Loneliness and Health Risk Behaviors Among ASEAN Adolescents
Open accessAbstract
Background: Loneliness is commonly experienced during adolescence and has been associated with negative health outcomes. Objectives: The present study aimed at assessing the factors associated with loneliness and investigating the relationship between loneliness and health risk behaviors among adolescents in the association of southeast asian nations (ASEAN). Methods: This cross-sectional study included 30 284 schoolgoing adolescents (aged 13 - 15 years, mean age = 14.1 years, SD = 0.8) from 7 ASEAN countries, who took part in the global school-based student health survey (GSHS) between 2007 and 2013. The measure inquired about loneliness, health risk behaviours, and protective factors. Results: Across the 7 ASEAN countries, 7.8% of the adolescents reported mostly or always being lonely and 31.3% reported sometimes being lonely in the past 12 months. In multivariable logistic regression, female gender, older age, living in a low or lower income country, not having close friends, bullying victimization, and lack of parental or guardian support were associated with mostly or always feeling lonely in the past 12 months. After adjusting for sociodemographic and social supportive factors, it was found that loneliness was associated with poor mental health, substance use, aggression, and other health risk behaviours. Conclusions: A significant proportion of adolescents were experiencing loneliness, which was found to be associated with various health risk behaviours. Thus, it is important to recognize lonely adolescents early in to prevent more serious poor mental health and other health risk behaviours.
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The prevalence of loneliness among Indonesian female adolescents is lower than that reported in ASEAN countries (7.8%), some African countries (Morocco 25.1%, Tanzania 17.4%), Latin American and Caribbean countries (14.6%), the USA (14.4%), and Russia (14.7%).
“This finding is lower than that reported among female adolescents in ASEAN countries at 7.8% [8] and is even significantly lower than in some African countries, such as Morocco (25.1%) [6] and Tanzania (17.4%) [7]. It is also significantly lower than in the Latin American and the Caribbean countries (14.6%) [5], as well as the USA (14.4%) and Russia (14.7%) [27].”
From Prevalence and factors associated with loneliness among Indonesian female adolescents: a cross-sectional study (2022) · cites this paper as [8]
Section 4.1 (page unavailable) reports that 7.8% of adolescents across seven ASEAN countries were mostly or always lonely. That figure is for the full sample, not female adolescents specifically. The other countries’ figures are attached to different citations in the citing sentence and are not judged against this source. (LLM, conf=0.90)
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Marthoenis, Dahlia, & Nassimbwa, J. (2022) · BMC Women's Health · doi:10.1186/s12905-022-01909-5 · Cited by 21 · see citing works
- Authors
- Peltzer, K., & Pengpid, S.
- Affiliations
- Ton Duc Thang University (VN)
- Mahidol University (TH)
- Corresponding author
- Peltzer, Karl
- Venue
- Iranian Journal of Psychiatry and Behavioral Sciences
- Publisher
- Brieflands
- Published
- 2017-07-30
- Volume
- 11
- Issue
- 3
- ISSN
- 1735-8639 (ISSN-L)
- 1735-9287
- OpenAlex
- W2739531887
- Cited by
- 33
- References
- 5
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 7 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 4
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Iranian Journal of Psychiatry and Behavioral Sciences (publishedVersion, cc-by-nc)
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- loneliness, adolescents, health risk behaviors, bullying victimization, parental support, social support, substance use, aggression, mental health, protective factors, ASEAN countries, Global School-based Student Health Survey
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