Assana Supat, Laohasiriwong Wongsa, Rangseekajee Poonsri
Student, Faculty of Public Health, Khon Kaen University, Thailand.
Associate Professor, Department of Public Health Administration, Nutrition and Health Promotion, and The committee of the Research and Training Centre for Enhancing the Quality of Life of Working Age People (REQW) Khon Kaen University, Thailand.
J Clin Diagn Res. 2017 Aug;11(8):VC01-VC06. doi: 10.7860/JCDR/2017/29209.10429. Epub 2017 Aug 1.
Majority of high school students in Thailand aim to study at universities. Therefore, they spend a lot of time studying in both classrooms and tutorial classes, that could cause stress, health problems and deteriorate their Quality Of Life (QOL). However, there has been no study on these issues in Thai context.
To describe the status of QOL, mental health, educational stress, well-being and determine factors associated with QOL among high school students in the Northeast of Thailand.
This cross-sectional study was conducted in the Northeast of Thailand among 1,112 students of grade 10, 11 and 12. Multistage random sampling was used to select high schools in 5 provinces. A self-administered questionnaire was used to assess QOL, educational stress, anxiety, depression and well-being. The association between the covariates was observed by using Generalized Linear Mixed (logistic regression) Model (GLMM).
The prevalence of high level of QOL was 36% (95%CI: 32.30 to 41.69); whereas, 26.18% (95% CI: 16.72 to 35.63) had high level of educational stress and 16.41% (95% CI: 2.20 to 30.71) had severe anxiety. Prevalence of depression was 18.55% (95%CI: 9.86 to 27.23) and low level of well-being was 13.41% (95% CI: 0.18 to 27.14). The factors significantly associated with high QOL were; not having depression (Adj. OR= 3.07; 95%CI: (2.23 to 4.22); p<0.001), had high level of general well-being (Adj. OR=3.19; 95% CI:1.99 to 5.09; p<0.001) and had low to moderate level of anxiety (OR=1.60; 95%CI:1.01 to 2.67).
Most of the high school students had low to moderate levels of QOL, educational stress and anxiety. Depression, anxiety and general well-being had influences on QOL of high school students.
泰国大多数高中生的目标是进入大学学习。因此，他们花费大量时间在教室和辅导班里学习，这可能会导致压力、健康问题并降低他们的生活质量（QOL）。然而，在泰国背景下尚未有关于这些问题的研究。
描述泰国东北部高中生的生活质量、心理健康、教育压力、幸福感状况，并确定与生活质量相关的因素。
这项横断面研究在泰国东北部对1112名十年级、十一年级和十二年级的学生进行。采用多阶段随机抽样的方法在5个省份选取高中。使用自填式问卷来评估生活质量、教育压力、焦虑、抑郁和幸福感。通过广义线性混合（逻辑回归）模型（GLMM）观察协变量之间的关联。
生活质量高水平的患病率为36%（95%置信区间：32.30至41.69）；而教育压力高水平的患病率为26.18%（95%置信区间：16.72至35.63），严重焦虑的患病率为16.41%（95%置信区间：2.20至30.71）。抑郁的患病率为18.55%（95%置信区间：9.86至27.23），幸福感低水平的患病率为13.41%（95%置信区间：0.18至27.14）。与高生活质量显著相关的因素有：没有抑郁（调整后比值比=3.07；95%置信区间：（2.23至4.22）；p<0.001），具有高水平的总体幸福感（调整后比值比=3.19；95%置信区间：1.99至5.09；p<0.001）以及具有低至中等水平的焦虑（比值比=1.60；95%置信区间：1.01至2.67）。
大多数高中生的生活质量、教育压力和焦虑水平处于低至中等水平。抑郁、焦虑和总体幸福感对高中生的生活质量有影响。
