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. 2024 Jul 16;(206):10.15620/cdc/156514. doi: 10.15620/cdc/156514

Perceived Social and Emotional Support Among Teenagers: United States, July 2021-December 2022.

Benjamin Zablotsky, Amanda E Ng, Lindsey I Black, Jonaki Bose, Jessica R Jones, Aaron K Maitland, Stephen J Blumberg
PMCID: PMC11513745  PMID: 39383537

Abstract

OBJECTIVE

This report uses data from the National Health Interview Survey and National Health Interview Survey-Teen to estimate the prevalence of self-reported social and emotional support among teenagers ages 12-17 years, describe differences in health and well-being outcomes by level of support received, and compare teen- and parent-reported estimates for social and emotional support overall and by selected teen and family characteristics.

METHODS

The percentage of teenagers who self-reported always or usually receiving social and emotional support by selected demographic characteristics, and potential differences in health outcomes by level of support, were estimated using data from the National Health Interview Survey-Teen collected from July 2021 through December 2022. In addition, data from the same time period from the National Health Interview Survey were used to compare parent-reported estimates of their teenager's social and emotional supports with the teenager's self-reported estimates.

RESULTS

In 2021-2022, 58.5% of teenagers reported always or usually receiving the social and emotional support they needed. Differences were seen by several demographic characteristics including sex, race and Hispanic origin, sexual or gender minority status, highest parental education level, and family income level. Teenagers who always or usually received support were less likely to report poor or fair health, anxiety or depression symptoms, very low life satisfaction, and poor sleep quality. Parents consistently reported higher perceived levels of their teenager's social and emotional support compared with the teenager's self-report.

