, p > 0.05). Of all summer holiday experiences, the strongest mediational pathway was observed for reports of loneliness. Although more structural solutions to poverty remain essential, school holiday interventions may have significant potential for reducing socioeconomic inequalities in mental health and wellbeing on young people’s return to school through reducing loneliness, providing nutritious food and opportunities for social interaction.Funding Information
- DECIPHer (MR/KO232331/1)
This publication has 32 references indexed in Scilit:
- Impacts of the Primary School Free Breakfast Initiative on socio-economic inequalities in breakfast consumption among 9–11-year-old schoolchildren in WalesPublic Health Nutrition, 2013
- Not just for poor kids: The impact of universal free school breakfast on meal participation and student outcomesEconomics of Education Review, 2013
- Trajectories of loneliness during childhood and adolescence: Predictors and health outcomesJournal of Adolescence, 2013
- Conceptualizing and contextualizing food insecurity among Greenlandic childrenInternational Journal of Circumpolar Health, 2013
- Childhood loneliness as a predictor of adolescent depressive symptoms: an 8-year longitudinal studyEuropean Child & Adolescent Psychiatry, 2009
- Internal construct validity of the Warwick-Edinburgh Mental Well-being Scale (WEMWBS): a Rasch analysis using data from the Scottish Health Education Population SurveyHealth and Quality of Life Outcomes, 2009
- Socioeconomic Determinants of Psychological Well-Being: The Role of Income, Income Change, and Income Sources During the Course of 29 YearsAnnals of Epidemiology, 2008
- Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence ScaleSocial Science & Medicine (1982), 2008
- Relation between depression and sociodemographic factorsInternational Journal of Mental Health Systems, 2007
- Social determinants of health inequalitiesThe Lancet, 2005