Depressive Symptoms, Emergency Care, and School Climate: An Ecological Analysis of Linked Administrative and Survey Data in New York City

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2025-05-01 DOI:10.1111/josh.70014

Sophia D. Arabadjis, Kira L. Argenio, Sophia E. Day, Kevin Konty, Stuart H. Sweeney

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引用次数: 0

Abstract

Background

As rates of depression and anxiety continue to rise, prevention, and treatment of poor mental health in adolescents is a major challenge for population health. Within the US context, a growing body of literature is examining the relationship between school climate and student mental health.

Methods

We extend the notion of school climate and mesosystem effects by creating an emergency department visit intensity, a novel indirect summary measure related to both the prevalence of depressive symptoms and district policy/resources. The intensity measure is linked to 3 years of the New York City Youth Risk Behavior Survey (2015, 2017, 2019), and we test the intensity measure in three models sequentially constructed from individual-, school-, and district-level covariates across survey years with district-level fixed effects.

Results

We find strong evidence for a relationship between the prevalence of self-reported depressive symptoms and individual and school climate indicators across all years, and document large differences in the prevalence of depressive symptoms and ED utilization by sex.

Implications for School Health Policy, Practice, and Equity

Within the US context, adolescents spend much of their days in a school environment; our findings suggest that interventions could focus on female adolescents' experiences as well as the school (and district) to improve school climate and depressive symptoms indirectly.

Abstract Image

查看原文本刊更多论文

抑郁症状、急救护理和学校气氛：纽约市相关行政和调查数据的生态分析。

背景：随着抑郁和焦虑率的持续上升，青少年心理健康不良的预防和治疗是人口健康面临的主要挑战。在美国，越来越多的文献正在研究学校氛围和学生心理健康之间的关系。方法：我们通过创建急诊科访问强度来扩展学校气候和中系统效应的概念，急诊科访问强度是一种与抑郁症状的患病率和地区政策/资源相关的新型间接汇总测量。强度测量与3年的纽约市青少年风险行为调查（2015年、2017年、2019年）相关联，我们在三个模型中测试了强度测量，这些模型依次由个人、学校和地区层面的协变量构建，具有地区层面的固定效应。结果：我们发现了强有力的证据，证明在所有年份中，自我报告的抑郁症状的患病率与个人和学校气候指标之间存在关系，并记录了抑郁症状的患病率和ED的使用在性别上的巨大差异。对学校卫生政策、实践和公平的影响：在美国，青少年大部分时间都在学校环境中度过；我们的研究结果表明，干预可以从女性青少年的经历以及学校（和地区）的角度来间接改善学校气氛和抑郁症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.