Adolescent Feelings on COVID-19 Distance Learning Support: Associations With Mental Health, Social-Emotional Health, Substance Use, and Delinquency

• Published in: Journal of adolescent health 2023-05, Vol.72 (5), p.682-687
• Main Authors: Kwaning, Karen, Ullah, Ayman, Biely, Christopher, Jackson, Nicholas, Dosanjh, Kulwant K., Galvez, Arzie, Arellano, Guadalupe, Dudovitz, Rebecca
• Format: Article
• Language: English
• Subjects: Adolescent; Adolescent health; COVID-19; Education, Distance; Emotions; Health risk behavior; Humans; Mental Health; Original; Social-emotional health; Substance-Related Disorders; Youth health
• ISSN: 1054-139X; 1879-1972
• DOI: 10.1016/j.jadohealth.2022.12.005

School social support is associated with improved adolescent wellbeing. However, positive school relationships were potentially disrupted when schools transitioned to distance learning in 2020 to mitigate the spread of COVID-19. This study investigated associations among perceived distance learning school support, mental health, social-emotional wellbeing, substance use, and delinquency among low-income, public high school students. We analyzed longitudinal survey data, collected between June 2020 and June 2021, from 372 students attending five large urban public high schools. Mixed-effects regression models examined associations among changes in distance learning support and changes in mental health, social-emotional wellbeing, substance use, and delinquency, controlling for time, social-demographics, and baseline health. In this predominantly Latinx (83%) sample, within-person increases in perceived distance learning support were associated with improved mental health, increased grit, increased self-efficacy, and decreased stress. Between-person differences in distance learning support indicated that students reporting greater support had improved mental and social-emotional outcomes. Although there were no within-person associations among distance learning support and hopelessness or delinquency, students with greater distance learning support (between-person) had lower levels of hopelessness and lower odds of engaging in any delinquent behavior. There were no associations between distance learning support and 30-day substance use. School social support, even without students physically on campus, may be critical to adolescent health behaviors and social-emotional outcomes.