Limited number of studies examined the relationship between factors (lifestyle, social, emotional, cognitive) affecting adolescents’ health and well-being. The aims of this study were to identify the more important variables of the different components affecting adolescents’ health [lifestyle habits (LH); emotional status (ES); social context (SC); and cognitive abilities (CA)], and explore the relationship between the aforementioned components. Data were collected between 2017 and 2018 from 756 eligible students, recruited from 5 Italian junior high school, by using KIDSCREEN-52 and cognitive processing using the Stroop Test. School engagement was estimated through questions concerning the scholastic achievement. Of 756 adolescents, 395 were boys with a mean (SD) age of 12.19 (0.81) years. Compared to International T-value of reference group for KIDSCREEN-52, autonomy, bullying, psychological well-being and mood were lower than the reference groups, while self-perception score was higher. For LH, the most important predictor was autonomy (p < .0001). The most important aspects in the SC were the relationship with the parents (p < .0001), and the adolescent’s relationships with peers (p < .0001). For ES, mood variables had the greatest contribution (p < .0001). The School performance related to Language & Literature (p < .0001) was the most important predictor in the CA latent variable. LH was positively associated with SC (p < .0001), ES (p < .0001), and CA (p < .0001). SC was positively associated with ES (p < .0001) and with CA (p < .0001). This study suggests the importance of an integrated approach to characterize adolescents’ health and well-being. The approach suggested here may highlight additive synergistic effects of the various components in health and well-being assessment that may not be considered with a late approach and focused only on single factors.

中文翻译：

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青少年健康和福祉的一种新的综合方法：AVATAR项目。

数量有限的研究检查了影响青少年健康和幸福的因素（生活方式，社会，情感，认知）之间的关系。这项研究的目的是确定影响青少年健康的不同组成部分的更重要变量[生活方式习惯（LH）；情绪状态（ES）；社会情境（SC）; 和认知能力（CA）]，并探讨上述成分之间的关​​系。使用KIDSCREEN-52并使用Stroop测验对2017年至2018年之间从5所意大利初中招募的756名合格学生进行了数据收集。通过有关学业成就的问题来估计学校的参与程度。在756名青少年中，有395名男孩的平均（SD）年龄为12.19（0.81）岁。与KIDSCREEN-52参照组的国际T值相比，自主性，欺凌，心理健康和情绪均低于参照组，而自我感知得分较高。对于LH，最重要的预测因子是自主性（p <.0001）。在SC中最重要的方面是与父母的关系（p <.0001），以及青少年与同龄人的关系（p <.0001）。对于ES，情绪变量的贡献最大（p <.0001）。在CA潜变量中，与语言和文学相关的学校成绩（p <.0001）是最重要的预测指标。LH与SC（p <.0001），ES（p <.0001）和CA（p <.0001）正相关。SC与ES（p <.0001）和CA（p <.0001）正相关。这项研究表明，采用综合方法来表征青少年的健康和幸福非常重要。此处建议的方法可能会突出健康和福祉评估中各个组成部分的累加协同效应，而后期的方法可能不会考虑这些效应，而仅关注单个因素。