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Identifying the optimal predictors for adolescent mental and physical health using machine learning methods.
Yadi Sun1, Ying Lin2, Henry C Y Ho1
1The Education University of Hong Kong, Hong Kong, China.
Journal of Affective Disorders
|December 26, 2025
Summary
Adolescent mental and physical health are influenced by emotional and social capital. Interventions should consider cultural specifics for effective adolescent health strategies.
Area of Science:
- Adolescent Health
- Mental Health
- Physical Health
- Cross-cultural Psychology
- Machine Learning Applications
Background:
- Adolescent health is a global concern, with prior research often focusing narrowly on limited predictor domains for mental and physical health issues.
- Existing studies frequently examine single or few predictor domains, potentially overlooking the complex interplay of factors influencing adolescent well-being.
Purpose of the Study:
- To identify optimal predictors for adolescent mental and physical health using advanced analytical techniques.
- To examine the influence of a comprehensive set of 46 predictors across nine domains on adolescent health outcomes.
- To compare predictor importance across different cultural contexts, specifically Hong Kong and the Netherlands.
Main Methods:
- Utilized multiple machine learning algorithms to analyze a large dataset of adolescent health indicators.
- Employed data from the Programme for International Student Assessment (PISA), 2022, encompassing adolescents from Hong Kong and the Netherlands.
- Evaluated the predictive power of 46 variables across nine domains for mental and physical health.
Main Results:
- Emotional and social capital domains emerged as the most significant predictors for adolescent mental and physical health in both studied societies.
- Identified culturally nuanced patterns: environmental domain critical in Hong Kong, physical domain critical in the Netherlands.
- Demonstrated that predictive models trained on data from one society performed less effectively on data from another, highlighting cultural specificity.
Conclusions:
- Interventions focusing on enhancing emotional and social capital show promise for improving adolescent mental and physical health.
- Emphasized the necessity of culturally tailored strategies for interventions, acknowledging both overlapping patterns and unique societal influences.
- Recommended a nuanced approach to adolescent health interventions that respects cultural diversity while leveraging common predictive factors.
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