中国青少年积极心理健康的流行状况及相关因素。
Prevalence and correlates of positive mental health in Chinese adolescents.
机构信息
Medical Management Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
出版信息
BMC Public Health. 2018 Feb 17;18(1):263. doi: 10.1186/s12889-018-5133-2.
BACKGROUND
Studies investigating the prevalence of positive mental health and its correlates are still scarce compared to the studies on mental disorders, although there is growing interest of assessing positive mental health in adolescents. So far, no other study examining the prevalence and determinants of positive mental health in Chinese adolescents has been found. The purpose of this study was to assess the prevalence and correlates of positive mental health in Chinese adolescents.
METHODS
This cross-sectional study used a questionnaire including Mental Health Continuum-Short Form (MHC-SF) and items regarding multiple aspects of adolescent life. The sample involved a total of 5399 students from grade 8 and 10 in Weifang, China. Multivariate Logistic regression analyses were performed to evaluate the associations between potential indicators regarding socio-economic situations, life style, social support and school life and positive mental health and calculate odds ratios and 95% confidence intervals.
RESULTS
More than half (57.4%) of the participants were diagnosed as flourishing. The correlated factors of positive mental health in regression models included gender, perceived family economy, the occurrence of sibling(s), satisfaction of self-appearance, physical activity, sleep quality, stress, social trust, desire to learn, support from teachers and parents as well as whether being bullied at school (OR ranging from 1.23 to 2.75). The Hosmer-Lemeshow p-value for the final regression model (0.45) indicated adequate model fit.
CONCLUSION
This study gives the first overview on prevalence and correlates of positive mental health in Chinese adolescents. The prevalence of positive mental health in Chinese adolescents is higher than reported in most of the previous studies also using MHC-SF. Our findings suggest that adolescents with advantageous socio-economic situations, life style, social support and school life are experiencing better positive mental health than others.
背景
与精神障碍研究相比，研究积极心理健康及其相关因素的研究仍然很少，尽管评估青少年积极心理健康的兴趣日益浓厚。到目前为止，还没有其他研究调查中国青少年积极心理健康的流行率及其决定因素。本研究旨在评估中国青少年积极心理健康的流行率及其相关因素。
方法
本横断面研究使用了一份包括心理健康连续体-短表（MHC-SF）和多个青少年生活方面项目的问卷。该样本共包括来自中国潍坊的 8 年级和 10 年级的 5399 名学生。采用多变量 logistic 回归分析评估与社会经济状况、生活方式、社会支持和学校生活相关的潜在指标与积极心理健康之间的关系，并计算比值比和 95%置信区间。
结果
超过一半（57.4%）的参与者被诊断为“蓬勃发展”。回归模型中积极心理健康的相关因素包括性别、感知家庭经济状况、兄弟姐妹的存在、对自我外表的满意度、体育活动、睡眠质量、压力、社会信任、学习欲望、来自教师和家长的支持以及是否在学校被欺负（比值比范围为 1.23-2.75）。最终回归模型的 Hosmer-Lemeshow p 值（0.45）表明模型拟合良好。
结论
本研究首次概述了中国青少年积极心理健康的流行率及其相关因素。中国青少年积极心理健康的流行率高于使用 MHC-SF 的大多数先前研究报告的流行率。我们的研究结果表明，社会经济状况、生活方式、社会支持和学校生活有利的青少年比其他人经历更好的积极心理健康。
Zotero 插件