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Almuqbil M, Rabbani SI, Gilkaramenthi R, Aljawadi M, Alsanie WF, Alamri AS, Alhomrani M, Alrouwaijeh S, Alshammary AF, Imran M, Asdaq SMB. Non-communicable diseases in Saudi adolescents: prevalence, risk factors, and implications for public health. Front Public Health 2025; 13:1542339. [PMID: 39980930 PMCID: PMC11839444 DOI: 10.3389/fpubh.2025.1542339] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2024] [Accepted: 01/27/2025] [Indexed: 02/22/2025] Open
Abstract
Objectives This study aimed to assess the prevalence of non-communicable diseases (NCDs) among Saudi adolescents, focusing on obesity, conduct disorder, asthma, and anxiety, and to identify potential risk factors associated with these conditions. Methods A retrospective cross-sectional analysis was conducted using data from 2,160 adolescents sourced from official government databases and peer-reviewed literature. Statistical methods included one-way ANOVA, chi-square tests, logistic regression, and Pearson's correlation coefficient, with significance set at p < 0.05 and a 95% confidence interval. Results The prevalence of NCDs among Saudi adolescents was 11.8%. Obesity was the most common condition (odds ratio [OR] = 1.24, p = 0.006), followed by conduct disorder (OR = 1.12, p = 0.041), asthma (OR = 1.09, p = 0.036), and anxiety (OR = 1.06, p = 0.042). Pearson's correlation revealed significant associations between these disorders and adolescence stages. Conclusion Obesity, conduct disorder, asthma, and anxiety are significant health challenges for Saudi adolescents. These findings highlight the role of lifestyle factors such as diet and physical inactivity. Targeted interventions are needed to promote healthy behaviors and mitigate the long-term risks of these conditions.
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Affiliation(s)
- Mansour Almuqbil
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Syed Imam Rabbani
- Department of Pharmacology and Toxicology, College of Pharmacy, Qassim University, Buraydah, Saudi Arabia
| | - Rafiulla Gilkaramenthi
- Department of Emergency Medical Services, College of Applied Sciences, AlMaarefa University, Riyadh, Saudi Arabia
| | - Mohammad Aljawadi
- Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Walaa F. Alsanie
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
- Research Center for Health Sciences, Deanship of Graduate Studies and Scientific Research, Taif University, Taif, Saudi Arabia
| | - Abdulhakeem S. Alamri
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
- Research Center for Health Sciences, Deanship of Graduate Studies and Scientific Research, Taif University, Taif, Saudi Arabia
| | - Majid Alhomrani
- Department of Clinical Laboratory Sciences, The Faculty of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
- Research Center for Health Sciences, Deanship of Graduate Studies and Scientific Research, Taif University, Taif, Saudi Arabia
| | - Sara Alrouwaijeh
- Corporate of Pharmacy Services, King Saud University Medical City, Riyadh, Saudi Arabia
| | - Amal F. Alshammary
- Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia
| | - Mohd Imran
- Department of Pharmaceutical Chemistry, College of Pharmacy, Northern Border University, Rafha, Saudi Arabia
| | - Syed Mohammed Basheeruddin Asdaq
- Department of Pharmacy Practice, College of Pharmacy, AlMaarefa University, Riyadh, Saudi Arabia
- Research Center, Deanship of Scientific Research and Post-Graduate Studies, AlMaarefa University, Riyadh, Saudi Arabia
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Field NH, Nick EA, Massing-Schaffer M, Fox KA, Nesi J, Prinstein MJ. High and low levels of adolescent peer status are associated longitudinally with socioevaluative concern. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2024; 34:114-126. [PMID: 38012779 PMCID: PMC10922244 DOI: 10.1111/jora.12904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 11/01/2023] [Accepted: 11/03/2023] [Indexed: 11/29/2023]
Abstract
This study examined linear and curvilinear longitudinal associations between peer status (i.e., likeability and popularity) and socioevaluative concern, a socio-cognitive feature characterized by attunement to judgment from peers. A sample of 716 adolescents (Mage = 16.01, SD = 1.25; 54% female; 46.5% White; 69.5% reduced-price lunch) was assessed twice annually. Likeability and popularity were assessed with peer nominations at Time 1. Measures of general (rejection sensitivity, peer importance) and online (digital status seeking, online status importance) socioevaluative concern were obtained at Times 1 and 2. High and low levels of likeability were longitudinally associated with increased peer importance, while high and low levels of popularity were associated with increased digital status seeking, and decreased online status importance for girls.
