Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort

Abstract Background Adolescents may not all have reacted similarly to the COVID-19 lockdown. This study aimed to identify subgroups of perceptions in adolescents from the PARIS cohort during the first French lockdown, and to investigate whether adolescent behaviors differed according to these subgro...

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Main Authors: Antoine Citerne, Célina Roda, Fanny Rancière, Isabelle Momas
Format: Article
Language:English
Published: BMC 2023-05-01
Series:Child and Adolescent Psychiatry and Mental Health
Subjects:
Online Access:https://doi.org/10.1186/s13034-023-00609-8
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author Antoine Citerne
Célina Roda
Fanny Rancière
Isabelle Momas
author_facet Antoine Citerne
Célina Roda
Fanny Rancière
Isabelle Momas
author_sort Antoine Citerne
collection DOAJ
description Abstract Background Adolescents may not all have reacted similarly to the COVID-19 lockdown. This study aimed to identify subgroups of perceptions in adolescents from the PARIS cohort during the first French lockdown, and to investigate whether adolescent behaviors differed according to these subgroups. Methods Online questionnaires were sent to 1,549 PARIS adolescents aged 13–17 years who reported on possible infection with SARS-CoV-2, their perceptions, and behaviors during lockdown. Ascending hierarchical clustering was performed on the perception variables. Associations of behaviors with perception clusters were analyzed using multivariable multinomial logistic regression. Results Three perception clusters were identified among 791 adolescents (response rate 51%). One cluster “happy” (39%) had good mental health and did not feel stressed during lockdown. Another cluster “unhappy” (19%) was mainly unhappy, felt stressed, suffered from overcrowded living conditions, and experienced deteriorating relationships with family members. A further cluster “intermediate” (42%) experienced moderate well-being and stress, felt more supported by family, and worried about the health of their relatives. Compared with the “happy” cluster, the unhappy adolescents were more affected by COVID-19, had difficulty doing school activities, spent more time on social networks and less time on video games, slept less, and reported a deterioration in their diet. Adolescents “intermediate” with moderate well-being were more often girls, spent more time on social networks, were more physically active, slept less, and more often reported eating fruit and vegetables and drinking alcohol. Conclusions Not all adolescents experienced lockdown in the same way. This study highlighted subgroups that differed in terms of well-being and health-related behaviors. These results should motivate public authorities to consider the benefit/risk ratio of implementing strict lockdowns by taking into account family disparities and inequities among adolescents.
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spelling doaj.art-136b1a1cf49a41e39ab2e25c9eb87f2c2023-05-14T11:08:29ZengBMCChild and Adolescent Psychiatry and Mental Health1753-20002023-05-0117111210.1186/s13034-023-00609-8Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohortAntoine Citerne0Célina Roda1Fanny Rancière2Isabelle Momas3Health Environmental Risk Assessment (HERA) Team, CRESS, Université Paris Cité, Inserm, INRAEHealth Environmental Risk Assessment (HERA) Team, CRESS, Université Paris Cité, Inserm, INRAEHealth Environmental Risk Assessment (HERA) Team, CRESS, Université Paris Cité, Inserm, INRAEHealth Environmental Risk Assessment (HERA) Team, CRESS, Université Paris Cité, Inserm, INRAEAbstract Background Adolescents may not all have reacted similarly to the COVID-19 lockdown. This study aimed to identify subgroups of perceptions in adolescents from the PARIS cohort during the first French lockdown, and to investigate whether adolescent behaviors differed according to these subgroups. Methods Online questionnaires were sent to 1,549 PARIS adolescents aged 13–17 years who reported on possible infection with SARS-CoV-2, their perceptions, and behaviors during lockdown. Ascending hierarchical clustering was performed on the perception variables. Associations of behaviors with perception clusters were analyzed using multivariable multinomial logistic regression. Results Three perception clusters were identified among 791 adolescents (response rate 51%). One cluster “happy” (39%) had good mental health and did not feel stressed during lockdown. Another cluster “unhappy” (19%) was mainly unhappy, felt stressed, suffered from overcrowded living conditions, and experienced deteriorating relationships with family members. A further cluster “intermediate” (42%) experienced moderate well-being and stress, felt more supported by family, and worried about the health of their relatives. Compared with the “happy” cluster, the unhappy adolescents were more affected by COVID-19, had difficulty doing school activities, spent more time on social networks and less time on video games, slept less, and reported a deterioration in their diet. Adolescents “intermediate” with moderate well-being were more often girls, spent more time on social networks, were more physically active, slept less, and more often reported eating fruit and vegetables and drinking alcohol. Conclusions Not all adolescents experienced lockdown in the same way. This study highlighted subgroups that differed in terms of well-being and health-related behaviors. These results should motivate public authorities to consider the benefit/risk ratio of implementing strict lockdowns by taking into account family disparities and inequities among adolescents.https://doi.org/10.1186/s13034-023-00609-8AdolescentsBehaviorsCOVID-19 lockdownMental healthPerceptionWell-being
spellingShingle Antoine Citerne
Célina Roda
Fanny Rancière
Isabelle Momas
Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
Child and Adolescent Psychiatry and Mental Health
Adolescents
Behaviors
COVID-19 lockdown
Mental health
Perception
Well-being
title Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
title_full Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
title_fullStr Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
title_full_unstemmed Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
title_short Subgroups of perceptions and related behaviors during the COVID-19 lockdown: experience of adolescents in the PARIS birth cohort
title_sort subgroups of perceptions and related behaviors during the covid 19 lockdown experience of adolescents in the paris birth cohort
topic Adolescents
Behaviors
COVID-19 lockdown
Mental health
Perception
Well-being
url https://doi.org/10.1186/s13034-023-00609-8
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