Kontakt 2024, 26(1):25-31 | DOI: 10.32725/kont.2024.006

The impact of isolation on the health of adolescents with low socioeconomic status: A longitudinal study during the Covid-19 pandemicNursing - Original article

Martina Derzsi-Horváth1, *, Henrietta Bánfai-Csonka1, 2, Andrea Masa1, Bálint Bánfai2, Zsuzsanna Kívés3, Attila Szabó4, Krisztina Deutsch2
1 University of Pécs, Faculty of Health Sciences, Doctoral School of Health Sciences, Pécs, Hungary
2 University of Pécs, Faculty of Health Sciences, Institute of Emergency Care and Pedagogy of Health, Pécs, Hungary
3 University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary
4 High School and Technical School, Elementary School, Cserepka János Hungarian-English Bilingual Baptist Sports School, Pécs, Hungary

Introduction: The main objective of our research was to measure the impact on health of isolation and online education due to the Covid-19 pandemic, and particularly risk behaviours and mental health in adolescents with low socioeconomic status.

Methods: We used an online questionnaire before (Q1) and after (Q2) the introduction of digital education, which was completed by a total of 212 Hungarian secondary school students. We measured the prevalence of risk behaviours and psychosomatic symptoms: subjective well-being, life satisfaction, self-esteem, sense of coherence, and changes in coping mechanisms among the students.

Results: Stable smoking (p = 0.316), alcohol consumption habits (p = 0.573), and cannabis use (p = 0.607) did not change significantly between the two data sets. Psychosomatic symptoms (p = 0.111), life satisfaction (p = 0.727), self-esteem (p = 0.053) and sense of coherence (p = 0.602) also showed no significant change. However, there was an increase in the level of subjective well-being (p = 0.017) and in the proportion of those who used cognitive restructuring (p = 0.035) or problem-focused coping (p = 0.012) as coping mechanisms.

Conclusion: Digital education had no negative impact on the health indicators of the students with low socioeconomic status. There were no significant changes in risk behaviours between the two surveys, while the students' mental health changed in a positive direction in several aspects.

Keywords: Adolescent; Covid-19; Digital education; Mental health; Risk behaviour
Conflicts of interest:

The authors have no conflict of interest to declare.

Received: August 10, 2023; Revised: December 1, 2023; Accepted: January 29, 2024; Prepublished online: February 7, 2024; Published: March 15, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Derzsi-Horváth M, Bánfai-Csonka H, Masa A, Bánfai B, Kívés Z, Szabó A, Deutsch K. The impact of isolation on the health of adolescents with low socioeconomic status: A longitudinal study during the Covid-19 pandemic. Kontakt. 2024;26(1):25-31. doi: 10.32725/kont.2024.006.
Download citation

