Department of Public Health, College of health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Department of Environmental health, College of health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Clin Child Psychol Psychiatry. 2024 Jan;29(1):168-186. doi: 10.1177/13591045231209078. Epub 2023 Oct 21.
Young people are at risk of developing mental health disorders. Depression, anxiety, and behavioral problems are among the primary causes of illness and impairment among teenagers. Suicide is the fourth highest cause of mortality in those aged 15 to 29. This study aimed to assess the determinants of mental health among children in Ethiopia.
Online databases were searched from inception until March 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 was used in this review. Subgroup analysis, I test, funnel plot, and Egger's test were performed. Pooled odds ratios (OR) were calculated.
Fourteen studies were included in the meta-analysis. The pooled prevalence of mental illnesses among Ethiopian children was 24.68% (95% CI: 19.99%-32.38%). Having previous child abuse history (OR: 5.65; 95% CI: 4.32-7.39), poor socio-economic status (OR: 1.94; 95% CI: 1.24-3.04), urban residence (OR: 1.93; 95% CI:1.39-2.67), and being male (OR: 1.65; 95% CI: 1.15-2.38) were determinants of childhood mental illness in Ethiopia.
and Recommendations: Mental disorders are highly prevalent in children with a history of child abuse, and a strong legislative body must be established to prosecute child abusers. Interventions that focus on gender equality in education and the creation of a safe environment for poor urban children are suggested.
年轻人面临心理健康障碍的风险。抑郁症、焦虑症和行为问题是青少年发病和致残的主要原因之一。自杀是 15 至 29 岁人群的第四大死亡原因。本研究旨在评估埃塞俄比亚儿童心理健康的决定因素。
从创建到 2023 年 3 月，在线数据库进行了检索。本综述使用了系统评价和荟萃分析的首选报告项目 2020。进行了亚组分析、I 检验、漏斗图和 Egger 检验。计算了合并优势比（OR）。
14 项研究纳入荟萃分析。埃塞俄比亚儿童精神疾病的总患病率为 24.68%（95%CI：19.99%-32.38%）。有既往儿童虐待史（OR：5.65；95%CI：4.32-7.39）、社会经济地位差（OR：1.94；95%CI：1.24-3.04）、城市居住（OR：1.93；95%CI：1.39-2.67）和男性（OR：1.65；95%CI：1.15-2.38）是埃塞俄比亚儿童精神疾病的决定因素。
建议：有儿童虐待史的儿童精神障碍发生率较高，必须建立一个强有力的立法机构来起诉虐待儿童者。建议采取干预措施，注重教育中的性别平等，为贫困城市儿童创造一个安全的环境。
