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ORIGINAL ARTICLE

Int J Public Health, 10 July 2024
This article is part of the Call for papers TRENDS IN ADOLESCENT HEALTH AND WELLBEING - 40 YEARS OF THE HBSC STUDY View all articles

Trends in the Link Between Perceived Social Support and Life Satisfaction in Adolescents (2013/14–2021/22): A Cross-National Study

Romain Brisson
Romain Brisson1*Jana FurstovaJana Furstova2Lenka SokolovLenka Sokolová3Charli ErikssonCharli Eriksson4Meyran Boniel-NissimMeyran Boniel-Nissim5Petr BaduraPetr Badura2
  • 1Centre for Childhood and Youth Research, University of Luxembourg, Esch-sur-Alzette, Luxembourg
  • 2Olomouc University Social Health Institute (OUSHI), Palacký University Olomouc, Olomouc, Czechia
  • 3Institute of Applied Psychology, Faculty of Social and Economic Sciences, Comenius University, Bratislava, Slovakia
  • 4National Centre for Suicide Research and Prevention, Department of Learning, Informatics, Management and Ethics (LIME), Karolinska Institutet (KI), Solna, Sweden
  • 5The Max Stern Academic College of Emek Yezreel, Israel

Objectives: This repeated cross-sectional study aimed to (a) report trends in adolescents’ perceived family, friend, classmate, and teacher support, (b) estimate the extent to which each source of support related to life satisfaction across space and time, and (c) ascertain whether sociodemographic factors moderated the relationship in question.

Methods: We relied on data pertaining to the 2013/14, 2017/18, and 2021/22 waves of the Health Behaviour in School-aged Children study. The examined sample covered 44 countries and regions (n = 716,083; MAGE = 13.6; SDAGE = 1.64; 50.7% female).

Results: The level of all sources of perceived social support slightly decreased over the examined period (all ω2 < .01). Family support involved the largest association with life satisfaction (β = 0.16); friend support, the lowest one (β = 0.03). These associations varied only tenuously across space and time. Sociodemographic factors moderated the link between perceived social support and life satisfaction to a negligible-to-weak extent.

Conclusion: Levels of perceived social support and their associations with life satisfaction subtly changed. Future research may attempt to pinpoint the macrosocial levers of these temporal dynamics.

Introduction

Research on the correlates and determinants of adolescents’ wellbeing and health has long identified perceived social support (PSS) as a salutogenic factor [13]. Although the construct of social support has been defined and operationalized in multiple ways since its extensive use in social science in the 1970s [4, 5], PSS generally designates the self-valuation of the availability of assistance resources among one’s social network [6, 7]. PSS thus differs from received or enacted social support. Moderately correlated with each other [8, 9], PSS and received social support differently relate to wellbeing and health issues [10, 11]. Studies of the associations of received social support with wellbeing and health outcomes have reported contradictory findings [10, 11]. By contrast, PSS has consistently shown positive associations with life satisfaction (LS) [12, 13] and negative associations with adverse outcomes such as anxiety and depression [3, 14], with meta-analyses reporting small-to-moderate effect sizes [10, 15].

While the protective role of PSS against adolescents’ ill-being is well-established, the structural, sociodemographic, and temporal dynamics of this relationship are unclear. Notably, the extent to which all sources of PSS (e.g., family, peers) are linked to wellbeing and health remains open to question [13]. In effect, the widespread examination of one or two sources of PSS [15, 16] and the common conduct of source-per-source (meta-)analyses [17] have limited (a) the assessment of the unique contribution of sources of PSS to wellbeing and health and (b) the identification of potential cumulative or compensatory mechanisms [18, 19]. Furthermore, the studies examining several sources of PSS concomitantly have reported discrepant findings. While PSS from parents or family has generally been found to involve the largest associations with wellbeing and health outcomes [13, 17], findings on other sources have diverged. As an illustration, Stewart and Suldo’s study [20] revealed a link between PSS from classmates and LS but not between PSS from teachers and LS. Heng et al.’s study [21] highlighted the exact reverse pattern.

In a similar vein, research on the moderating role of sociodemographic factors on the link between PSS and wellbeing or health outcomes has engendered contradictory results. For instance, Rueger et al.’s meta-analysis [15] of the link between PSS and depression found no sex differences. The systematic review by Gariépy et al. [22] did find PSS from family to be more protective from depression in girls than in boys, corroborating the findings from Chu et al.’s meta-analysis [10] of the relationship between social support and wellbeing. As noted by Rueger et al. [15], these inconsistencies may reflect methodological and conceptual differences in the meta-analytic and reviewing processes. It should also be noted that family structure and socioeconomic status (SES) have not been systematically considered in this research area. Because of the interdependence of SES and family structure [23], and because family structure has been shown to relate to the family facet of adolescents’ LS [24], the frequent neglect of such potential moderators of the association between PSS and wellbeing is detrimental to the field [25].

Despite decades of research on PSS [4, 5], only a few studies assessed PSS diachronically based on a repeated cross-sectional design [26] or on cross-temporal meta-analysis [27]. To our knowledge, only one study investigated the temporal trends in the link between PSS and LS in adolescents. Scrutinizing the years 2009–2018, Su et al. [28] found the prevalence of adolescents exhibiting a high level of PSS and the association between PSS and LS to fluctuate between 2009 and 2018. The dearth of such studies, however, does not permit to ascertain whether PSS levels and their associations with wellbeing vary over time and with macrosocial changes (e.g., digitalization of social life, divorce normalization, economic recession).

The present study aimed to examine the structural, sociodemographic, and temporal dynamics of the association between PSS and LS, a key indicator of subjective wellbeing [29]. The reliance on data from the Health Behaviour in School-aged Children (HBSC) survey allowed us to examine 44 countries and regions across three waves of data collection—2013/14, 2017/18, and 2021/22. Our study had three main research goals. First, to report trends in four sources of PSS, namely, PSS from family, friends, classmates, and teachers. Second, to assess the extent to which distinct sources of PSS related to LS in space and over time. Third, to investigate a potential moderating role of age, family structure, gender, and SES in the relationship between the examined sources of PSS and LS. Given the paucity of research on the temporal link between distinct sources of PSS and adolescents’ LS, the present study should be considered exploratory.

