Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Soc Psychiatry Psychiatr Epidemiol. 2011 Feb;46(2):95-100. doi: 10.1007/s00127-009-0172-8. Epub 2009 Dec 13.
The purpose of the present study was to estimate the prevalence of probable mental health problems in an epidemiologic study of Vietnamese adolescents. A secondary aim was to examine the correlates of probable mental health caseness.
Interviewers visited 1,914 households that were randomly selected to participate in a multi-agency study of mental health in select provinces of Vietnam. Semi-structured interviews assessed adolescent mental health problems using the Strengths and Difficulties Questionnaire (SDQ) parent informant version, and additionally the interviewers collected information on demographic variables (age, gender, ethnic group, religious affiliation, social capital). The final sample included data on 1,368 adolescents (aged 11-18 years).
The average score on the total problem composite of the SDQ scale was 6.66 (SD=4.89), and 9.1% of the sample was considered a case (n=124). Bivariate analyses were conducted to determine which demographic variables were related to the SDQ case/non-case score. All variables except gender were significant in bivariate analyses, and therefore were entered into a logistic regression. Results indicated that age, religion, and wealth remained significant predictors of probable caseness.
Overall, prevalence estimates of mental health problems generated by the SDQ were consistent with those reported in the US and other Western and non-Western samples. Results of the current study suggest some concordance of risk and protective factors between Western and Vietnamese youth (i.e., age and SES).
本研究旨在估计越南青少年流行病学研究中可能存在的心理健康问题的患病率。次要目的是检查可能存在心理健康问题的相关性。
访谈员访问了 1914 户随机选择参加越南部分省份心理健康多机构研究的家庭。半结构化访谈使用《长处与困难问卷》(SDQ)家长信息版本评估青少年心理健康问题,并额外收集了人口统计学变量(年龄、性别、族裔、宗教信仰、社会资本)的信息。最终样本包括 1368 名青少年(年龄 11-18 岁)的数据。
SDQ 量表总分问题复合平均值为 6.66(SD=4.89),9.1%的样本被认为是病例(n=124)。进行了单变量分析,以确定哪些人口统计学变量与 SDQ 病例/非病例评分有关。除性别外,所有变量在单变量分析中均具有统计学意义,因此被纳入逻辑回归。结果表明,年龄、宗教和财富仍然是可能发病的显著预测因素。
总体而言,SDQ 生成的心理健康问题患病率与美国和其他西方和非西方样本报告的患病率一致。本研究的结果表明,西方和越南青年的风险和保护因素存在一定的一致性(即年龄和 SES)。