The association between adolescent risk behaviours and feelings of sadness or hopelessness: a cross-sectional survey of South African secondary school learners
The association between adolescent risk behaviours and feelings of sadness or hopelessness: a cross-sectional survey of South African secondary school learners
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DOI：
10.1080/13548506.2017.1300669
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发表时间：
2017-01-01
影响因子：
3.8
通讯作者：
Naidoo, Pamela
中科院分区：
文献类型：
--
作者：
James, Shamagonam;Reddy, Sasiragha Priscilla;Naidoo, Pamela
青少年心理健康状况不佳与参与其他危险行为有关。然而，在撒哈拉以南非洲，特别是南非，缺乏这种联系的证据。本研究考察了相关风险行为与悲伤或绝望情绪之间的联系，研究对象为南非具有全国代表性的在校青少年。数据分析来自2011年南非青少年风险行为调查（n=10,997），这是一项针对8-11年级学生的全国性横断面调查。逻辑回归研究了人口统计、药物使用、暴力行为、性活动、自杀计划和企图与主要结果、悲伤或绝望的感觉之间的关系。有悲伤或绝望的感觉与更高的成绩、被欺负（AOR:1.67, 95% CI: 1.42-1.96）、被伴侣殴打（1.33[1.05-1.68]）、强迫性行为（1.78[1.37-2.32]）显著相关；有帮派成员（1.32[1.06-1.65]）、酗酒（1.37[1.14-1.65]）、曾有过性行为（1.23[1.02-1.47]）、在过去三个月内每5个伴侣（1.25[1.02-1.53]）、曾计划自杀（2.50[1.95-3.21]）及企图自杀（1.49[1.21-1.85]）。南非的青少年正面临多重风险负担。需要及时和全面地制定和实施针对青少年健康和危险行为的健康促进战略。
Poor mental healthinadolescentshas shown associations with engagement in other risk behaviours. However, evidence of this association in Sub-Saharan Africa, particularly South Africa, is lacking.This study examinesthe associations between pertinent risk behaviours and feelings of sadness or hopelessness amongst a nationally representative sample of South African school going adolescents. Data was analysed from the South African Youth Risk Behaviour Survey 2011 (n=10,997), a cross-sectional nationalsurvey among grades 8-11 school learners. Logistic regression examined the association of demographic, substance use, violent behaviour, sexual activity and suicidal plans and attempts with the primary outcome, feelings of sadness or hopelessness. Having feelings of sadness or hopelessness was significantly associated with more senior grades, being bullied (AOR:1.67, 95% CI: 1.42-1.96), being assaulted by a partner (1.33 [1.05-1.68]), forced sex (1.78 [1.37-2.32]); gang membership (1.32 [1.06-1.65]), binge drinking (1.37 [1.14-1.65]), ever having sex (1.23 [1.02-1.47]), having 1 partner/s in preceding three months (1.25 [1.02-1.53]), having made a plan to attempt suicide (2.50 [1.95-3.21]) and suicide attempt (1.49 [1.21-1.85]). Adolescents in South Africa are experiencing a multiple burden of risk. Health promotion strategies targeting adolescentmental health and risk behaviours need to be developed and implemented in a timely and comprehensive manner.