References

  1. Ali W (2020). Online and remote learning in higher education institutes. A necessity in light of Covid-19 pandemic. High Educ Stud 10(3): 16-25. DOI: 10.5539/hes.v10n3p16. Go to original source...
  2. Balajti I, Vokó Z, Ádány R, Kósa K (2007). Validation of the hungarian versions of the abbreviated sense of coherence (SOC) Scale and the general health questionnaire (GHQ-12). Mental Health Psychosom 2: 147-161. DOI: 10.1556/Ment.l.8.2007.2.4. Go to original source...
  3. Bao W (2020). Covid-19 and online teaching in higher education: A case study of Peking University. Hum Behav Emerg Technol 2(2): 113-115. DOI: 10.1002/hbe2.191. Go to original source... Go to PubMed...
  4. Bolatov AK, Seisembekov TZ, Askarova AZ, Baikanova RK, Smailova DS, Fabbro E (2020). Online learning dure to COVID-19 improved mental health among medical students. Med Sci Educ 31 (1): 183-192. DOI: 10.1007/s40670-020-01165-y. Go to original source... Go to PubMed...
  5. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet 395 (10227): 912-920. DOI: 10.1016/S0140-6736(20)30460-8. Go to original source... Go to PubMed...
  6. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J (2020). The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 287: 112934. DOI: 10.1016/j.psychres.2020.112934. Go to original source... Go to PubMed...
  7. Chodkiewicz J, Talarowska M, Miniszewska J, Nawrocka N, Bilinski P (2020). Alcohol consumption reported during the COVID-19 pandemic. The initial stage. Int J Environ Res Public Health 17(13): 4677. DOI: 10.3390/ijerph17134677. Go to original source... Go to PubMed...
  8. Chu PS, Saucier DA, Hafner E (2010). Meta-analysis of the relationships between social support and well-being in children and adolescents. J Soc Clin Psychol 29(6): 624-645. DOI: 10.1521/jscp.2010.29.6.624. Go to original source...
  9. Dragun R, Veček NN, Marendić M, Pribisalić A, Divić G, Cena H, et al. (2020). Have lifestyle habits and psychological well-being changed among adolescents and medial students due to Covid-19 lockdown in Croatia? Nutrients 13(1): 97. DOI: 10.3390/nu13010097. Go to original source... Go to PubMed...
  10. Dumas TM, Ellis W, Litt DM (2020). What does adolescent substance use look life during the COVID-19 pandemic? Examining changes in frequency, social contects, and pandemic-related predictros. J Adolesc Health 67(3): 354-361. DOI: 10.1016/j.jadohealth.2020.06.018. Go to original source... Go to PubMed...
  11. Dunton GF, Do B, Wang SD (2020). Early effects of the COVID-19 pandemic on physical activity and sedentary behaviour in children living in the U.S. BMC Public Health 20(1): 1351. DOI: 10.1186/s12889-020-09429-3. Go to original source... Go to PubMed...
  12. Dziuban C, Graham CR, Moskal PD (2018). Blended learning: The new normal and emerging technologies. Int J Educ Technol High Educ 15(1): 3. DOI: 10.1186/s41239-017-0087-5. Go to original source...
  13. Eales L, Gillespie S, Alstat RA, Ferguson GM, Carlson SM (2021). Children's screen and problematic media use int he United States before and during the COVID-19 pandemic. Child Dev 92(5): e866-e882. DOI: 10.1111/cdev.13652. Go to original source... Go to PubMed...
  14. Gaiha SM, Cheng J, Halpern-Felscher B (2020). Association between youth smoking, electronic cigarette use, andCOVID-19. J Adolesc Health 67(4): 519-523. DOI: 10.1016/j.jadohealth.2020.07.002. Go to original source... Go to PubMed...
  15. Ilari B, Cho E, Li J, Bautista A (2022). Perceptions of parenting, parent-child activities and children's extracurricular activities in times of COVID-19. Child Fam Stud 31(2): 409-420. DOI: 10.1007/s10826-021-02171-3. Go to original source... Go to PubMed...
  16. Kaess M, Brunner R, Parzer P, Carli V, Apter A, Balazs JA, et al. (2014). Risk-behaviour screening for identifying adolescents with mental health problems in Europe. Eur Child Adolesc Psychiatry 23(7): 611-620. DOI: 10.1007/s00787-013-0490-y. Go to original source... Go to PubMed...
  17. Kapetanovic S, Gurdal S, Ander B, Sorbing E (2021). Reportes Changes in adolescent psychosocial functioning during the COVID-19 outbreak. Adolescents 1(1): 10-20. DOI: 10.3390/adolescents1010002. Go to original source...
  18. Kenney SR, DiGuiseppi GT, Meisel MK, Balestrieri SG, Barnett NP (2018). Poor mental health, peer drinking norms, and alcohol risk in a social network of first-year college students. Addict Behav 84: 151-159. DOI: 10.1016/j.addbeh.2018.04.012. Go to original source... Go to PubMed...
  19. Kerekes N, Bador K, Sfendla A, Belaatar M, Mzadi AE, Jovic V, et al. (2021). Changes in adolescents' psychosocial functioning and well-being as a consequence of long-term COVID-19 restrictions. Int J Environ Res Public Health 18(16): 8755. DOI: 10.3390/ijerph18168755. Go to original source... Go to PubMed...
  20. Lancet Child & Adolescent Health (2019). Children's needs in an Ebola virus disease outbreak. Lancet Child Adolesc Health 3(2): 55. DOI: 10.1016/S2352-4642(18)30409-7. Go to original source... Go to PubMed...
  21. Lee J (2020). Mental health effects of school closures during COVID-19. Lancet Child Adolesc Health 4: 421. DOI: 10.1016/S2352-4642(20)30109-7. Go to original source... Go to PubMed...