Methods

Study Sample

We relied on data pertaining to the 2013/14, 2017/18, and 2021/22 waves of the HBSC study (https://hbsc.org/). Each wave involved a different number of countries and regions—Flanders and Wallonia, two Belgian administrative entities, participated in the study separately. Owing to its focus on temporal dynamics, the present study involved only the countries and regions that partook in at least two waves of data collection (n = 44). Consequently, the conducted analyses did not include data from Azerbaijan, Cyprus, Georgia, Kyrgyzstan, Tajikistan, and Turkey. These data are available online (https://data-browser.hbsc.org).

The final sample involved 716,083 adolescents (MAGE = 13.6; SDAGE = 1.64; age range: 10–16.5; 50.7% female). Sociodemographic characteristics of the sample are reported in Table 1.

Table 1
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Table 1. Sociodemographic characteristics of the study sample (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

Sampling Strategy and Survey Administration

All HBSC surveys relied on either a one- or a two-stage cluster sample involving a random selection of schools and/or school classes. Questionnaires were self-administered in class.

Ethics Approval

The HBSC team of every geographic area obtained ethical approval to carry out the survey. The study was conducted in accordance with the principles of the Declaration of Helsinki. Both the participants and their parents provided informed consent.

Measures

Life Satisfaction

LS was assessed with the Cantril’s ladder [30]. Participants were provided with the following description: “Here is a picture of a ladder. The top of the ladder (“10”) [represents] the best possible life for you and the bottom (“0”) [represents] the worst possible life for you.” Participants were invited to indicate where on that ladder they felt they stood (see Supplementary Material 1 and 2 for a summary of this variable’s characteristics).

PSS Factors

PSS from family and friends was measured with the corresponding subscales from the Multidimensional Scale of Perceived Social Support [31]. This instrument involves four items assessing family support (e.g., “My family is willing to help me make decisions”; McDonald’s ω = .94) and four items assessing friend support (e.g., “I can count on my friends when things go wrong”; McDonald’s ω = .92). Each item was rated on a 1–7 scale. Mean scores were computed and employed in the conducted analyses (see Supplementary Material 1 for a summary of these variables’ characteristics).

PSS from classmates and teachers was gauged with the corresponding subscales derived from the Teacher and Classmate Support Scale [32] and used in the HBSC study since 2013/14. The measure dedicates three items to classmate support (e.g., “Most of the students in my class(es) are kind and helpful”; McDonald’s ω = .78) and three items to teacher support (e.g., “I feel that my teachers care about me as a person”; McDonald’s ω = .83). Each item was scored on a 1–5 rating scale. We computed and relied on mean scores in the subsequent analyses (see Supplementary Material 1 for a summary of these variables’ characteristics).

Sociodemographic Factors

Age was computed based on the month and year of birth and used as a continuous variable. Gender was assessed with a question asking respondents to indicate whether they were a boy or a girl. Family structure was measured with an item asking participants to indicate who they were currently living with based on a predefined list of options (e.g., “father”, “stepfather or mother’s partner”). Participants were allowed to openly specify whether they lived with unlisted individuals (e.g., “grandparents”). We distinguished between intact and non-intact families: respondents reporting living with both their father and mother were assigned to the “intact family” category; the other respondents, to the “non-intact family” category.

SES was assessed with the Family-Affluence-Scale-III (FAS-III) [33]. The FAS-III estimates households’ material living conditions based on six items dedicated to (1) car and (2) dishwasher ownership, (3) the fact of having a personal bedroom, (4) the frequency of holidays abroad, and the number of (5) computers and (6) bathrooms at home. A sum score was then created and used to distinguish between three levels of affluence corresponding to the lowest 20%, the middle 60%, and the highest 20%.

Time Factor

Survey year was operationalized as a categorical variable including three modalities: 2013/14, 2017/18, and 2021/22.

Additional Control Variable

Because of the well-identified association between mental health and LS [34], we employed a brief inventory developed within the HBSC network [35] to control for mental health issues. The instrument covers the previous 6 months and comprises four items dedicated to low mood, irritability, nervousness, and difficulties in falling asleep. Each item relies on a 1–5 frequency scale ranging from “rarely or never” to “about every day.” A mean score was calculated and used in the performed analyses.

Statistical Analyses

First, we conducted analyses of variance with pairwise deletion to assess how the level of each source of PSS evolved from 2013/14 to 2021/22. No control variable was used. Tukey post hoc tests were carried out to identify potential statistically significant differences at p < .05. Since p values depend on sample size, and since we relied on relatively large national and regional subsamples, we computed omega squared (ω2) to provide effect size estimates. Following Field’s recommendations [36], we distinguished between small (.01 ≤ ω2 < .06), moderate (.06 ≤ ω2 < .14), and large (ω2 ≥ .14) effect sizes. Because Kazakhstan, Russia, Serbia, and Ukraine participated in two waves only, and because a few countries did not systematically employ the whole set of PSS measures, data from these countries were analyzed based on t-tests and Cohen’s ds. The latter are displayed in Supplementary Material 3. These analyses were carried out with IBM SPSS version 28 (IBM Corp.).

Second, we performed linear mixed modeling analyses to (a) assess the link between LS and our four sources of PSS across space and time and (b) ascertain whether survey year and sociodemographic factors moderated the link in question. In both cases, individuals (level 1) were nested in countries or regions (level 2). We relied on random intercept models. Models including interaction terms were carried out for each source of PSS separately. To further estimate the temporal dynamics of the link between PSS and LS, we reran the analysis split by survey year and with no interaction terms. For ease of interpretation of the unstandardized regression coefficients and to limit multicollinearity, we mean centered our continuous predictors to compute b coefficients and we standardized our continuous variables to compute β coefficients. These analyses were conducted with R, version 4.3.0 (R Foundation for Statistical Computing), using the lme4 [37] and performance [38] packages.

Results

Descriptive Statistics and Preliminary Analyses

Participants reported relatively high scores of PSS and LS over the covered period, as indicated by the negatively skewed distribution of these variables (Supplementary Material 1). LS weakly increased between 2013/14 (M = 7.64) and 2017/18 (M = 7.75) and decreased between 2017/18 and 2021/22 (M = 7.44; Supplementary Material 2 and 8).

