Prevalence and Determinants of Depressive Symptoms among Young Adolescents in Malaysia: A Cross-Sectional Study

作者：Sarbhan Singh, Chee Herng Lai, Nuur Hafizah Md Iderus, Sumarni Mohd Ghazali, Lonny Chen Rong Qi Ahmad, Mei Cheng Lim, Mohamad Nadzmi Md Nadzri, Asrul Anuar Zulkifli, Jeyanthi Suppiah, Rafdzah Ahmad Zaki, Nik Daliana Nik Farid, Rama Krishna Supramaniam, Awatef Amer Nordin, Zhuo Lin Chong, Kushilpal Kaur, Nur’ain Mohd Ghazali · 发表于：Children · 年份：2023 · DOI：10.3390/children10010141 · 被引用次数：25 · 研究领域：Child and Adolescent Psychosocial and Emotional Development、Early Childhood Education and Development、Maternal Mental Health During Pregnancy and Postpartum

Depression is the most common mental health problem affecting adolescents globally, wherein its increasing prevalence together with the negative health impacts escalates the need for further research in this area. This work determined the prevalence and factors associated with depressive symptoms among young adolescents in Malaysia. A total of 1350 adolescent aged 13 to 14 years in school across nine secondary schools in Selangor state, Malaysia participated in a cross-sectional study. Independent variables were examined using the using the Global School-Based Student Health Survey included age, gender, ethnicity, alcohol intake, smoking and illicit drug use, loneliness, bullying, parental marital status, income and supervision; and the Health Literacy and Stigma questionnaire examined mental health literacy levels. Depressive symptoms were the dependent variable which was examined using the Center for Epidemiology Study Depression (CESD) instrument. Prevalence of depressive symptoms among all participants was 19 % (95% CI [16.9, 21.2]), with a higher prevalence of depressive symptoms being reported among females 26.3% (95% CI [23.0, 29.8]) compared to males 11.7% (95% CI [9.4, 14.4]). Determinants namely females (AOR = 3.83; 95% CI [2.66, 5.52]), smoking (AOR = 6.16; 95% CI [3.15, 12.05]), been bullied (AOR = 3.70; 95% CI [2.51, 5.47]), felt lonely (AOR = 10.46; 95% CI [7.09, 15.42]) and having no parental supervision (AOR = 1.79; 95% CI [1.26, 2.53]) significantly increased...