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Affiliation(s)
- Nathan H. Field
- Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill, 235 E. Cameron Avenue, Chapel Hill, NC 27599
| | - Elizabeth A. Nick
- Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill, 235 E. Cameron Avenue, Chapel Hill, NC 27599
| | - Maya Massing-Schaffer
- Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, 222 Richmond Street, Providence, RI, 02903
| | - Kara A. Fox
- Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill, 235 E. Cameron Avenue, Chapel Hill, NC 27599
| | - Jacqueline Nesi
- Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, 222 Richmond Street, Providence, RI, 02903
| | - Mitchell J. Prinstein
- Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill, 235 E. Cameron Avenue, Chapel Hill, NC 27599
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Chen J, Liang Y, Xiong Y, Li S, Li T, Ren P. Joint Developmental Trajectories of Likability and Popularity: Associations with Social Behavior among Chinese Adolescents. J Youth Adolesc 2023; 52:866-879. [PMID: 36719627 DOI: 10.1007/s10964-023-01736-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 01/13/2023] [Indexed: 02/01/2023]
Abstract
The beginning of secondary school is a critical time point of adolescents' development as they entered a new peer context in which social status was re-established. As the key indicators of social status, likability and popularity co-occur but also display distinct developmental trajectories over time. Nevertheless, little is known about the joint developmental trajectories of likability and popularity among adolescents and how identified trajectories are associated with important social behavior. The current study examined the joint developmental trajectories of likability and popularity among Chinese adolescents and their associations with social behavior (prosocial behavior, aggression, and peer victimization) over time. A total of 1509 Chinese 7th grade students (53.6% male, Mage = 13.1, SD = 0.67) participated in self-report and peer nomination assessments on three occasions at 6-month intervals. Parallel process latent growth mixture models revealed four distinct trajectories of likability and popularity: social status decreasing, average, high social status, and social status increasing. The high social status group showed the highest levels of prosocial behavior, the lowest levels of peer victimization, and higher aggression than the average group. The social status decreasing group and social status increasing group exhibited the lower prosocial behavior as well as the higher aggression and peer victimization compared to the average group over time. The findings highlight the co-occurrence but diversity of developmental patterns of likability and popularity in adolescence.
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Affiliation(s)
- Jiahui Chen
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Yiting Liang
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Yuke Xiong
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Simeng Li
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Tian Li
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Ping Ren
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China.
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Malamut ST, Dawes M, Lansu TAM, van den Berg Y, Cillessen AHN. Differences in Aggression and Alcohol Use among Youth with Varying Levels of Victimization and Popularity Status. J Youth Adolesc 2022; 51:1914-1925. [PMID: 35776230 PMCID: PMC9363477 DOI: 10.1007/s10964-022-01649-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 06/16/2022] [Indexed: 11/25/2022]
Abstract
Awareness that high-status adolescents can be targets of aggression has grown in recent years. However, questions remain about the associations of the confluence of victimization and popularity with adjustment. The current study fills this gap by examining the joint and unique effects of victimization and popularity on aggression and alcohol use. Participants were 804 Dutch adolescents (50.2% boys, Mage = 13.65) who were followed for one year. High-status victims were more aggressive and drank more alcohol than lower-status victims. High-status victims were also more proactively and indirectly aggressive and self-reported more bullying than high-status non-victims. Thus, the findings demonstrated a conjoined risk of victimization and popularity for some types of aggression.
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Affiliation(s)
- Sarah T Malamut
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands. .,INVEST Research Flagship Center/Psychology, University of Turku, Turku, Finland.