As shown in Table 2, the largest zero-order correlations involved health complaints and LS (r = −.46), family and friend support (r = .43), and classmate and teacher support (r = .43). PSS from family, classmates, and teachers moderately correlated with LS (.31 ≤ rs ≤ .33); PSS from friends exhibited a lower coefficient (r = .19). In addition, girls reported lower levels of PSS from family, classmates, and teachers than boys. By contrast, PSS from friends was higher in girls than in boys. Age was negatively correlated with PSS from family, classmates, and teachers. The association between age and PSS from friends was almost null. Adolescents from intact families reported higher levels of PSS than their counterparts, irrespective of the source. SES was positively, albeit weakly correlated with PSS from family, friends, and classmates. The correlation between SES and PSS from teachers was almost null.

Table 2
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Table 2. Descriptive statistics and zero-order correlations among the study variables (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

Trends in Four Sources of PSS (2013/14–2021/22)

As shown in Table 3, the overall level of each source of PSS slightly lessened between 2013/14 and 2021/22 (all ω2 < .010). The decrease in question followed different patterns depending on the source of PSS. PSS from family was rather similar in 2013/14 (M = 5.72) and 2017/18 (M = 5.69), and then diminished (M = 5.57). The same applied to PSS from teachers (M2013/14 = 3.84; M2017/18 = 3.81; M2021/22 = 3.71). The decrease in PSS from friends mainly occurred between 2014 and 2018 (M2013/14 = 5.42; M2017/18 = 5.27; M2021/22 = 5.23). Finally, the decrement in PSS from classmates was relatively constant over the examined period (M2013/14 = 3.91; M2017/18 = 3.84; M2021/22 = 3.74).

Table 3
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Table 3. Trends in the mean scores pertaining to four sources of perceived social support (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

This general description masks heterogeneous local dynamics (Table 3; Supplementary Material 4–7). Although the comprehensive assessment of these dynamics is beyond the scope of this study, three points are worth noticing. First, while PSS from each source diminished in most countries and regions between 2013/14 and 2021/22, both the temporal patterns and the magnitude of this decline varied with national context and sources of PSS. For instance, PSS from family steadily decreased in Italy, Moldova, and Slovakia; PSS from classmates, in 15 countries, with ω2 ranging from .002 in Portugal to .045 in Sweden. Second, we pinpointed no clear geographical or cultural pattern accounting for the variability of the temporal dynamics reported in Table 3. Third, most ω2 were negligible. PSS from family involved 17 small ω2 out of 37 effect size estimates; PSS from friends, 9 out of 36; PSS from classmates, 13 out of 38; PSS from teachers, 14 out of 38. We identified no medium or large effect size (Table 3).

Associations Between Sources of PSS and LS Across Space and Time

Our linear mixed model revealed that each source of PSS was positively associated with LS (Table 4). PSS from family involved the largest association (β = 0.16) and PSS from friends, the smallest one (β = 0.03). Given its small magnitude, the latter association can be considered of minor importance. PSS from classmates and teachers related to LS to a similar extent (both βs = 0.11).

Table 4
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Table 4. Summary of linear mixed modeling analysis predicting life satisfaction (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

The country-and-region level accounted for a marginal amount of variance in LS (intraclass correlation = .02), suggesting that the relationship between our predictors and LS varied with national or regional context to a negligible extent (Table 4). We also found LS level to be lower in 2013/14 than in 2017/18 (β = −0.10) and to be rather similar in 2017/18 and 2021/22 (β = −0.02).

As shown in Table 5, survey year weakly moderated the link between LS and each source of PSS (−0.01 ≤ βs ≤ 0.06). Rerunning the same analysis split by survey year (Table 6) indicated that the association between PSS from family and LS was similar in 2013/14 (β = 0.14) and 2017/18 (β = 0.15) and slightly increased afterward (β = 0.18). PSS from friends showed negligible, albeit growing associations with LS over time (0.02 ≤ βs ≤ 0.04). While the association between PSS from classmates and LS steadily weakened (β2013/14 = 0.13; β2017/18 = 0.11; β2021/22 = 0.09), the one between PSS from teachers and LS was rather stable over time (β2013/14 = 0.12; β2017/18 = 0.10: β2021/22 = 0.11).

Table 5
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Table 5. Summary of linear mixed modeling analyses with interaction terms predicting life satisfaction, source of social support per source of social support (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

Table 6
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Table 6. Summary of linear mixed modeling analysis predicting life satisfaction, split by survey year (Health Behaviour in School-aged Children study, 44 countries and regions, 2013/14–2021/22).

The Moderating Role of Sociodemographic Factors

Age did not affect the link between PSS from friends and LS (β = 0.00) and negligibly moderated the relationship between LS and the other sources of PSS (−0.01 ≤ βs ≤ 0.01 [Table 5]).

LS levels were rather similar in girls and in boys (β = −0.03) within our “main effect” model (Table 4). As shown in Table 5, gender weakly moderated the link between PSS from family and LS (β = 0.06) and between PSS from teachers and LS (β = 0.04). In both cases, the higher the level of PSS, the smaller the gender gap in LS. Gender negligibly moderated the link between PSS from friends and LS (β = 0.01) and between PSS from classmates and LS (β = 0.02).

Family structure did not affect the association between PSS from friends and LS and between PSS from teachers and LS (both βs = 0.00). Although the interaction coefficients involving PSS from family (β = −0.02) and classmates (β = −0.01) reached statistical significance, their small magnitude suggests a negligible moderating role (Table 5).

LS levels appeared positively associated with SES within our “main effect” model (Table 4). As shown in Table 5, SES slightly moderated the link between PSS and LS, irrespective of the source (−0.06 ≤ βs ≤ −0.02): the higher the PSS, the smaller the LS gap between SES.

Discussion

The present study aimed to (a) report temporal trends in four sources of PSS, (b) assess the link between PSS and LS across space and time, and (c) estimate whether age, family structure, gender, and SES moderated this link.

