Prevalence and correlates of common mental disorders among children and adolescents in Blantyre-Urban, Malawi.

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ian Matandika, Donnie Mategula, Stephen Kasenda, Yetunde Adeniyi, Adamson Muula
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引用次数: 1

Abstract

Background: The high global prevalence of mental disorders justifies the need to quantify their burden in the sub-Saharan Africa where there is a dearth of information. These mental disorders are linked to different socio-demographic factors.

Objective: To determine the prevalence of, and factors associated with mental disorders among children and adolescents in Blantyre City, Malawi.

Methods: Children and adolescents aged 6 to 17 years were interviewed to determine their socio-demographic characteristics and assess their mental health status using the Strengths and Difficulties Questionnaire (SDQ) and Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS). Associations between mental disorders and socio-demographic characteristics were tested using Chi-square and logistic regression analysis.

Results: The prevalence of symptoms of psychopathology on the SDQ was 7.3% (95%CI 4.8-10.5%) while for the K-SADS was 5.9% (95% CI 3.7%-8.9%). The prevalence of mental disorders across the age ranges of 6 to 12 years and 13 to 17 years was 5.4% and 7.9 % respectively. Males had a higher prevalence (7.1%) compared to females (4.7%). Conduct disorder was most prevalent (3.4%), followed by either type of ADHD-Attention Deficit Hyperactive Disorders (2.0%). Having a single parent (p<0.001), staying with a non-biological guardian (p<0.030), engaging in paid work (p<0.039), not attending school (p<0.019) and having teacher difficulties(p<0.028) were positively associated with a mental disorder.

Conclusion: The socio-demographic factors associated with the risk of developing mental disorders may be important targets for mental health intervention programs.

马拉维布兰太尔市儿童和青少年中常见精神障碍的患病率及其相关因素
背景:精神障碍的全球高患病率证明有必要量化其在缺乏信息的撒哈拉以南非洲地区的负担。这些精神障碍与不同的社会人口因素有关。目的:确定马拉维布兰太尔市儿童和青少年中精神障碍的患病率及其相关因素。方法:对6 ~ 17岁的儿童和青少年进行访谈,采用《情感障碍和精神分裂症儿童优势与困难问卷》(SDQ)和《儿童情感障碍与精神分裂症量表》(K-SADS)评估其社会人口学特征和心理健康状况。使用卡方和逻辑回归分析检验精神障碍与社会人口学特征之间的关联。结果:SDQ的精神病理症状患病率为7.3% (95%CI 4.8-10.5%), K-SADS的患病率为5.9% (95%CI 3.7%-8.9%)。6至12岁和13至17岁的精神障碍患病率分别为5.4%和7.9%。男性的患病率(7.1%)高于女性(4.7%)。品行障碍最为普遍(3.4%),其次是adhd -注意缺陷多动障碍(2.0%)。结论:与发生精神障碍风险相关的社会人口因素可能是心理健康干预计划的重要目标。
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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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