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References

  1. Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health 2(3):223–8. 2018. doi: 10.1016/S2352-4642(18)30022-1. [DOI] [PubMed]
  2. Grant KE, Compas BE, Stuhlmacher AF, Thurm AE, McMahon SD, Halpert JA. Stressors and child and adolescent psychopathology: Moving from markers to mechanisms of risk. Psychol Bull 129(3):447–66. 2003. doi: 10.1037/0033-2909.129.3.447. [DOI] [PubMed]
  3. Helsen MJE, Vollebergh WAM, Meeus W. Social support from parents and friends and emotional problems in adolescence. J Youth Adolesc 29(3):319–35. 2000.
  4. Wight RG, Botticello AL, Aneshensel CS. Socioeconomic context, social support, and adolescent mental health: A multilevel investigation. J Youth Adolesc 35:109–20. 2006.
  5. Gecková A, van Dijk JP, Stewart R, Groothoff JW, Post D. Influence of social support on health among gender and socio‐economic groups of adolescents. Eur J Public Health 13(1):44–50. 2003. doi: 10.1093/eurpub/13.1.44. [DOI] [PubMed]
  6. Yoo C. Stress coping and mental health among adolescents: Applying a multi-dimensional stress coping model. Child Youth Serv Rev 9943–53. 2019.
  7. Labrague LJ, De Los Santos JAA, Falguera CC. Social and emotional loneliness among college students during the COVID-19 pandemic: The predictive role of coping behaviors, social support, and personal resilience. Perspect Psychiatr Care 57(4):1578–84. 2021. doi: 10.1111/ppc.12721. [DOI] [PubMed]
  8. Colarossi LG. Adolescent gender differences in social support: Structure, function, and provider type. Soc Work Res 25(4):233–41. 2001.
  9. McDonald K. Social support and mental health in LGBTQ adolescents: A review of the literature. Issues Ment Health Nurs 39(1):16–29. 2018. doi: 10.1080/01612840.2017.1398283. [DOI] [PubMed]
  10. McConnell EA, Birkett M, Mustanski B. Families matter: Social support and mental health trajectories among lesbian, gay, bisexual, and transgender youth. J Adolesc Health 59(6):674–80. 2016.PMC5217458 [DOI] [PubMed]
  11. Hoagwood K, Horwitz S, Stiffman A, Weisz J, Bean D, Rae D, et al. . Concordance between parent reports of children's mental health services and service records: The Services Assessment for Children and Adolescents (SACA). J Child Fam Stud 9(3):315–31. 2000.
  12. Williams CD, Lindsey M, Joe S. Parent–adolescent concordance on perceived need for mental health services and its impact on service use. Child Youth Serv Rev 33(11):2253–60. 2011.PMC3357129 [DOI] [PubMed]
  13. Cutrona CE. Ratings of social support by adolescents and adult informants: Degree of correspondence and prediction of depressive symptoms. J Pers Soc Psychol 57(4):723–30. 1989. doi: 10.1037//0022-3514.57.4.723. [DOI] [PubMed]
  14. National Center for Health Statistics. National Health Interview Survey: 2021 survey description. 2022.
  15. National Center for Health Statistics. National Health Interview Survey: 2022 survey description. 2023.
  16. Zablotsky B, Black LI, Ng AE, Bose J, Jones J, Maitland A, Blumberg SJ. Methodology report for the 2021–2022 National Health Interview Survey–Teen 18-month file. National Center for Health Statistics. 2023. Available from: https://www.cdc.gov/nchs/data/nhis/teen/NHIS-Teen-18m-Methodology-Report.pdf.
  17. Ingram DD, Franco SJ. NCHS urban–rural classification scheme for counties. National Center for Health Statistics. Vital Health Stat 2(154). 2014. [PubMed]
  18. National Center for Health Statistics. Multiple imputation of family income in 2021 National Health Interview Survey: Methods. 2022. Available from: https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2021/NHIS2021-imputation-techdoc-508.pdf.
  19. National Center for Health Statistics. Multiple imputation of family income in 2022 National Health Interview Survey: Methods. 2023. Available from: https://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2022/NHIS2022-imputation-techdoc-508.pdf.
  20. StataCorp LP. Stata (Release 17 SE) [computer software]. 2021.
  21. Parker JD, Talih M, Malec DJ, Beresovsky V, Carroll M, Gonzalez JF Jr, et al. . National Center for Health Statistics data presentation standards for proportions. National Center for Health Statistics. Vital Health Stat 2(175). 2017. [PubMed]
  22. Bramlett MD, Black L, Zablotsky B, Dahlhamer JM. Weighting procedures and bias assessment for the 2021–2022 National Health Interview Survey—Teen 18-month file. National Center for Health Statistics. 2023. Available from: https://www.cdc.gov/nchs/data/nhis/teen/NHIS-Teen-Weighting-18m-Report.pdf.
  23. Boersma P, Vahratian A. Perceived social and emotional support among adults: United States, July–December 2020. NCHS Data Brief, no 420. Hyattsville, MD:National Center for Health Statistics. 2021. DOI: 10.15620/cdc:110092. doi: 10.15620/cdc:110092. [DOI] [PubMed]
  24. Preston AJ, Rew L. Connectedness, self-esteem, and prosocial behaviors protect adolescent mental health following social isolation: A systematic review. Issues Ment Health Nurs 43(1):32–41. 2022. doi: 10.1080/01612840.2021.1948642. [DOI] [PubMed]
  25. Hall-Lande JA, Eisenberg ME, Christenson SL, Neumark-Sztainer D. Social isolation, psychological health, and protective factors in adolescence. Adolescence 42(166):265–86. 2007. [PubMed]
  26. Kent de Grey RG, Uchino BN, Trettevik R, Cronan S, Hogan JN. Social support and sleep: A meta-analysis. Health Psychol 37(8):787–98. 2018. doi: 10.1037/hea0000628. [DOI] [PubMed]
  27. Mann F, Wang J, Pearce E, Ma R, Schlief M, Lloyd-Evans B, et al. . Loneliness and the onset of new mental health problems in the general population. Soc Psychiatry Psychiatr Epidemiol 57(11):2161–78. 2022.PMC9636084 [DOI] [PubMed]
  28. Almeida ILL, Rego JF, Teixeira ACG, Moreira MR. Social isolation and its impact on child and adolescent development: A systematic review. Rev Paul Pediatr 40:e2020385. 2021.PMC8543788 [DOI] [PubMed]
  29. Kannan VD, Veazie PJ. US trends in social isolation, social engagement, and companionship—nationally and by age, sex, race/ethnicity, family income, and work hours, 2003–2020. SSM Popul Health 21:101331. 2023.PMC9811250 [DOI] [PubMed]
  30. Office of the Surgeon General. Our epidemic of loneliness and isolation: The U.S. Surgeon General’s advisory on the healing effects of social connection and community. 2023. [PubMed]
  31. Rickwood DJ, Coleman-Rose CL. The effect of survey administration mode on youth mental health measures: Social desirability bias and sensitive questions. Heliyon 9(9):e20131. 2023.PMC10559918 [DOI] [PubMed]
  32. Rizzo VM, Kirkland KA. Adolescent reactions to parental cancer: Strategies for providing support. Prev Res 12(4):10–2. 2005.
  33. Kroenke K, Spitzer RL, Williams JBW, Monahan PO, Löwe B. Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Ann Intern Med 146(5):317–25. 2007. doi: 10.7326/0003-4819-146-5-200703060-00004. [DOI] [PubMed]
  34. Kroenke K, Spitzer RL, Williams JBW. The Patient Health Questionnaire-2: Validity of a two-item depression screener. Med Care 41(11):1284–92. 2003. doi: 10.1097/01.MLR.0000093487.78664.3C. [DOI] [PubMed]
  35. The Organisation for Economic Co-operation and Development. How’s life? 2020: Measuring well-being. 5th ed. 2020. DOI: 10.1787/9870c393-en. doi: 10.1787/9870c393-en. [DOI]

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