美国高校中的心理健康:学生亚群体及各校园之间的差异

Mental health in American colleges and universities: variation across student subgroups and across campuses.

作者信息

Eisenberg Daniel, Hunt Justin, Speer Nicole

机构信息

Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI 48109-2029, USA.

出版信息

J Nerv Ment Dis. 2013 Jan;201(1):60-7. doi: 10.1097/NMD.0b013e31827ab077.

Abstract

We estimated the prevalence and correlates of mental health problems among college students in the United States. In 2007 and 2009, we administered online surveys with brief mental health screens to random samples of students at 26 campuses nationwide. We used sample probability weights to adjust for survey nonresponse. A total of 14,175 students completed the survey, corresponding to a 44% participation rate. The prevalence of positive screens was 17.3% for depression, 4.1% for panic disorder, 7.0% for generalized anxiety, 6.3% for suicidal ideation, and 15.3% for nonsuicidal self-injury. Mental health problems were significantly associated with sex, race/ethnicity, religiosity, relationship status, living on campus, and financial situation. The prevalence of conditions varied substantially across the campuses, although campus-level variation was still a small proportion of overall variation in student mental health. The findings offer a starting point for identifying individual and contextual factors that may be useful to target in intervention strategies.

摘要

我们估算了美国大学生心理健康问题的患病率及其相关因素。在2007年和2009年,我们对全国26所大学校园的学生随机样本进行了包含简短心理健康筛查的在线调查。我们使用样本概率权重来调整调查无应答情况。共有14175名学生完成了调查,对应参与率为44%。抑郁筛查呈阳性的患病率为17.3%,恐慌症为4.1%,广泛性焦虑为7.0%,自杀意念为6.3%,非自杀性自伤为15.3%。心理健康问题与性别、种族/族裔、宗教信仰、恋爱状况、住校情况和经济状况显著相关。尽管校园层面的差异在学生心理健康的总体差异中仍占较小比例,但各校园的疾病患病率差异很大。这些发现为识别可能有助于干预策略靶向的个体和背景因素提供了一个起点。

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