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Discontent with Financial Situation, Self-rated Health, and Well-being of Adolescents in Bosnia and Herzegovina: Cross-sectional Study in Tuzla Canton
Nurka Pranjić
orcid.org/0000-0001-6145-1137
; Zavod za okupacijsku medicinu, Tuzla, Bosna i Hercegovina
Aida Brković
; Zavod za medicinu rada, Tuzla, Bosna i Hercegovina
Azijada Beganlić
orcid.org/0000-0002-0547-0218
; Zavod za medicinu rada, Tuzla, Bosna i Hercegovina
Sažetak
Aim To examine the relationship between quality of life, self-rated health, and
well-being and to establish the relationship between discontent with familial
financial situation and health in adolescents living in the Tuzla Canton.
Method The study comprised a random sample of 356 high school students
aged 16, coming from 15 different classes of 16 high schools in the Tuzla
municipality. Data were obtained using a validated self-reporting questionnaire
on demographic and socioeconomic background, structure, and dynamics
of the adolescent’s family, life-style, perception, and satisfaction with
the financial situation and current health status, as well as social relationships
and health care provided in school settings.
Results In 11% (n = 40) of students’ households several poverty indicators
were present. Twenty three percent (n = 82) of the examinees were dissatisfied
with the financial situation in their families, and 73% of them came
from local, non-refugee families. They presented with progressive symptoms
of unhappiness and expressed discontent with their health condition, and
even self-hate in comparison with adolescents who were satisfied with the
financial situation in their families (χ2 = 21.5; P = 0.001). The prevalence of
self-rated mental symptoms was significantly lower among adolescents who
were satisfied with their financial situation than in those who were dissatisfied
(symptoms of depression 57/274 vs 40/82, P =0 .001; sadness 73/274
vs 45/82, P =0 .001; moroseness 34/274 vs 19/82, P =0 .001; under-sedation
29/274 vs 18/82, P =0 .001; bad marks and school failures 31/274 vs
20/82, P = 0.001; suicidal attempts 11/274 vs 7/82, P = 0.001, respectively).
Using linear regression analysis we found that adolescents’ satisfaction with
the financial situation was a major factor predicting depression (OR, 1.57;
95% CI, 1.158-1.855), loss of appetite (OR, 0.82; 95% CI, 0.561-1.235),
distraction (OR, 1.19; 95% CI, 0.837-1.154), unhappiness (OR, 1.05; 95%
CI, 0.686-1.405), and inability to perform at school as expected (OR, 1.24;
95% CI, 0.903-1.581).
Conclusion Discontent with the financial situation significantly reduces
the quality of mental health, leads to inappropriate patterns of behavior, and
endangers future perspectives and well-being of adolescents.
Ključne riječi
Financial Situation; Adolescents; Tuzla Canton
Hrčak ID:
20946
URI
Datum izdavanja:
15.10.2007.
Posjeta: 1.985 *