  22. Martos T, Sallay V, Désfalvi J, Szabó T, Ittzés A (2014). Psychometric characteristics of the Hungarian version of the Satisfaction with Life Scale (SWLS-H). Mental Health Psychosom 15(3): 289-303. DOI: 10.1556/Mental.15.2014.3.9. Go to original source...
  23. Nagata JM, Abdel Magid HS, Pettee Gabriel K (2020). Screen time for children and adolescents during the coronavirus disease 2019 pandemic. Obesity 28(9): 1582-1583. DOI: 10.1002/oby.22917. Go to original source... Go to PubMed...
  24. Nagata JM, Cortez CA, Dooley EE, Iyer P, Ganson KT, Pettee Gabriel K (2021). Moderate to vigorous intensity physical activity among adolescents int he USA during the covid-19 pandemic. Prev Med Rep 25: 101685. DOI: 10.1016/j.pmedr.2021.101685. Go to original source... Go to PubMed...
  25. Németh Á, Várnai D (2019). Adolescent lifestyle in Hungary. Budapest: L'Harmattan. ELTE PPK.
  26. Pigaiani Y, Zoccante L, Zocca A, Arzenton A, Menegolli M, Fadel S, et al. (2020). Adolescent Lifestyle Behaviors, coping strategies and subjective wellbeing during the COVID-19 pandemic: an online student survey. Healthcare (Basel) 8(4): 472. DOI: 10.3390/healthcare8040472. Go to original source... Go to PubMed...
  27. Pitomber P (2021). Online education: benefits, changes and strategies during and after Covid-19 in higher education. Int J Stud Educ 3(2): 70-85. DOI: 10.46328/ijonse.32. Go to original source...
  28. Rózsa S, Purebl Gy, Susánszky É, Kő N, Szádóczky E, Réthelyi J, et al. (2017). Dimensions of coping: Hungarian adaptation of the ways of coping questionnaire. Mental Health Psychosom 3: 217-241. DOI: 10.1556/Mentál.9.2008.3.3. Go to original source...
  29. Rubin GJ, Wessely S (2020). The psychological effects of quarantining a city. BMJ 368: m313. DOI: 10.1136/bmj.m313. Go to original source... Go to PubMed...
  30. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, et al. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: A systematic review and meta-analysis. Global Health 16(1): 57. DOI: 10.1186/s12992-020-00589-w. Go to original source... Go to PubMed...
  31. Sallay V, Martos T, Földvári M, Szabó T, Ittzés A (2014). Hungarian version of the Rosenberg Self-esteem Scale (RSES-H): An alternative translation, structural in variance, and validity. Mental Health Psychosom 15: 259-275. DOI: 10.1556/Mental.15.2014.3.7. Go to original source...
  32. Santomauro DF, Mantilla Herrera AM, Shadid J, Zheng P, Ashbaugh C, Pigott MD, et al. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet 398(10312): 1700-1712. DOI: 10.1016/S0140-6736(21)02143-7. Go to original source... Go to PubMed...
  33. Shapiro I, Gannot RN, Green G, Zigdon A, Zwilling M, Giladi A (2022). Risk behaviors, family support, and emotional health among adolescents during the COVID-19 pandemic in Israel. Int J Environ Res Public Health 19(7): 3850. DOI: 10.3390/ijerph19073850. Go to original source... Go to PubMed...
  34. Shrof A, Fassler J, Fox KR, Schleider JL (2022). The impact of COVID-19 onU.S. adolescents: loss of basic needs and engagement in health risk behaviors. Curr Psychol 22: 1-11. DOI: 10.1007/s12144-021-02411-1. Go to original source... Go to PubMed...
  35. Simon N, Kiss-Tóth E, Fodor B (2022). Positive effect of COVID pandemic ont he depression, stress and insomnia among first-year university students. J Furth Higher Educ 4: 528-539. DOI: 10.1080/0309877x.2022.2143258. Go to original source...
  36. Singh S, Roy D, Sinha K, Parveen S, Sharma G, Joshi G (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: a narrative review with recommendations. Psychiatry Res 293: 113429. DOI: 10.1016/j.psychres.2020.113429. Go to original source... Go to PubMed...
  37. Susánszky É, Konkoly TB, Stauder A, Kopp M (2006). Validation of the short (5-item) version of the WHO Well-being Scale, based on a Hungarian representative health survey (Hungarostudy 2002). Mental Health Psychosom 7: 247-255. DOI: 10.1556/Mental.7.2006.3.8. Go to original source...
  38. Türk F, Kul A, Kilinç E (2021). Depression-anxiety and coping strategies of adolescents during the COVID-19 pandemic. Turk J Educ 10(2): 58-75. DOI: 10.19128/turje.814621. Go to original source...
  39. Vaičiünas T, ®emaitaityté M, Lange S, ©telemèkas M, Oja L, Petkevičienė J, et al. (2022). Trends in adolescent substance use: analysis of HBSC data for four eastern european countries, 1994-2018. Int J Environ Res Public Health 19(23): 15457. DOI: 10.3390/ijerph192315457. Go to original source... Go to PubMed...
  40. Wang Y, Xu B, Zhao G, Cao R, He X, Fu S (2011): Is quarantine related to immediate negative psychological consequences during the 2009 H1N1 epidemic? Gen Hosp Psychiatry 33(1): 75-77. DOI: 10.1016/j.genhosppsych.2010.11.001. Go to original source... Go to PubMed...
  41. Zhang W, Wang Y, Yang L, Wang C (2020). Suspending classes without stopping learning: China's education emergency managment policy int he Covid-19 outbreak. J Risk Financial Manag 13(3): 55. DOI: 10.3390/jrfm13030055. Go to original source...
  42. Zhou X (2020). Managing psychological distress in children and adolescents following the COVID-19 epidemic: A cooperative approach. Psychol Trauma 12(S1): S76-S78. DOI: 10.1037/tra0000754. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.