Khazaie Habibolah, Najafi Farid, Hamzeh Behrooz, Chehri Azita, Rahimi-Movaghar Afarin, Amin-Esmaeili Masoumeh, Moradi-Nazar Mehdi, Khazaie Sepideh, Zakiei Ali, Kamasi Saeed, Pasdar Yahya
Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Indian J Psychiatry. 2021 Sep-Oct;63(5):424-432. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1156_20. Epub 2021 Oct 12.
The objectives of the study were (i) cluster analysis of risky behaviors; (ii) determining correlates; and (iii) comparing clusters with regard to the attitude toward mental health help seeking.
The current cross-sectional study is a part of the first phase of the Persian Youth Cohort. From October 2014 to January 2017, 2990 individuals from Ravansar City in western Iran completed structured interviews and national and international standard questionnaires. The obtained data were analyzed using two-stage cluster analysis, multinomial logistic regression analysis, and Chi-square test.
This model provided three distinct clusters: (i) low-risk group with mild distress, (ii) high-risk group with high distress, and (iii) violent group with medium distress. Some sociodemographic and lifetime psychiatric disorders were the correlates of unhealthy clusters ( < 0.05). Compared to the reference cluster, a higher number of members in unhealthy clusters were suffering from medium to severe disability. Nevertheless, the participants in these clusters were less inclined to mental health help seeking.
More than half of the youth were suffering from suicidal and violent behaviors. Since high-risk participants are less inclined to mental health help seeking, the health policymakers can successfully utilize the results in planning general health programs.
本研究的目标为：（i）对危险行为进行聚类分析；（ii）确定相关因素；（iii）比较各聚类在寻求心理健康帮助态度方面的差异。
当前的横断面研究是波斯青年队列第一阶段的一部分。2014年10月至2017年1月，来自伊朗西部拉万萨尔市的2990人完成了结构化访谈以及国家和国际标准问卷。所获数据采用两阶段聚类分析、多项逻辑回归分析和卡方检验进行分析。
该模型产生了三个不同的聚类：（i）轻度困扰的低风险组；（ii）高度困扰的高风险组；（iii）中度困扰的暴力组。一些社会人口统计学和终生性精神障碍是不健康聚类的相关因素（<0.05）。与参照聚类相比，不健康聚类中有更多成员患有中度至重度残疾。然而，这些聚类中的参与者寻求心理健康帮助的意愿较低。
超过半数的青少年存在自杀和暴力行为。鉴于高风险参与者寻求心理健康帮助的意愿较低，卫生政策制定者可在规划一般健康项目时成功运用本研究结果。
