Five of the leading causes of health problems are mental disorders (WHO 2003)
Health problems occurring during the adolescent period (Glover S. and et al 2002):
Influence on the adulthood
Increase the burden of disease
In Vietnam, the National Institute of Mental Health survey - 1994
Behavior disorder prevalence of adolescent (10-17 years old) ranged from 0.3 to 3.7%
Depression rate in females: 3 times higher than that in male
Female’s anxiety disorders prevalence :~2.5 times higher than male’s prevalence.
Most children spend many of their formative years in schools ( social and physical environment )
The interpersonal interactions in school play a significant role in shaping children’s physical, socio-psychological development.
The National School Health Program in Vietnam identify the minimum programs and services ( life skills, reproductive health, oral health, injury, nutrition and hygiene) to promote, protect, and maintain children health and wellbeing.
Not many actions identifying and addressing the risks or causes of mental health problems or mental illness and also improving the protective factors
promoting positive mental health and wellbeing of children and adolescents
The 1 st phase is baseline survey identify some risk and protective factors toward depression and anxiety (quantitative part)
2 selected secondary schools ( Chu Van An in urban and Ta Thanh Oai in suburban areas)
10 classes each school
a self-administered questionnaire ( on general information, family and school environment, and mental health situation)
Data analyses: Epidata and SPSS 12.0
Results: Sample characteristics
934 participants including 478 boys (51.2%) & 456 girls (48.8%).
57.5% girls & 42.5% boys have pubescent signals
8.8% of students whose parents do not live together (due to divorce, separate or other reasons)
Educational level of Chu Van An students’ parents are higher than that of Ta Thanh Oai students’ parents
Among 12.7% of students who were disciplined in the previous semester, 9.3% have bad conduct (medium and low) and 22.4% have study results at the medium and low level.
Results: Family environment
10% of students reported that their father/mother is alcoholic.
When students faced with difficulties or psychological/mental issues:
seeking help or sharing from their friends (36%) or from their mother (19.4%)
15.2% of students just stayed silent (not share with anybody)
Results: Family environment (cont.) Significant difference between 2 schools (p<0.05)
Results: School environment (*): significant difference (p<0.05) Students’ assessment about their school environment School School connected (*) Friendly and support env. (*) Regulation on bullying Student entertainment (*) Teacher and school behaviors Bullying situation (*) CVA Average 26.33 29.17 16.57 18.04 18.95 6.31 TTO Average 28.24 30.16 16.76 19.72 19.23 6.55 Total Average 27.24/35 29.64/36 16.66/20 18.84/24 19.08/24 6.42/15
Results: Health risk behaviors (*) Significant difference (p<0.05) Behaviors School Total Chu Van An Ta Thanh Oai Thinking of suicide (*) 16.0% 4.5% 10.5% Attempted suicide (*) 9.3% 3.1% 6.3% Smoking 2.9% 1.6% 2.2% Alcohol consumption (*) 8.0% 2.7% 5.5% Beer consumption (*) 18.5% 7.1% 13.1% Drunk 10.1% 8.7% 9.4% Using a knife or weapon 1.4% 1.8% 1.6% Fighting 8.6% 6.5% 7.6% Driving motorbike (*) 10.1% 5.4% 7.8%
Mental Health Problems
The mean score of anxiety at two schools is 20.18/39 score.
The Chu Van An school’s situation is HIGHER than that of Ta Thanh Oai school (p<0.05)
Girls expressed their level of anxiety is higher than boys
Mental Health Problems (cont.)
The mean score of depression at two schools is 14.93/60 score.
The Chu Van An school’s situation (15.4%) is also HIGHER than that of Ta Thanh Oai school (p<0.05)
There is no difference between gender and among grades.
Influential factors of anxiety disorder and depression
Multivariate analyses of family and school environment factors showed that they influences to anxiety disorder (32.6%) and depression (39.1%).
Sex, whether parents do not live together, whether they do not live with parent, having quarrels with siblings, low study performances, school regulation of bullying, bullying, depression, and undertaking to risk behaviors associate significantly with anxiety.
Being at the age of puberty, witnessing parents quarrels, mother’s behaviors/attitude, grades, study performances, school connection, bullying, anxiety and undertaking to risk behaviors associate significantly with depression
Conclusion A number of factors related to personal, family and school Influenced to Sex, puberty phenomenon, parents do not live together, low study performances, school connectedness school's regulation of bullying, bullying status . An intervention program to improve is needed.