Henry Michael B, Bakeera-Kitaka Sabrina, Lubega Kizza, Snyder Sara A, LaRussa Philip, Pfeffer Betsy
Columbia University, Department of Pediatrics, College of Physicians and Surgeons, New York, USA.
Makerere University College of Health Sciences, Department of Paediatrics and Child health, Kampala, Uganda.
Afr Health Sci. 2019 Jun;19(2):1888-1896. doi: 10.4314/ahs.v19i2.12.
Adolescents experience high rates of depression, initiation of sexual activity, and substance use.
To better understand the demographics of adolescents presenting to an adolescent clinic in Uganda, and to elucidate which factors are associated with depressive symptoms, sexual initiation, and substance use.
A retrospective review was performed on intake forms obtained during interviews with adolescents presenting to the Makerere/Mulago Columbia Adolescent Health Clinic (MMCAH) in Kampala, Uganda.
Depressive symptoms in adolescents were correlated with having a chronic illness (p=.026), and reported poor quality of home life (p<.001). Initiation of sexual activity was also correlated with chronic illness (p=.008) and poor quality of home life (p=.006). Substance use was correlated with maternal death (p=.041), chronic illness (p=.038), and substance use among family members (p<.001) and friends (p<.001).
Knowing the aforementioned risk factors can help us better understand the needs of adolescents presenting to MMCAH, and allows us to develop targeted interventions aimed at decreasing health risks in Kampala's adolescent population.
青少年中抑郁症、开始性行为及物质使用的发生率较高。
为了更好地了解前往乌干达一家青少年诊所就诊的青少年的人口统计学特征，并阐明哪些因素与抑郁症状、初次性行为及物质使用有关。
对在乌干达坎帕拉的马凯雷雷/穆拉戈哥伦比亚青少年健康诊所（MMCAH）对青少年进行访谈期间获取的 intake 表格进行回顾性分析。
青少年的抑郁症状与患有慢性病（p = 0.026）以及报告的家庭生活质量差（p < 0.001）相关。开始性行为也与慢性病（p = 0.008）和家庭生活质量差（p = 0.006）相关。物质使用与母亲死亡（p = 0.041）、慢性病（p = 0.038）以及家庭成员（p < 0.001）和朋友（p < 0.001）中的物质使用相关。
了解上述风险因素有助于我们更好地理解前往 MMCAH 就诊的青少年的需求，并使我们能够制定有针对性的干预措施，以降低坎帕拉青少年人群的健康风险。
