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Examination of Physical Pain and Anxiety Problems with School Engagement and Prosocial Behavior Participation among U.S. Adolescents

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2022, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
Study One Abstract Introduction: Chronic physical pain is a public health problem among adolescents in the United States (U.S.). The primary study objective was to examine the associations between repeated or chronic physical pain and engagement in school and participation in prosocial behaviors including participation in organized activities, community service or volunteer work, and paid work among U.S. adolescents. Methods: This secondary analysis utilized the 2018-2019 National Survey of Children’s Health combined two-year dataset, and included 24,680 adolescents ages 12-17 years. We conducted unadjusted and adjusted logistic regression analyses. Results: A total of 13.5% of adolescents had difficulty with physical pain in the past 12-months. Results indicated that adolescents with physical pain were less likely to be engaged in school compared to adolescents without physical pain. Adolescents with physical pain were less likely to participate in any organized activities, and specifically sports, compared to adolescents without physical pain. No differences were found between adolescent physical pain and participation in clubs and other organized activities, community service or volunteer work, and paid work. Discussion: The current study’s findings should be considered when developing and implementing pain prevention and treatment programming for adolescents in the clinical, school, and community settings. Study Two Abstract Introduction: Anxiety is the most prevalent mental health disorder diagnosed in U.S. adolescents. The primary objective of this study was to examine the relationships between current anxiety problems and school engagement and prosocial behavior participation among U.S. adolescents 12-17 years old. Prosocial behavior participation included: organized activities including sports, clubs or organizations, or other organized activities; community service or volunteer work; and paid work. Methods: The current study used combined two-year public use data from the 2018-2019 National Survey of Children’s Health (N=24,609). Unadjusted and adjusted logistic regression analyses were conducted. Results: A total of 12.6% of adolescents had current anxiety problems. Results indicated that adolescents with current anxiety problems were at decreased odds of being engaged in school compared to adolescents without current anxiety problems. Adolescents with current anxiety problems were at decreased odds of participating in any organized activities, and specifically sports and clubs or organizations, compared to adolescents without current anxiety problems. Adolescents with current anxiety problems were at decreased odds of participating in community service or volunteer work compared to adolescents without current anxiety problems. Unadjusted logistic regression model results indicated that adolescents with current anxiety problems were at increased odds of participating in paid work compared to adolescents without current anxiety problems, but no significant differences were found in the adjusted model. Discussion: This study found that adolescents with current anxiety problems were less likely to engage in school, participate in organized activities including sports and clubs or organizations, and participate in community service or volunteer work compared to their peers without current anxiety problems, while adjusting for important adolescent and family characteristics. Study findings should be considered when creating and implementing health promotion and education prevention programs and interventions for adolescents.
Ashley Merianos, Ph.D. (Committee Member)
Rebecca Vidourek, Ph.D. (Committee Member)
Keith King, Ph.D. (Committee Member)
100 p.

Recommended Citations

Citations

  • Gregory, K. (2022). Examination of Physical Pain and Anxiety Problems with School Engagement and Prosocial Behavior Participation among U.S. Adolescents [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1649768743037669

    APA Style (7th edition)

  • Gregory, Kayleigh. Examination of Physical Pain and Anxiety Problems with School Engagement and Prosocial Behavior Participation among U.S. Adolescents. 2022. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1649768743037669.

    MLA Style (8th edition)

  • Gregory, Kayleigh. "Examination of Physical Pain and Anxiety Problems with School Engagement and Prosocial Behavior Participation among U.S. Adolescents." Doctoral dissertation, University of Cincinnati, 2022. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1649768743037669

    Chicago Manual of Style (17th edition)