不列颠哥伦比亚省青少年心理健康趋势及校本保护因素（2015-2022）：一项基于人群的研究

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-05-15 DOI:10.1016/j.socscimed.2025.118201

Eva Oberle , Xuejun Ryan Ji , Tonje Molyneux , Martin Guhn , Barry Forer , Kimberly Thomson , Maram Alkawaja , Anusha Kassan , Anne Gadermann

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引用次数: 0

摘要

青少年的心理健康状况在过去十年中有所下降。许多研究依赖于行政数据，而结合青年声音和探索心理健康保护因素的以人口为基础的研究很少。这项研究调查了2015年至2022年加拿大不列颠哥伦比亚省青少年心理健康的趋势。我们研究了这些趋势的性别差异、学校中保护因素的作用以及保护因素对心理健康的相对重要性。方法选取实施《中学发展量表》（MDI） 8年（2015-2022年）的7年级学生(N = 69,391；（49%是女孩）。积极的（对生活的满意）；随着时间的推移，使用重复横断面设计检查SWL)和阴性（抑郁症状）心理健康指标。分析按性别分层。0-3个保护因素（学校成人支持、同伴归属感、学校连通性）和社会经济地位的存在为协变量。结果在整个研究期间和大部分相邻的研究年份，swl显著下降，抑郁症状显著增加。女孩的幸福感明显低于男孩，而且下降幅度更大。对于那些在所有保护性因素上得分较高的学生来说，幸福感的下降有所减弱，但并未完全消除，性别差距也有所缩小。结论：幸福感的下降和我们研究中发现的可改变的保护因素的保护性质突出了可以与学区合作实施的人口层面心理健康战略的必要性。

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Mental well-being trends and school-based protective factors among adolescents in British Columbia (2015–2022): A population-based study

Background

Adolescent mental well-being has declined in the past decade. Much research relies on administrative data and population-based research incorporating youth voices and exploring protective factors for mental well-being is scarce. This study examined trends in adolescent mental well-being from 2015 to 2022 in British Columbia (BC), Canada. We examined sex differences in the trends, the role of protective factors in school, and the relative importance of protective factors for mental well-being.

Methods

We drew from self-report data from eight years of implementation (2015–2022) of the Middle Years Development Instrument (MDI) with grade 7 students (N = 69,391; 49 % girls) in schools. Positive (satisfaction with life; SWL) and negative (depressive symptoms) mental well-being indicators were examined over time using a repeated cross-sectional design. Analyses were stratified by sex. The presence of 0–3 protective factors (adult support at school, peer belonging, school connectedness) and SES were covariates.

Results

SWL significantly declined and depressive symptoms significantly increased across the study period and for most adjacent study years. Girls had significantly lower well-being and a steeper decline than boys. For the subset of students who scored high on all protective factors, the decline in well-being was attenuated but not eliminated and the sex gap was reduced.

Conclusions

The decline in well-being and the protective nature of modifiable protective factors identified in our study highlight the need for population-level mental health strategies that can be implemented in partnership with school districts.

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来源期刊

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.