Trends in PSS (2013/14–2021/22)

Overall, our findings highlighted a small decrement in each source of PSS between 2013/14 and 2021/22. PSS from classmates involved the largest, the most widespread, and the steadiest decrease; PSS from family, the smallest one. While a decline in PSS occurred in most geographic areas, this decline was not pervasive and both its pace and magnitude varied with national and regional context. Despite these downward trends, the average level of the examined sources of PSS remained relatively high over time. This finding is in line with past research. In effect, studies relying on representative samples have reported similar results in that respect, both in adults and non-adults [28, 39].

The dearth of studies examining trends in PSS prevents us from connecting our findings to a structured body of literature. One of the rare diachronic analyses available [28] found adolescents’ PSS to substantially increase between 2011 and 2012 and to slightly decrease between 2014 and 2018 in Canada. While this finding partly corroborates ours, it should be noted that this Canadian study relied on a generic measure of PSS, which limits comparison with our results.

The Link Between PSS and LS Across Space and Time

We found the association between our predictors and LS to weakly vary with national or regional context. This result is in keeping with previous research. As an illustration, a study conducted in Israel and Singapore highlighted no national difference in the link between LS and any of the five sources of PSS examined [21]. In their study of 42 geographic areas, Bi et al. [13] emphasized national differences in the extent to which distinct sources of PSS related to LS. However, the intraclass correlation coefficients pertaining to the national level reported by these authors were similar to ours. This being said, (sub)cultural variability in parental style [40], social perception of help-seeking [41], and victimization prevalence [42] may narrow or neutralize the positive relationship between a given source of PSS and LS in certain national contexts. In addition, LS assessment may involve different criteria depending on cultural milieu, geographic area, and social contingency. For example, an adolescent may report a high level of PSS from teachers and a low level of LS based on criteria extraneous to the school environment (e.g., romantic disappointment, parent’s job loss). Future studies may address these issues.

All waves considered, PSS from the family involved the largest association with LS. This general result veils subtle differences in the temporal dynamics of the positive link between PSS and LS, though. PSS from family, classmates, and teachers related to a rather similar extent to LS in 2013/14 and 2017/18. The situation changed in 2021/22, with perceived family support exhibiting the largest association with LS. The COVID-19 pandemic and the inflation rise intervening since 2021 in Europe [43] may have strengthened the interdependence of family support and LS. For instance, the restrictive measures implemented during the pandemic may have exacerbated family conflicts and/or (re)invigorated family ties [44, 45], two situations that bear on the link between family support and LS. Inflation and post-pandemic economic adjustments may have impacted the instrumental support provided to adolescents, primarily involving parental assistance [46, 47]. Be that as it may, our results partly echo those of meta-analyses. Rueger et al. [15] identified family and peers as the sources of PSS predicting depression to the largest extent. Although relying on a questionable operationalization of wellbeing (e.g., including academic performance), Chu et al. [10] pinpointed teachers and family as the sources of PSS involving the greatest associations with wellbeing.

All in all, our study suggests that the levels of PSS and the associations between sources of PSS and LS subtly evolve and may require to be examined in the context of macrosocial phenomena. The case of PSS from classmates is emblematic in that respect: both its general level and its degree of association with LS were indeed the only ones to steadily diminish since 2013/14. The extent to which such a decline is due to the crescent digitalization of social life is unclear. Although one may claim, based on the literature [48], that classmates have been gradually supplanted by (digital) peers outside the attended school in youths’ rewarding environment and popularity systems, this research area is only burgeoning [49]. Similarly, the extent to which adolescents rely on digital tools to get informational support is unclear. Further research is needed to identify the macrosocial dynamics that may affect PSS and its positive association with LS.

The Moderating Role of Age, Family Structure, Gender, and SES

The analyses conducted with no interaction terms revealed a negative association between age and LS and a positive relationship between SES and LS. They also revealed gender differences, with girls reporting slightly less LS than boys. Furthermore, these analyses indicated that living with both parents was linked to higher LS levels. Overall, these results do not align with those reported in early studies, which emphasized marginal associations between sociodemographic factors and LS [50, 51], and corroborate those emanating from recent research [52, 53].

By contrast, the analyses including interaction terms showed that both age and family structure negligibly moderated the association between PSS and LS. Gender was found to slightly affect the link between perceived family support and LS and between perceived teacher support and LS only. Girls’ LS appeared to depend on PSS from adults to a larger extent than boys’ LS. The extent to which this disparity stems from (a) sex differences in puberty and its correlates (e.g., in terms of internalizing disorders) [52, 54], (b) personality differences (e.g., in terms of neuroticism, self-esteem, and self-efficacy), [5557], and/or (c) gendered coping strategies [58] remains open to question. Finally, SES slightly moderated the association between LS and each source of PSS, with higher levels of PSS mitigating LS gaps between SES. One possible explanation of this result relies on the scarcity principle: the lower availability of PSS in lower SES may increase its weight on LS assessment within this status group. Future studies may address this under-investigated issue in adolescents.

General Considerations

Our study illustrates the relevance of distinguishing between general peers (here, classmates) and friends when estimating the link between PSS and wellbeing or health outcomes [15]. While PSS from classmates showed relatively high—albeit decreasing over time—associations with LS, PSS from friends was negligibly linked to LS. Several hypotheses have been formulated to account for the weakness of that link, from the ephemerality and instability of adolescents’ friendships [22] to co-rumination [15]. Unfortunately, these hypotheses have not been tested to date. Another potential explanation lies in the “dark side” of friend support that may encourage adolescents to engage in risky or deviant behaviors [5961]. Such behaviors have been linked to lower levels of LS [62, 63]. However, because our correlation analyses were indicative of a positive association between perceived friend support and LS, it should not be excluded that the limited predictive power of the former on the latter might be the consequence of a suppression effect. Future studies may attempt to identify the suppressor(s) in question and clarify the role of classmate (or general peer) support.

More generally, further research is needed to pinpoint the principles underlying the link between each source of PSS and LS. Building on the observation that adolescents expect and/or seek specific types of support from specific categories of individuals [46, 47, 64], the examination of (a) the interplay of sources of PSS, types of PSS, and dimensions of LS and (b) potential compensatory effects between sources of PSS [19] may help delineate these principles. Such studies may allow investigators to better map the action range of each source of PSS and enhance the understanding of the associations between sources of PSS and LS. In addition, because PSS and LS have shown moderate-to-large associations with the five-factor model of personality, self-esteem, and social skills [9, 6568], considering these factors may represent an added value in the theorization of the relationship between PSS and LS.

