Table_1_The associations between social environment and adolescents’ psychosomatic health: An ecological perspective.DOCX

ObjectivesIt has been known that social environments are associated with adolescents’ health. However, the complex relationship between diverse types of social environments and adolescents’ psychosomatic heath remained unclear. Thus, using an ecological perspective, the current study aimed to examine the associations between social environment and adolescents’ psychosomatic health.
MethodsWe used the data from the Health Behavior in School-aged Children (HBSC) project conducted in the Czech Republic in 2018. A total of 13377 observations were included.
ResultsThe region, as a macrosystem, could not explain the variance in adolescents’ psychological and somatic health. The quality of neighborhood environment (exosystem) was significantly related to adolescents’ psychological and somatic health. At the microsystem level, teacher support had stronger, family support had weaker, and peer support had no association with psychological and somatic health. At the mesosystem level, the interactions between family, teacher, and friend support were negligible for adolescents’ psychological and somatic health.
ConclusionsThe results underscore the importance of teachers’ support and neighborhood environment for adolescents’ psychosomatic health. Therefore, the findings suggest the need to improve teacher-adolescent relationships and the neighborhood community quality.

研究目标：学界已证实社会环境与青少年健康存在关联，但不同类型社会环境与青少年心身健康（psychosomatic health）之间的复杂关联仍未明确。为此，本研究采用生态系统视角，旨在探究社会环境与青少年心身健康的关联。
研究方法：本研究使用2018年捷克开展的学龄儿童健康行为（Health Behavior in School-aged Children, HBSC）项目数据，共纳入13377条观测数据。
研究结果：作为宏系统（macrosystem）的地域因素，无法解释青少年心理与躯体健康的变异。作为外系统（exosystem）的邻里环境质量，与青少年心理及躯体健康存在显著关联。在微系统（microsystem）层面，教师支持与青少年心理、躯体健康的关联强度更高，家庭支持的关联强度较弱，同伴支持则无显著关联。在中系统（mesosystem）层面，家庭、教师与同伴支持的交互作用对青少年心理及躯体健康的影响可忽略不计。
研究结论：本研究结果凸显了教师支持与邻里环境对青少年心身健康的重要性。据此，本研究提示亟需改善青少年与教师的关系，并提升社区邻里环境质量。