TY - JOUR PY - 2023// TI - Prevalence and determinants of depressive symptoms among young adolescents in Malaysia: a cross-sectional study JO - Children (Basel, Switzerland) A1 - Singh, Sarbhan A1 - Lai, Chee Herng A1 - Iderus, Nuur Hafizah Md A1 - Ghazali, Sumarni Mohd A1 - Ahmad, Lonny Chen Rong Qi A1 - Cheng, Lim Mei A1 - Nadzri, Mohamad Nadzmi A1 - Zulkifli, Asrul Anuar A1 - Suppiah, Jeyanthi A1 - Zaki, Rafdzah Ahmad A1 - Farid, Nik Daliana Nik A1 - Supramanian, Rama Krishna A1 - Nordin, Awatef Amer A1 - Lin, Chong Zhuo A1 - Kaur, Kushilpal A1 - Ghazali, Nur'ain Mohd SP - EP - VL - 10 IS - 1 N2 - Depression is the most common mental health problem affecting adolescents globally, wherein its increasing prevalence together with the negative health impacts escalates the need for further research in this area. This work determined the prevalence and factors associated with depressive symptoms among young adolescents in Malaysia. A total of 1350 adolescent aged 13 to 14 years in school across nine secondary schools in Selangor state, Malaysia participated in a cross-sectional study. Independent variables were examined using the using the Global School-Based Student Health Survey included age, gender, ethnicity, alcohol intake, smoking and illicit drug use, loneliness, bullying, parental marital status, income and supervision; and the Health Literacy and Stigma questionnaire examined mental health literacy levels. Depressive symptoms were the dependent variable which was examined using the Center for Epidemiology Study Depression (CESD) instrument. Prevalence of depressive symptoms among all participants was 19 % (95% CI [16.9, 21.2]), with a higher prevalence of depressive symptoms being reported among females 26.3% (95% CI [23.0, 29.8]) compared to males 11.7% (95% CI [9.4, 14.4]). Determinants namely females (AOR = 3.83; 95% CI [2.66, 5.52]), smoking (AOR = 6.16; 95% CI [3.15, 12.05]), been bullied (AOR = 3.70; 95% CI [2.51, 5.47]), felt lonely (AOR = 10.46; 95% CI [7.09, 15.42]) and having no parental supervision (AOR = 1.79; 95% CI [1.26, 2.53]) significantly increased the odds of depressive symptoms among all adolescents in the multivariate model. In addition, feeling lonely, being bullied and smoking were identified as common significant determinants of depressive symptoms across both genders. Feeling lonely (65% to 71%) and being bullied (10% to 19%) were ranked as the most important determinants of depressive symptoms among young adolescents. Tackling these factors would be instrumental in helping decision makers formulate depression prevention strategies and activities for adolescents.
Language: en
LA - en SN - 2227-9067 UR - http://dx.doi.org/10.3390/children10010141 ID - ref1 ER -