Limitations and Strengths

At least three limitations to the present study can be noted. First, the cross-sectional nature of our work did not allow us to assess potential bidirectional relationships between PSS and LS and to draw causal inferences. For instance, it should not be excluded that lower LS may undermine social interactions, the maintenance of good relationships, and the building of new rewarding relationships. Second, we relied on self-reported data, which involve well-identified biases (e.g., social desirability, response style). Third, our measures of PSS stemmed from two distinct inventories that may capture slightly different conceptualizations of PSS. While the scales assessing PSS from family and friends primarily deal with general support, those dedicated to PSS from classmates and teachers primarily deal with emotional support and classroom climate. Because there is evidence that adolescents solicit different providers depending on the type of social provision they seek, using the same items to estimate PSS from different sources may be unwarranted. However, future research is needed to (a) further establish that the measures of PSS from classmates and teachers used in the HBSC survey have to do with PSS only and (b) pinpoint the specific support provided by distinct sources (including digital ones).

At least three strengths of our work can be highlighted. First, our study contributed to filling a critical gap in the literature, namely, the lack of studies examining the temporal dynamics of PSS. Second, the HBSC study involves a standardized research protocol that ensures high levels of consistency across space and time (e.g., in terms of survey instruments, data collection and processing procedures). Third, we relied on a large sample consisting of nationally and regionally representative subsamples of school attendees. This permitted us to report generalizable estimates and to provide investigators with reliable points of comparison for future research.

Ethics Statement

The studies involving humans were approved by the HBSC team of every geographic area. The studies were conducted in accordance with the local legislation and institutional requirements. Written informed consent for participation in this study was provided by the participants’ legal guardians/next of kin.

Author Contributions

PB and RB conceptualized the study. JF and RB analyzed the data. RB drafted the first version of the manuscript. All authors reviewed and edited several versions of the manuscript until an agreement was reached on its final version. All authors approved the final version to be published and agreed to be accountable for all aspects of the present work.

Funding

The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. Open access funding was provided by the University of Luxembourg and the European Union in the context of the project “Research of Excellence on Digital Technologies and Wellbeing” (CZ.02.01.01/00/22_008/0004583), which also funded the study. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Conflict of Interest

The authors declare that they do not have any conflicts of interest.

Supplementary Material

The Supplementary Material for this article can be found online at: https://www.ssph-journal.org/articles/10.3389/ijph.2024.1607283/full#supplementary-material

References

1. Sandler, IN, Miller, P, Short, J, and Wolchik, SA. Social Support as a Protective Factor for Children in Stress. In: D Belle, editor. Children's Social Networks and Social Supports. New York: Wiley (1989). p. 277–307.

Google Scholar

2. Rueger, SY, Malecki, CK, and Demaray, MK. Relationship Between Multiple Sources of Perceived Social Support and Psychological and Academic Adjustment in Early Adolescence: Comparisons Across Gender. J Youth Adolesc (2010) 39:47–61. doi:10.1007/s10964-008-9368-6

PubMed Abstract | CrossRef Full Text | Google Scholar

3. Scardera, S, Perret, LC, Ouellet-Morin, I, Gariépy, G, Juster, RP, Boivin, M, et al. Association of Social Support During Adolescence With Depression, Anxiety, and Suicidal Ideation in Young Adults. JAMA Netw Open (2020) 3(12):e2027491. doi:10.1001/jamanetworkopen.2020.27491

PubMed Abstract | CrossRef Full Text | Google Scholar

4. House, JS, Umberson, D, and Landis, KR. Structures and Processes of Social Support. Annu Rev Sociol (1988) 14(1):293–318. doi:10.1146/annurev.so.14.080188.001453

CrossRef Full Text | Google Scholar

5. Williams, P, Barclay, L, and Schmied, V. Defining Social Support in Context: A Necessary Step in Improving Research, Intervention, and Practice. Qual Health Res (2004) 14(7):942–60. doi:10.1177/1049732304266997

PubMed Abstract | CrossRef Full Text | Google Scholar

6. Procidano, ME, and Heller, K. Measures of Perceived Social Support From Friends and From Family: Three Validation Studies. Am J Community Psychol (1983) 11(1):1–24. doi:10.1007/BF00898416

PubMed Abstract | CrossRef Full Text | Google Scholar

7. Gottlieb, BH, and Bergen, AE. Social Support Concepts and Measures. J Psychosom Res (2010) 69(5):511–20. doi:10.1016/j.jpsychores.2009.10.001

PubMed Abstract | CrossRef Full Text | Google Scholar

8. Haber, MG, Cohen, JL, Lucas, T, and Baltes, BB. The Relationship Between Self-Reported Received and Perceived Social Support: A Meta-Analytic Review. Am J Community Psychol (2007) 39:133–44. doi:10.1007/s10464-007-9100-9

PubMed Abstract | CrossRef Full Text | Google Scholar

9. Xia, LX, Liu, J, Ding, C, Hollon, SD, Shao, BT, and Zhang, Q. The Relation of Self-Supporting Personality, Enacted Social Support, and Perceived Social Support. Pers Individ Dif (2012) 52(2):156–60. doi:10.1016/j.paid.2011.10.002

CrossRef Full Text | Google Scholar

10. Chu, PS, Saucier, DA, and Hafner, E. Meta-Analysis of the Relationships Between Social Support and Well-Being in Children and Adolescents. J Soc Clin Psychol (2010) 29(6):624–45. doi:10.1521/jscp.2010.29.6.624

CrossRef Full Text | Google Scholar

11. Lakey, B, and Orehek, E. Relational Regulation Theory: A New Approach to Explain the Link Between Perceived Social Support and Mental Health. Psychol Rev (2011) 118(3):482–95. doi:10.1037/a0023477

PubMed Abstract | CrossRef Full Text | Google Scholar

12. Danielsen, AG, Samdal, O, Hetland, J, and Wold, B. School-Related Social Support and Students' Perceived Life Satisfaction. J Educ Res (2009) 102(4):303–20. doi:10.3200/JOER.102.4.303-320

