期刊名称:Journal of Indian Association for Child and Adolescent Mental Health
电子版ISSN:0973-1342
出版年度:2018
卷号:14
期号:2
页码:50-65
出版社:Indian Association for Child and Adolescent Mental Health
摘要:Introduction: Adolescence (10-19 years age group), a crucial time for growth and development,can sometimes be accompanied by mental, physical and learning problems. Around 9.8 millionadolescents in India are in need of active intervention for mental health issues; however studiesshow that most adolescents do not access available adolescent health services.Objectives: to assess morbidity patterns including psycho-social and learning problems amongschool-going adolescents and to document their health seeking behavior.Methods: This was a cross-sectional study among adolescents studying in four high schools in arural area in Ramanagara district, South Karnataka. A face validated questionnaire was used todocument reported health and learning problems and health seeking behavior. This included theStrength and Difficulty Questionnaire (SDQ) to screen for psychosocial problems. Data wasentered in Microsoft Excel and analyzed using statistical package SPSS 16.Results: 20.71% adolescents were overweight or obese, 79.7% reported at least one healthproblem, 63% had some learning problem and 10.5% had significant risk of mental health51disorders. Individual SDQ domains revealed peer problem (47.4%), anti-social behavior (33%)and conduct problems (9.8%). For health problems, students mainly consulted a doctor (27.9%)or their teacher (26.6%). For learning problems 44.3% consulted their parents.Conclusion: Majority of students in the present study had a health or learning problem, buthealth seeking behavior was poor. While the existing adolescent health services underReproductive Maternal Neonatal Child Health+ Adolescent Programme (RMNCH+A) need to bestrengthened, by involving other stakeholders like teachers and parents as well as the adolescentsthemselves, many of the health and learning problems found in this study can be managed withsimple interventions at the school level itself.
关键词:Adolescence; Health seeking behaviour; problems; rural