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Sekaran VC, Prabhu V, Ashok L, D’Souza B, Shetty SD, Nair R. Predictors of Adolescent Internalizing and Externalizing Mental Health Symptoms: A School-Based Study in Southern India. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:393. [PMID: 38673306 PMCID: PMC11050696 DOI: 10.3390/ijerph21040393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2024] [Revised: 03/06/2024] [Accepted: 03/12/2024] [Indexed: 04/28/2024]
Abstract
INTRODUCTION Mental illnesses are one of the major contributors to the overall burden of disease among the young. We investigated the predictors of emotional and behavioral problems among in-school adolescents in the Indian context. METHODS Using stratified sampling, 1441 adolescents were recruited to participate in the study in Udupi taluk. The study instruments included a socio-demographic pro forma and the adolescent self-reporting version of the Strengths and Difficulties Questionnaire (SDQ) to assess the emotional and behavioral problems among them. We explored the predictors of total difficulties, as well as externalizing and internalizing problems and gender differences. SPSS version 25 was used to analyze the data. Descriptive statistics, a Chi-square test for associations, an independent t-test to explore the gender differences, correlation analysis, and backward stepwise logistic regression for the predictors were used. RESULTS The mean age of the participants was 15.31 ± 0.76. An almost equal percentage of male (49.6%) and female (50.4%) participants provided data. Abnormal scores were highest under conduct problems (8.5%), and the total difficulties reached 5.1%. The male participants had higher levels of conduct, hyperactivity, peer relationship, and externalizing problems the while the female participants experienced higher levels of emotional and internalizing problems. It was observed that there was a significant positive relationship between age and emotional problems, conduct problems, hyperactivity, peer problems, and total SDQ score. An older age predicted an abnormal total difficulties score and externalizing and internalizing behaviors, while the type of school predicted the total difficulties and internalizing behaviors. CONCLUSION The age of the adolescent, their gender, and the type of school they attended emerged as predictors of the emotional and behavioral problems among them.
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Affiliation(s)
- Varalakshmi Chandra Sekaran
- Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India
| | - Vidya Prabhu
- Department of Health Policy, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India
| | - Lena Ashok
- Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India
| | - Brayal D’Souza
- Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India
| | - Surekha Devadasa Shetty
- Division of Anatomy, Department of Basic Medical Sciences, Manipal Academy of Higher Education, Manipal 576104, India
| | - Ravichandran Nair
- Department of Social and Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal 576104, India
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Sun H, Du CR, Wei ZF. Physical education and student well-being: Promoting health and fitness in schools. PLoS One 2024; 19:e0296817. [PMID: 38271399 PMCID: PMC10810495 DOI: 10.1371/journal.pone.0296817] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 12/19/2023] [Indexed: 01/27/2024] Open
Abstract
The school students are facing mental health issues, and their performance is not improving in China. Health education policies are not implemented at the school level in China. However, scholars focus on college students' health education, but the school student is neglected. The research's primary objective is to answer the question: What is the impact of health education on the psychological well-being of school students? A sample of 549 10th grade students is collected from China's public and private sector institutes. The partial least square-structural equation modelling (PLS-SEM) is employed to analyze the data. The outcomes highlighted that the impact of health education is significant on the psychological well-being of school students in China. Furthermore, the study introduced that the moderating role of sustainable health exercise and sports participation is critical as it positively influences the relationship between health education and psychological wellbeing. This research improves literature as the novel contribution are highlighted in theory. Furthermore, the government education policies must be reframed under the light of this research' findings to improve students' health.
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Affiliation(s)
- Hui Sun
- Business Development Department, Beijing Open University, Beijing, China
- School of Sports Management and Communication, Capital University of Physical Education and Sports, Beijing, China
| | - Cheng-Run Du
- Department of Sports and Art Teaching, Beijing Technology and Business University, Beijing, China
| | - Zhi-Feng Wei
- China Volleyball Collage, Beijing Sport University, Beijing, China
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ALEKOZAY M, NIAZI AUR, NAJM AF. Prevalence of emotional and behavioral problems among schoolchildren in Herat – Afghanistan. GLOBAL HEALTH JOURNAL 2023. [DOI: 10.1016/j.glohj.2023.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
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Wang H, Abbey C, Kennedy T, Feng E, Li R, Liu F, Zhu A, Shen S, Wadhavkar P, Rozelle S, Singh MK. The Association Between Screen Time and Outdoor Time on Adolescent Mental Health and Academic Performance: Evidence from Rural China. Risk Manag Healthc Policy 2023; 16:369-381. [PMID: 36923495 PMCID: PMC10010124 DOI: 10.2147/rmhp.s384997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 01/31/2023] [Indexed: 03/11/2023] Open
Abstract
Purpose We examine how adolescent free time allocation-namely, screen time and outdoor time-is associated with mental health and academic performance in rural China. Methods This paper used a large random sample of rural junior high school students in Ningxia (n = 20,375; age=13.22), with data collected from self-reported demographic questionnaires (to assess free time allocation), the Strengths and Difficulties Questionnaire (to assess mental health), and a standardized math test (to measure academic performance). We utilized a multivariate OLS regression model to examine associations between free time allocation and adolescent outcomes, controlling for individual and family characteristics. Results Our sample's screen time and outdoor time both averaged around 1 hour. About 10% of the sample adolescents reported behavioral difficulties, while a similar percentage (11%) reported abnormal prosocial behaviors. Adolescents with higher levels of screen time (>2 hours) were 3 percentage points more likely to have higher levels of behavioral difficulties (p<0.001), indicating that excessive screen time was associated with worse mental health. Meanwhile, outdoor time was associated with better mental health, and positive correlations were observed at all levels of outdoor time (compared to no outdoor time, decreasing the likelihood of higher levels of behavioral difficulties by between 3 and 4 percentage points and of lower prosocial scores by between 6 and 8 percentage points; all p's<0.001). For academic performance, average daily screen times of up to 1 hour and 1-2 hours were both positively associated with standardized math scores (0.08 SD, p<0.001; 0.07 SD, p<0.01, respectively), whereas there were no significant associations between outdoor time and academic performance. Conclusion Using a large sample size, this study was the first to examine the association between adolescent free time allocation with mental health and academic performance, providing initial insights into how rural Chinese adolescents can optimize their free time.
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Affiliation(s)
- Huan Wang
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Cody Abbey
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Thomas Kennedy
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Erik Feng
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Robin Li
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Finley Liu
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Annli Zhu
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Sharon Shen
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Prateek Wadhavkar
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Scott Rozelle
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Manpreet K Singh
- Stanford School of Medicine, Stanford University, Stanford, CA, USA
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