CrossRef Full Text | Google Scholar

13. Bi, S, Stevens, GW, Maes, M, Boer, M, Delaruelle, K, Eriksson, C, et al. Perceived Social Support From Different Sources and Adolescent Life Satisfaction Across 42 Countries/Regions: The Moderating Role of National-Level Generalized Trust. J Youth Adolesc (2021) 50(7):1384–409. doi:10.1007/s10964-021-01441-z

PubMed Abstract | CrossRef Full Text | Google Scholar

14. Stice, E, Ragan, J, and Randall, P. Prospective Relations Between Social Support and Depression: Differential Direction of Effects for Parent and Peer Support? J Abnorm Psychol (2004) 113(1):155–9. doi:10.1037/0021-843X.113.1.155

PubMed Abstract | CrossRef Full Text | Google Scholar

15. Rueger, SY, Malecki, CK, Pyun, Y, Aycock, C, and Coyle, S. A Meta-Analytic Review of the Association Between Perceived Social Support and Depression in Childhood and Adolescence. Psychol Bull (2016) 142(10):1017–67. doi:10.1037/bul0000058

PubMed Abstract | CrossRef Full Text | Google Scholar

16. Xiong, T, Milios, A, McGrath, PJ, and Kaltenbach, E. The Influence of Social Support on Posttraumatic Stress Symptoms Among Children and Adolescents: A Scoping Review and Meta-Analysis. Eur J Psychotraumatol (2022) 13(1):2011601. doi:10.1080/20008198.2021.2011601

PubMed Abstract | CrossRef Full Text | Google Scholar

17. Pössel, P, Burton, SM, Cauley, B, Sawyer, MG, Spence, SH, and Sheffield, J. Associations Between Social Support From Family, Friends, and Teachers and Depressive Symptoms in Adolescents. J Youth Adolesc (2018) 47:398–412. doi:10.1007/s10964-017-0712-6

PubMed Abstract | CrossRef Full Text | Google Scholar

18. Cavanaugh, AM, and Buehler, C. Adolescent Loneliness and Social Anxiety: The Role of Multiple Sources of Support. J Soc Pers Relat (2016) 33(2):149–70. doi:10.1177/0265407514567837

CrossRef Full Text | Google Scholar

19. Lyell, KM, Coyle, S, Malecki, CK, and Santuzzi, AM. Parent and Peer Social Support Compensation and Internalizing Problems in Adolescence. J Sch Psychol (2020) 83:25–49. doi:10.1016/j.jsp.2020.08.003

PubMed Abstract | CrossRef Full Text | Google Scholar

20. Stewart, T, and Suldo, S. Relationships Between Social Support Sources and Early Adolescents' Mental Health: The Moderating Effect of Student Achievement Level. Psychol Sch (2011) 48(10):1016–33. doi:10.1002/pits.20607

CrossRef Full Text | Google Scholar

21. Heng, MA, Fulmer, GW, Blau, I, and Pereira, A. Youth Purpose, Meaning in Life, Social Support and Life Satisfaction Among Adolescents in Singapore and Israel. J Educ Chang (2020) 21(2):299–322. doi:10.1007/s10833-020-09381-4

CrossRef Full Text | Google Scholar

22. Gariépy, G, Honkaniemi, H, and Quesnel-Vallée, A. Social Support and protection From Depression: Systematic Review of Current Findings in Western Countries. Br J Psychiatry (2016) 209(4):284–93. doi:10.1192/bjp.bp.115.169094

PubMed Abstract | CrossRef Full Text | Google Scholar

23. Conger, RD, Conger, KJ, and Martin, MJ. Socioeconomic Status, Family Processes, and Individual Development. J Marriage Fam (2010) 72(3):685–704. doi:10.1111/j.1741-3737.2010.00725.x

PubMed Abstract | CrossRef Full Text | Google Scholar

24. Antaramian, SP, Huebner, ES, and Valois, RF. Adolescent Life Satisfaction. Appl Psychol (2008) 57:112–26. doi:10.1111/j.1464-0597.2008.00357.x

CrossRef Full Text | Google Scholar

25. Vila, J. Social Support and Longevity: Meta-Analysis-Based Evidence and Psychobiological Mechanisms. Front Psychol (2021) 12:717164. doi:10.3389/fpsyg.2021.717164

PubMed Abstract | CrossRef Full Text | Google Scholar

26. Verdery, A, and Campbell, C. Social Support in America: Stratification and Trends in Access Over Two Decades. Soc Forces (2019) 98(2):725–52. doi:10.1093/sf/soz008

CrossRef Full Text | Google Scholar

27. Zhao, Z, Jing, S, Yan, Z, and Yu, L. Social Change and Birth Cohort Decrease in Social Support for Older Adults in China: A Cross-Temporal Meta-Analysis, 1994–2018. Health Soc Care Community (2020) 28(5):1438–47. doi:10.1111/hsc.13004

PubMed Abstract | CrossRef Full Text | Google Scholar

28. Su, Y, D’Arcy, C, Li, M, and Meng, X. Trends and Patterns of Life Satisfaction and its Relationship With Social Support in Canada, 2009 to 2018. Sci Rep (2022) 12(1):9720. doi:10.1038/s41598-022-13794-x

PubMed Abstract | CrossRef Full Text | Google Scholar

29. Diener, E, Suh, EM, Lucas, RE, and Smith, HL. Subjective Well-Being: Three Decades of Progress. Psychol Bull (1999) 125(2):276–302. doi:10.1037/0033-2909.125.2.276

CrossRef Full Text | Google Scholar

30. Cantril, H. The Pattern of Human Concerns. New Brunswick, NJ: Rutgers University Press (1965).

Google Scholar

31. Zimet, GD, Dahlem, NW, Zimet, SG, and Farley, GK. The Multidimensional Scale of Perceived Social Support. J Pers Assess (1988) 52(1):30–41. doi:10.1207/s15327752jpa5201_2

CrossRef Full Text | Google Scholar

32. Torsheim, T, Wold, B, and Samdal, O. The Teacher and Classmate Support Scale: Factor Structure, Test-Retest Reliability and Validity in Samples of 13-And 15-Year-Old Adolescents. Sch Psychol Int (2000) 21(2):195–212. doi:10.1177/0143034300212006