| | - Molly Dawes
- College of Education, University of South Carolina, Columbia, SC, USA
| | - Tessa A M Lansu
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands
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Xiong Y, Wei Y, Wang Y, Zhang H, Yang L, Ren P. Self-harm and Aggression in Chinese Early Adolescents: Their Co-occurrence and the Role of Bullying Victimization. J Youth Adolesc 2022; 51:2008-2017. [PMID: 35503194 DOI: 10.1007/s10964-022-01620-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Accepted: 04/13/2022] [Indexed: 10/18/2022]
Abstract
Self-harm and aggression increase markedly during early adolescence. However, few studies considered these harmful behaviors simultaneously. This study employed a person-centered approach to identify profiles of adolescents who differed in their patterns of self-harm, reactive aggression, and proactive aggression, examined the stability of these patterns, and explored the effect of bullying victimization on latent profile membership and transition. A total of 2463 early adolescents (48.8% girls, Mage = 13.93 ± 0.59) participated in two waves of the study over six months. The results indicated that low symptoms profile (80.4%), moderate aggression profile (14.2%), high aggression profile (3.0%), and high self-harm profile (2.4%) were identified at time 1, and low symptoms profile (82.1%), dual-harm profile (7.6%), high aggression profile (7.7%), and high self-harm profile (2.6%) were identified at time 2. Adolescents assigned to at-risk profiles showed moderate to high transition, suggesting the developmental heterogeneity of self-harm and aggression. Moreover, adolescents high in bullying victimization were more likely to belong or transition to at-risk profiles. The findings revealed the co-occurring and transitional nature of self-harm and aggression and the transdiagnostic role of bullying victimization, which can be used to guide prevention and intervention strategies.
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Affiliation(s)
- Yuke Xiong
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Yi Wei
- China National Children's Center, 43 Pinganlixi Street, Beijing, 100035, China
| | - Yue Wang
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Hang Zhang
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Liu Yang
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China
| | - Ping Ren
- Collaborative Innovation Center of Assessment toward Basic Education Quality, Beijing Normal University, No. 19 Xinjiekouwai Street, Beijing, 100875, China.
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Bruine M, Denissen JJA, Giletta M. Disentangling the effects of peer status and peer victimization on perceived physical health in adolescence. J Adolesc 2022; 94:435-447. [DOI: 10.1002/jad.12038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 02/10/2022] [Indexed: 11/06/2022]
Affiliation(s)
- Marieke Bruine
- Department Developmental Psychology Tilburg University Tilburg The Netherlands
| | - Jaap J. A. Denissen
- Department of Developmental Psychology Utrecht University Utrecht The Netherlands
| | - Matteo Giletta
- Department Developmental Psychology Tilburg University Tilburg The Netherlands
- Department of Developmental, Personality and Social Psychology Ghent University Ghent Belgium
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Salmivalli C, Laninga‐Wijnen L, Malamut ST, Garandeau CF. Bullying Prevention in Adolescence: Solutions and New Challenges from the Past Decade. JOURNAL OF RESEARCH ON ADOLESCENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR RESEARCH ON ADOLESCENCE 2021; 31:1023-1046. [PMID: 34820956 PMCID: PMC9271952 DOI: 10.1111/jora.12688] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Bullying among youth at school continues to be a global challenge. Being exposed to bullying may be especially hurtful in adolescence, a vulnerable period during which both peer group belonging and status become key concerns. In the current review, we first summarize the effectiveness of the solutions that were offered a decade ago in the form of anti-bullying programs. We proceed by highlighting some intriguing challenges concomitant to, or emerging from these solutions, focusing especially on their relevance during adolescence. These challenges are related to (1) the relatively weak, and highly variable effects of anti-bullying programs, (2) the complex associations among bullying, victimization, and social status, (3) the questions raised regarding the beneficial (or possibly iatrogenic) effects of peer defending, and (4) the healthy context paradox, that is, the phenomenon of remaining or emerging victims being worse off in contexts where the average levels of victimization decrease. We end by providing some suggestions for the next decade of research in the area of bullying prevention among adolescents.
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Malamut ST, Dawes M, van den Berg Y, Lansu TAM, Schwartz D, Cillessen AHN. Adolescent Victim Types Across the Popularity Status Hierarchy: Differences in Internalizing Symptoms. J Youth Adolesc 2021; 50:2444-2455. [PMID: 34585323 PMCID: PMC8580928 DOI: 10.1007/s10964-021-01498-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Accepted: 09/05/2021] [Indexed: 11/26/2022]
Abstract
Previous studies have called attention to the fact that popular youth are not immune to peer victimization, suggesting there is heterogeneity in the popularity of victims. Yet, no study to date has determined whether victims with different levels of popularity status can be identified using person-oriented analysis. Such analysis is critically needed to confirm the existence of popular victims. Further, there remains a paucity of research on internalizing indices of such popular victims, especially compared to other victim and non-victim groups. To address this gap in the research literature, the current study used latent profile analysis to identify subgroups of victims based on victimization (self- and peer-report) and popularity (peer-report). This study sought to verify the existence of popular victims and to compare victim subgroups on loneliness and self-esteem. Participants were 804 Dutch adolescents (50.2% boys, Mage = 13.65 years, ranging from 11.29 to 16.75 years). The results revealed six subgroups, including a group of popular self-identified victims. Popular self-identified victims were generally less lonely than other victims, but had higher loneliness and lower self-esteem than non-victims. Implications are discussed for understanding the victimization experiences of high-status youth.
