Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents

Background: Adolescence is a distinct developmental phase characterized by multiple physical and psychological changes and by an increased vulnerability to somatic and mental health problems. These risk and vulnerability factors are part of a complex biopsychosocial matrix, encompassing multiple fac...

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Main Authors: Btissame Zouini, Anis Sfendla, Meftaha Senhaji, Maria Råstam, Nóra Kerekes
Format: Article
Language:English
Published: SAGE Publishing 2019-05-01
Series:SAGE Open Medicine
Online Access:https://doi.org/10.1177/2050312119852527
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author Btissame Zouini
Anis Sfendla
Meftaha Senhaji
Maria Råstam
Nóra Kerekes
author_facet Btissame Zouini
Anis Sfendla
Meftaha Senhaji
Maria Råstam
Nóra Kerekes
author_sort Btissame Zouini
collection DOAJ
description Background: Adolescence is a distinct developmental phase characterized by multiple physical and psychological changes and by an increased vulnerability to somatic and mental health problems. These risk and vulnerability factors are part of a complex biopsychosocial matrix, encompassing multiple factors, such as inherited biological determinants and psychological, societal, and cultural influences, which affect an adolescent’s overall wellbeing. In Morocco, similar to other developing countries, adolescents (young people aged from 15 to 19 years) constitute a substantial proportion of the population (almost 9%). However, studies about adolescents’ health in developing countries are scarce. In this study, we describe adolescents’ somatic health in a sample of high school students from the city of Tetouan, Morocco, and investigate how negative psychosocial factors, such as parental alcohol use problems and/or the experience of abuse, may influence them. Methods: The study sample included 655 adolescents (315 boys and 340 girls, M  = 16.64 years, range = 15–18 years) from conviniently selected classes of four high schools in the city of Tetouan in Morocco. The students responded to a survey that assessed the prevalence of somatic complaints/disorders. They also indicated whether they had ever experienced physical and/or psychological abuse and whether they had parents with alcohol use problems. Results: More than half of the adolescents suffered from headaches and one-third had substantial problems with diarrhea or constipation. Both problems were more common in female students. The third most frequent somatic problem, affecting one in four in both genders, was allergy. Almost one-third of Moroccan adolescents (significantly more boys than girls; p   =  0.004) reported no somatic complaints. In adolescents who reported parental alcohol use problems and/or experience of physical and/or psychological abuse, the prevalence of several somatic complaints (epilepsy, migraine, headache, diarrhea/constipation, gluten intolerance, allergy, and skin or thyroid disease) increased highly significantly compared to the adolescents who reported no such psychosocial environmental factors. Conclusion: The results suggest that only 3 in 10 urban-living Moroccan adolescents are free of somatic complaints, while the majority suffer from some somatic problems, most often headaches and diarrhea/constipation. The association of certain negative psychosocial factors with adolescents’ somatic health suggests the need of a holistic approach to the treatment of affected adolescents.
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spelling doaj.art-89bbaf2f32324fd0a1b051302d62e69a2022-12-21T18:13:47ZengSAGE PublishingSAGE Open Medicine2050-31212019-05-01710.1177/2050312119852527Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescentsBtissame Zouini0Anis Sfendla1Meftaha Senhaji2Maria Råstam3Nóra Kerekes4Department of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, MoroccoDepartment of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, MoroccoDepartment of Biology, Faculty of Sciences, Abdelmalek Essaadi University, Tetouan, MoroccoDepartment of Clinical Sciences, Lund University, Lund, SwedenDepartment of Health Sciences, University West, Trollhättan, SwedenBackground: Adolescence is a distinct developmental phase characterized by multiple physical and psychological changes and by an increased vulnerability to somatic and mental health problems. These risk and vulnerability factors are part of a complex biopsychosocial matrix, encompassing multiple factors, such as inherited biological determinants and psychological, societal, and cultural influences, which affect an adolescent’s overall wellbeing. In Morocco, similar to other developing countries, adolescents (young people aged from 15 to 19 years) constitute a substantial proportion of the population (almost 9%). However, studies about adolescents’ health in developing countries are scarce. In this study, we describe adolescents’ somatic health in a sample of high school students from the city of Tetouan, Morocco, and investigate how negative psychosocial factors, such as parental alcohol use problems and/or the experience of abuse, may influence them. Methods: The study sample included 655 adolescents (315 boys and 340 girls, M  = 16.64 years, range = 15–18 years) from conviniently selected classes of four high schools in the city of Tetouan in Morocco. The students responded to a survey that assessed the prevalence of somatic complaints/disorders. They also indicated whether they had ever experienced physical and/or psychological abuse and whether they had parents with alcohol use problems. Results: More than half of the adolescents suffered from headaches and one-third had substantial problems with diarrhea or constipation. Both problems were more common in female students. The third most frequent somatic problem, affecting one in four in both genders, was allergy. Almost one-third of Moroccan adolescents (significantly more boys than girls; p   =  0.004) reported no somatic complaints. In adolescents who reported parental alcohol use problems and/or experience of physical and/or psychological abuse, the prevalence of several somatic complaints (epilepsy, migraine, headache, diarrhea/constipation, gluten intolerance, allergy, and skin or thyroid disease) increased highly significantly compared to the adolescents who reported no such psychosocial environmental factors. Conclusion: The results suggest that only 3 in 10 urban-living Moroccan adolescents are free of somatic complaints, while the majority suffer from some somatic problems, most often headaches and diarrhea/constipation. The association of certain negative psychosocial factors with adolescents’ somatic health suggests the need of a holistic approach to the treatment of affected adolescents.https://doi.org/10.1177/2050312119852527
spellingShingle Btissame Zouini
Anis Sfendla
Meftaha Senhaji
Maria Råstam
Nóra Kerekes
Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
SAGE Open Medicine
title Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
title_full Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
title_fullStr Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
title_full_unstemmed Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
title_short Somatic health and its association with negative psychosocial factors in a sample of Moroccan adolescents
title_sort somatic health and its association with negative psychosocial factors in a sample of moroccan adolescents
url https://doi.org/10.1177/2050312119852527
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AT mariarastam somatichealthanditsassociationwithnegativepsychosocialfactorsinasampleofmoroccanadolescents
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