CrossRef Full Text | Google Scholar

33. Torsheim, T, Cavallo, F, Levin, KA, Schnohr, C, Mazur, J, Niclasen, B, et al. Psychometric Validation of the Revised Family Affluence Scale: A Latent Variable Approach. Child Indic Res (2016) 9:771–84. doi:10.1007/s12187-015-9339-x

PubMed Abstract | CrossRef Full Text | Google Scholar

34. Huebner, ES. Research on Assessment of Life Satisfaction of Children and Adolescents. Soc Indic Res (2004) 66:3–33. doi:10.1023/B:SOCI.0000007497.57754.e3

CrossRef Full Text | Google Scholar

35. Gariepy, G, McKinnon, B, Sentenac, M, and Elgar, FJ. Validity and Reliability of a Brief Symptom Checklist to Measure Psychological Health in School-Aged Children. Child Indic Res (2016) 9:471–84. doi:10.1007/s12187-015-9326-2

CrossRef Full Text | Google Scholar

36. Field, A. Discovering Statistics Using IBM SPSS Statistics. 5th ed. London: Sage (2018).

Google Scholar

37. Bates, D, Mächler, M, Bolker, B, and Walker, S. Fitting Linear Mixed-Effects Models Using Lme4. J Stat Softw (2015) 67(1):1–48. doi:10.18637/jss.v067.i01

CrossRef Full Text | Google Scholar

38. Lüdecke, D, Ben-Shachar, MS, Patil, I, Waggoner, P, and Makowski, D. Performance: An R Package for Assessment, Comparison and Testing of Statistical Models. J Open Source Softw (2021) 6(60):3139. doi:10.21105/joss.03139

CrossRef Full Text | Google Scholar

39. Klineberg, E, Clark, C, Bhui, KS, Haines, MM, Viner, RM, Head, J, et al. Social Support, Ethnicity and Mental Health in Adolescents. Soc Psychiatry Psychiatr Epidemiol (2006) 41:755–60. doi:10.1007/s00127-006-0093-8

PubMed Abstract | CrossRef Full Text | Google Scholar

40. Lansford, JE. Annual Research Review: Cross-Cultural Similarities and Differences in Parenting. J Child Psychol Psychiatry (2022) 63(4):466–79. doi:10.1111/jcpp.13539

PubMed Abstract | CrossRef Full Text | Google Scholar

41. Zheng, S, Masuda, T, Matsunaga, M, Noguchi, Y, Ohtsubo, Y, Yamasue, H, et al. Cultural Differences in Social Support Seeking: The Mediating Role of Empathic Concern. PLoS One (2021) 16(12):e0262001. doi:10.1371/journal.pone.0262001

PubMed Abstract | CrossRef Full Text | Google Scholar

42. Longobardi, C, Prino, LE, Fabris, MA, and Settanni, M. School Violence in Two Mediterranean Countries: Italy and Albania. Child Youth Serv Rev (2017) 82:254–61. doi:10.1016/j.childyouth.2017.09.037

CrossRef Full Text | Google Scholar

43. Eurostat. Data Browser. Harmonized Index of Consumer Prices, Inflation Rate (2024). Available from: https://ec.europa.eu/eurostat/databrowser/view/tec00118/ (Accessed March 1, 2024).

Google Scholar

44. Carsley, S, Thomas, S, Oei, T, Smith, B, Harrington, D, Pike, I, et al. Child Abuse and Neglect During the COVID-19 Pandemic: An Umbrella Review. Child Abuse Negl (2024) 149:106645. doi:10.1016/j.chiabu.2024.106645

PubMed Abstract | CrossRef Full Text | Google Scholar

45. Wang, MT, Henry, DA, Scanlon, CL, Del Toro, J, and Voltin, SE. Adolescent Psychosocial Adjustment During COVID-19: An Intensive Longitudinal Study. J Clin Child Adolesc Psychol (2023) 52(5):633–48. doi:10.1080/15374416.2021.2007487

PubMed Abstract | CrossRef Full Text | Google Scholar

46. Furman, W, and Buhrmester, D. Children's Perceptions of the Personal Relationships in Their Social Networks. Dev Psychol (1985) 21(6):1016–24. doi:10.1037/0012-1649.21.6.1016

CrossRef Full Text | Google Scholar

47. Sitter, KG, Huebner, ES, and Hills, KJ. Calling for Social Support: Whose Support and What Types of Support Matter for Early Adolescents’ Life Satisfaction? In: AC Michalos, editor. The Pope of Happiness: A Festschrift for Ruut Veenhoven. Cham: Springer (2021). p. 227–41. doi:10.1007/978-3-030-53779-1_24

CrossRef Full Text | Google Scholar

48. Vogel, EA, Rose, JP, Roberts, LR, and Eckles, K. Social Comparison, Social Media, and Self-Esteem. Psychol Pop Media Cult (2014) 3(4):206–22. doi:10.1037/ppm0000047

CrossRef Full Text | Google Scholar

49. Keresteš, G, and Štulhofer, A. Adolescents’ Online Social Network Use and Life Satisfaction: A Latent Growth Curve Modeling Approach. Comput Hum Behav (2020) 104:106187. doi:10.1016/j.chb.2019.106187

CrossRef Full Text | Google Scholar

50. Gilman, R, and Huebner, S. A Review of Life Satisfaction Research With Children and Adolescents. Sch Psychol Q (2003) 18(2):192–205. doi:10.1521/scpq.18.2.192.21858

CrossRef Full Text | Google Scholar

51. Huebner, ES, Valois, RF, Paxton, RJ, and Drane, JW. Middle School Students’ Perceptions of Quality of Life. J Happiness Stud (2005) 6:15–24. doi:10.1007/s10902-004-1170-x

CrossRef Full Text | Google Scholar

52. Orben, A, Lucas, RE, Fuhrmann, D, and Kievit, RA. Trajectories of Adolescent Life Satisfaction. R Soc Open Sci (2022) 9(8):211808. doi:10.1098/rsos.211808

