Olowe Atinuke O, Tshabalala Amme M, Bruce Judith C
Department of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Department of Nursing Science, Faculty of Clinical Sciences, University of Lagos, Lagos.
Afr J Prim Health Care Fam Med. 2025 Apr 10;17(1):e1-e8. doi: 10.4102/phcfm.v17i1.4858.
The global rise in adolescent mental health conditions highlights the need for preventive interventions particularly in schools for timely access to young people, building on inherent strengths and competencies.
The study aims to determine the knowledge, attitude, mental health status and the predictors of mental health status of in-school adolescents.
The study was conducted in government-owned secondary schools in Lagos State, Nigeria. Simple random sampling was used to select one of three senatorial districts; one junior and one senior secondary school with a nurse-led school clinic were purposively selected from the sampled district.
Within a cross-sectional survey design, a self-administered questionnaire was used to obtain data from a sample of in-school adolescents aged 10-19 years (n = 148), enrolled in junior and senior classes.
Most in-school adolescents reported poor knowledge (62.2%; n = 92) and poor attitude (54.7%; n = 81) towards mental health; 37.2% (n = 55) reported being substantially at risk of conduct problems. A high proportion (79.7%) indicated normal prosocial behaviours. Level of knowledge (odds ratio [OR] = 3.25; p 0.05; 95% confidence interval [CI] = 1.34-7.86) as well as third or higher birth order (OR = 3.46; p 0.05; 95% CI = 1.34-8.94) were significant predictors of mental health status.
Most in-school adolescents lack knowledge, have a poor attitude towards mental health and are more likely to display conduct problems impacting their mental health status.Contribution: The study provides baseline evidence for designing in-school programmes with a mental wellness focus to promote the mental health of adolescents, leveraging professional and parental networks.
全球青少年心理健康问题的增加凸显了预防干预措施的必要性，特别是在学校，以便能及时接触到年轻人，并基于他们自身的优势和能力开展工作。
本研究旨在确定在校青少年的知识水平、态度、心理健康状况以及心理健康状况的预测因素。
该研究在尼日利亚拉各斯州的公立中学进行。采用简单随机抽样从三个参议院选区中选取一个；然后从抽样选区中有目的地选取一所初中和一所高中，这两所学校均设有由护士主导的学校诊所。
在横断面调查设计中，使用自填式问卷从10至19岁的在校青少年样本（n = 148）中获取数据，这些青少年分别就读于初中和高中班级。
大多数在校青少年报告对心理健康的知识了解不足（62.2%；n = 92）且态度不佳（54.7%；n = 81）；37.2%（n = 55）报告存在行为问题的重大风险。很大一部分（79.7%）表示亲社会行为正常。知识水平（优势比[OR] = 3.25；p < 0.05；95%置信区间[CI] = 1.34 - 7.86）以及第三胎或更高胎次（OR = 3.46；p < 0.05；95% CI = 1.34 - 8.94）是心理健康状况的重要预测因素。
大多数在校青少年缺乏知识，对心理健康态度不佳，且更有可能表现出影响其心理健康状况的行为问题。贡献：该研究为设计以心理健康为重点的校内项目提供了基线证据，以促进青少年的心理健康，同时利用专业和家长网络。
