The prevalence of mental disorders among upper primary school children in Kenya
The prevalence of mental disorders among upper primary school children in Kenya
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DOI：
10.1007/s00127-015-1132-0
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发表时间：
2016-01-01
影响因子：
4.4
通讯作者：
Musau, Abednego
中科院分区：
文献类型：
--
作者：
Ndetei, David Musyimi;Mutiso, Victoria;Musau, Abednego
目的-本研究的目的是估计的患病率和相关的精神障碍在小学高年级的儿童在5至7在Kenya.Methods青年自我报告（YSR）工具被改编为在肯尼亚学校使用，并管理到2267名学童在5至7年级从23个随机选择的学校。我们估计的患病率DSM-IV精神障碍，并使用逻辑回归分析，以研究与每个disorder.Results的社会人口因素相关的肯尼亚学龄儿童中的任何精神障碍的患病率为37.7%（95%CI = 35.7- 39.7%）。躯体主诉最常见（29.6%，95%CI = 27.8- 31.5%），其次是情感障碍（14.1%，95%CI = 12.7- 15.6%）和品行障碍（12.5%，95%CI = 11.2-13.9）。18.2%（95%CI = 16.6- 19.8%）的儿童存在一种或多种共病精神障碍。男性，生活在城郊与农村地区，被阻止在学校，有离婚或分居的父母，并有一个就业的母亲与增加的可能性有大部分的精神疾病检查，而年龄的增加与减少likelihood.Conclusions我们观察到在肯尼亚的学龄儿童中的精神疾病的患病率很高。如果不及早发现，这些疾病可能会干扰儿童的心理，社会和教育发展。我们的研究结果强调了在学校实施筛查措施的重要性，这些措施可以检测出单一和多种疾病，以改善下一代的心理健康和福祉。
Purpose The aim of this study was to estimate the prevalence and correlates of mental disorders among upper primary school children in grades five through seven in Kenya.Methods The Youth Self Report (YSR) instrument was adapted for use in Kenyan schools and administered to 2267 school children in grades five through seven from 23 randomly selected schools. We estimated the prevalence of DSM-IV mental disorders, and used logistic regression analyses to examine the socio-demographic factors associated with each disorder.Results The prevalence of any mental disorder among Kenyan school children was 37.7 % (95 % CI = 35.7-39.7 %). Somatic complaints were the most prevalent (29.6 %, 95 % CI = 27.8-31.5 %), followed by affective disorders (14.1 %, 95 % CI = 12.7-15.6 %) and conduct disorder (12.5 %, 95 % CI = 11.2-13.9). The presence of one or more comorbid mental disorder was seen among 18.2 % (95 % CI = 16.6-19.8 %) of children. Male sex, living in a peri-urban vs. rural area, being held back in school, having divorced or separated parents, and having an employed mother were associated with an increased likelihood of having most of the mental disorders examined, whereas increasing age was associated with a reduced likelihood.Conclusions We observed a high prevalence of mental disorders among school children in Kenya. If not detected early, these disorders may interfere with children's psychological, social, and educational development. Our findings highlight the importance of implementing screening measures in schools that can detect single and multiple disorders in order to improve the mental health and well-being of the next generation.