Perceived School Safety is Strongly Associated with Adolescent Mental Health Problems

Perceived School Safety is Strongly Associated with Adolescent Mental Health Problems
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DOI:
10.1007/s10597-013-9599-1
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发表时间:
2014-02-01
影响因子:
2.7
通讯作者:
Boks, Marco P. M.
Boks, Marco P. M.
中科院分区:
医学4区
文献类型:
--
作者:
Nijs, Miesje M.;Bun, Clothilde J. E.;Boks, Marco P. M.

文献摘要

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学校环境是心理社会功能的重要决定因素,也可能与心理健康有关。因此,我们调查了学校安全感--这种环境的一个简单衡量标准--是否与心理健康问题有关。在11,130名中学生的总体样本中,我们使用多元Logistic回归分析来分析学校安全感与心理健康问题的关系,以调整潜在的混杂因素。心理健康问题的定义使用临床截止点的自我报告的优势和困难问卷。调整混杂因素后,学校安全与心理健康问题存在暴露-反应关系。赔率比从2.48(“有时不安全”)增加到8.05(“经常不安全”)。这种联系在女孩和中青年青少年中最强。不管这种联系的因果背景如何,学校安全无论是作为一个风险因素,还是作为精神健康问题的一个指标,都值得关注。
School environment is an important determinant of psychosocial function and may also be related to mental health. We therefore investigated whether perceived school safety, a simple measure of this environment, is related to mental health problems. In a population-based sample of 11,130 secondary school students, we analysed the relationship of perceived school safety with mental health problems using multiple logistic regression analyses to adjust for potential confounders. Mental health problems were defined using the clinical cut-off of the self-reported Strengths and Difficulties Questionnaire. School safety showed an exposure-response relationship with mental health problems after adjustment for confounders. Odds ratios increased from 2.48 ("sometimes unsafe") to 8.05 ("very often unsafe"). The association was strongest in girls and young and middle-aged adolescents. Irrespective of the causal background of this association, school safety deserves attention either as a risk factor or as an indicator of mental health problems.