PubMed Abstract | CrossRef Full Text | Google Scholar

53. Brisson, R, Mendes, FG, and Catunda, C. Accounting for the Gender gap in Adolescents’ Life Satisfaction: Evidence From Nationally Representative Samples of School Attendees in Luxembourg. Int J Adolesc Youth (2023) 28(1):2283563. doi:10.1080/02673843.2023.2283563

CrossRef Full Text | Google Scholar

54. Pfeifer, JH, and Allen, NB. Puberty Initiates Cascading Relationships between Neurodevelopmental, Social, and Internalizing Processes Across Adolescence. Biol Psychiatry (2021) 89(2):99–108. doi:10.1016/j.biopsych.2020.09.002

PubMed Abstract | CrossRef Full Text | Google Scholar

55. Klimstra, TA, Crocetti, E, Hale, IIIWW, Fermani, A, and Meeus, WH. Big Five Personality Dimensions in Italian and Dutch Adolescents: A Cross-Cultural Comparison of Mean-Levels, Sex Differences, and Associations With Internalizing Symptoms. J Res Pers (2011) 45(3):285–96. doi:10.1016/j.jrp.2011.03.002

CrossRef Full Text | Google Scholar

56. Moksnes, UK, Eilertsen, MEB, Ringdal, R, Bjørnsen, HN, and Rannestad, T. Life Satisfaction in Association With Self-efficacy and Stressor Experience in Adolescents–Self-Efficacy as a Potential Moderator. Scand J Caring Sci (2019) 33(1):222–30. doi:10.1111/scs.12624

PubMed Abstract | CrossRef Full Text | Google Scholar

57. Moksnes, UK, and Espnes, GA. Self-Esteem and Life Satisfaction in Adolescents—Gender and Age as Potential Moderators. Qual Life Res (2013) 22:2921–8. doi:10.1007/s11136-013-0427-4

PubMed Abstract | CrossRef Full Text | Google Scholar

58. Eschenbeck, H, Kohlmann, CW, and Lohaus, A. Gender Differences in Coping Strategies in Children and Adolescents. J Individ Differ (2007) 28(1):18–26. doi:10.1027/1614-0001.28.1.18

CrossRef Full Text | Google Scholar

59. Wills, TA, and Vaughan, R. Social Support and Substance Use in Early Adolescence. J Behav Med (1989) 12(4):321–39. doi:10.1007/BF00844927

PubMed Abstract | CrossRef Full Text | Google Scholar

60. Branstetter, SA, Low, S, and Furman, W. The Influence of Parents and Friends on Adolescent Substance Use: A Multidimensional Approach. J Subst Use (2011) 16(2):150–60. doi:10.3109/14659891.2010.519421

PubMed Abstract | CrossRef Full Text | Google Scholar

61. Henneberger, AK, Mushonga, DR, and Preston, AM. Peer Influence and Adolescent Substance Use: A Systematic Review of Dynamic Social Network Research. Adolesc Res Rev (2021) 6(1):57–73. doi:10.1007/s40894-019-00130-0

CrossRef Full Text | Google Scholar

62. Valois, RF, Zullig, KJ, Huebner, ES, and Drane, JW. Relationship Between Life Satisfaction and Violent Behaviors Among Adolescents. Am J Health Behav (2001) 25(4):353–66. doi:10.5993/AJHB.25.4.1

PubMed Abstract | CrossRef Full Text | Google Scholar

63. Zullig, KJ, Valois, RF, Huebner, ES, Oeltmann, JE, and Drane, JW. Relationship Between Perceived Life Satisfaction and Adolescents’ Substance Abuse. J Adolesc Health (2001) 29(4):279–88. doi:10.1016/S1054-139X(01)00269-5

PubMed Abstract | CrossRef Full Text | Google Scholar

64. Furman, W, and Buhrmester, D. Age and Sex Differences in Perceptions of Networks of Personal Relationships. Child Dev (1992) 63(1):103–15. doi:10.1111/j.1467-8624.1992.tb03599.x

PubMed Abstract | CrossRef Full Text | Google Scholar

65. Marshall, SL, Parker, PD, Ciarrochi, J, and Heaven, PC. Is Self-Esteem a Cause or Consequence of Social Support? A 4-Year Longitudinal Study. Child Dev (2014) 85(3):1275–91. doi:10.1111/cdev.12176

PubMed Abstract | CrossRef Full Text | Google Scholar

66. Suldo, SM, Minch, RD, and Hearon, BV. Adolescent Life Satisfaction and Personality Characteristics: Investigating Relationships Using a Five Factor Model. J Happiness Stud (2015) 16(4):965–83. doi:10.1007/s10902-014-9544-1

CrossRef Full Text | Google Scholar

67. In, H, Kim, H, and Carney, JV. The Relation of Social Skills and School Climate of Diversity to Children's Life Satisfaction: The Mediating Role of School Connectedness. Psychol Sch (2019) 56(6):1023–36. doi:10.1002/pits.22247

CrossRef Full Text | Google Scholar

68. Mitic, M, Woodcock, KA, Amering, M, Krammer, I, Stiehl, KA, Zehetmayer, S, et al. Toward an Integrated Model of Supportive Peer Relationships in Early Adolescence: A Systematic Review and Exploratory Meta-Analysis. Front Psychol (2021) 12:589403. doi:10.3389/fpsyg.2021.589403

PubMed Abstract | CrossRef Full Text | Google Scholar

Keywords: perceived social support, trends, life satisfaction, adolescents, HBSC

Citation: Brisson R, Furstova J, Sokolová L, Eriksson C, Boniel-Nissim M and Badura P (2024) Trends in the Link Between Perceived Social Support and Life Satisfaction in Adolescents (2013/14–2021/22): A Cross-National Study. Int J Public Health 69:1607283. doi: 10.3389/ijph.2024.1607283

Received: 15 March 2024; Accepted: 13 June 2024;
Published: 10 July 2024.

Edited by:

Alberto Borraccino, University of Turin, Italy

Reviewed by:

Joanna Mazur, University of Zielona Góra, Poland
One reviewer who chose to remain anonymous

Copyright © 2024 Brisson, Furstova, Sokolová, Eriksson, Boniel-Nissim and Badura. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Romain Brisson, romain.brisson@uni.lu

This Original Article is part of the IJPH Special Issue “Trends in Adolescent Health and Wellbeing—40 Years Of the HBSC Study”

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