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Affiliation(s)
- Sarah T Malamut
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.
- INVEST Research Flagship Center/Psychology, University of Turku, Turku, Finland.
| | - Molly Dawes
- College of Education, University of South Carolina, Columbia, SC, USA
| | | | - Tessa A M Lansu
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands
| | - David Schwartz
- Department of Psychology, University of Southern California, Los Angeles, CA, USA
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Malamut ST, Trach J, Garandeau CF, Salmivalli C. Examining the Potential Mental Health Costs of Defending Victims of Bullying: a Longitudinal Analysis. Res Child Adolesc Psychopathol 2021; 49:1197-1210. [PMID: 33855687 PMCID: PMC8321977 DOI: 10.1007/s10802-021-00822-z] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2021] [Indexed: 12/02/2022]
Abstract
It has been speculated that defending victims of bullying is stressful for youth, and may contribute to poor mental health among those who regularly intervene to defend their victimized peers. However, the extant literature is thus far primarily limited to correlational, single-informant studies. The current study examined the concurrent and prospective mental health costs (e.g., social anxiety, depressive symptoms) of peer-reported defending among 4085 youth (43.9% boys; Mage = 14.56, SD = 0.75). Moreover, we examined two potential moderators (victimization and popularity) of the association between defending and internalizing problems. Analyses revealed that there was no evidence of a direct, positive relationship between defending and internalizing symptoms. However, a positive, concurrent association was found between defending and social anxiety, but only among youth who reported that they were also victims - the association was negative among non-victimized youth. In addition, both peer-reported victimization and social status were found to moderate the longitudinal relationship between defending and later symptoms of depression. Specifically, among low-status highly victimized youth, defending was associated with an increased risk of experiencing symptoms of depression, whereas high-status youth who were rarely seen as victims reported decreased symptoms of depression at T2 if they also had a reputation for defending others. The findings suggest that defending others is likely not a risk factor for youth who are not already vulnerable and/or have the protection of high status, and may actually have a protective effect for these youth.
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Affiliation(s)
- Sarah T Malamut
- Department of Psychology, INVEST Research Flagship, University of Turku, Turku, Finland.
- Behavioural Science Institute, Radboud University, Nijmegen, Netherlands.
| | - Jessica Trach
- Department of Psychology, INVEST Research Flagship, University of Turku, Turku, Finland
| | - Claire F Garandeau
- Department of Psychology, INVEST Research Flagship, University of Turku, Turku, Finland
| | - Christina Salmivalli
- Department of Psychology, INVEST Research Flagship, University of Turku, Turku, Finland
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Bidirectional Associations between Popularity, Popularity Goal, and Aggression, Alcohol Use and Prosocial Behaviors in Adolescence: A 3-Year Prospective Longitudinal Study. J Youth Adolesc 2020; 50:298-313. [PMID: 32865706 PMCID: PMC7875842 DOI: 10.1007/s10964-020-01308-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Accepted: 08/18/2020] [Indexed: 10/28/2022]
Abstract
Adolescents' popularity and popularity goal have been shown to be related to their aggression and alcohol use. As intervention efforts increasingly aim to focus on prosocial alternatives for youth to gain status, it is essential to have a comprehensive understanding of how popularity and popularity goal are associated with aggression and substance use as well as prosocial behaviors over time. The current study examined the bidirectional associations of aggression (overt and relational aggression), alcohol use, and prosocial behavior with popularity and popularity goal in adolescence across 3 years using cross-lagged panel analyses. Participants were 839 Dutch adolescents (Mage = 13.36, SD = 0.98; 51.3% girls). The results indicated that popularity was consistently positively associated with popularity goal, but popularity goal did not significantly predict subsequent popularity. Popularity positively predicted elevated aggression and alcohol use, but lower levels of prosocial behavior. For the full sample, alcohol use and overt aggression in grade 7 both predicted subsequent popularity in grade 8. However, when considering gender differences, overt aggression no longer was a significant predictor of popularity. These results were discussed in terms of the dynamic interplay between popularity, popularity goal, and behaviors, and in terms of implications for prevention and intervention efforts.
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