Parent Views on School-Based Depression Screening: Findings From a National Survey

Parent Views on School-Based Depression Screening: Findings From a National Survey
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DOI:
10.1016/j.jadohealth.2020.08.023
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发表时间:
2021-02-01
影响因子:
7.6
通讯作者:
Clark, Sarah J.
Clark, Sarah J.
中科院分区:
医学2区
文献类型:
--
作者:
Sekhar, Deepa L.;Gebremariam, Acham;Clark, Sarah J.

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目的:本研究旨在探讨家长对学校参与青少年抑郁症筛查和识别的看法。莫特儿童医院全国儿童健康民意调查。在2 004名家长中(答复率为63.4%),770名家长有初中/高中学生,有资格参加这一单元。分层后权重由调查供应商Ipsos生成。描述性和双变量的结果进行计算;多项逻辑回归模型控制父母性别,种族/民族,教育,就业状况,和schoollevel.Results:家长受访者是54.8%的女性,57.5%白色,64.3%以上的高中教育,79.7%的就业; 76.2%的回答基于高中生。大多数家长支持从六年级(46.7%)或七年级(15.1%)开始进行以学校为基础的抑郁症筛查,尽管15.9%的人回答不应该进行筛查。在家长受访者中,93.2%的人希望被告知一个积极的屏幕。回归分析发现,中学生的父母是4.18倍更可能喜欢第六比9日至12年级开始screening.Conclusions:大多数家长支持中学抑郁症筛查,但绝大多数希望被告知的积极结果。在以学校为基础的抑郁症筛查计划中,保持青少年机密性的指导方针需要仔细考虑。(c)2020年青少年健康和医学协会。爱思唯尔公司出版All rights reserved.
Purpose: This study explored parent views on school involvement in screening and identification of adolescent depression.Methods: This was a cross-sectional Internet-based survey with the C.S. Mott Children's Hospital National Poll on Children's Health. Of 2,004 parents (63.4% response rate), 770 had a middle/high school student and were eligible for this module. Poststratification weights were generated by survey vendor Ipsos. Descriptive and bivariate results were calculated; multinomial logistic regression models controlled for parent sex, race/ethnicity, education, employment status, and school level.Results: Parent respondents were 54.8% female, 57.5% white, 64.3% above a high school education, and 79.7% employed; 76.2% were answering based on a high school student. Most parents supported school-based depression screens starting in sixth (46.7%) or seventh (15.1%) grades, although 15.9% responded no screening should be done. Among parent respondents, 93.2% wished to be informed of a positive screen. Regression analysis found parents of middle school students were 4.18 times more likely to prefer sixth versus 9th to 12th grade to start screening.Conclusions: Most parents support middle school depression screening but overwhelmingly wished to be informed of a positive result. Guidelines for maintaining adolescent confidentiality in a school-based depression screening program will require careful consideration. (c) 2020 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.