在COVID-19的背景下,在乌干达坎帕拉探索青少年的心理健康:一种混合方法研究
Gideon Mbithi1,2, Ahmed Sarki3,4, Adam Mabrouk1
1Institute for Human Development, Aga Khan University, Nairobi, Kenya.
Frontiers in child and adolescent psychiatry
|March 11, 2025
概括
乌干达的城市青少年,特别是那些没有上学的人,面临着更高的抑郁和焦虑风险,COVID-19大流行加剧了这种风险. 有针对性的干预措施对于改善他们的心理健康和恢复力至关重要.
科学领域:
- 全球健康 全球健康
- 青少年心理学 青少年心理学
- 心理健康研究 心理健康研究
背景情况:
- 像乌干达这样的发展中国家的城市地区面临着独特的挑战,包括贫困和失业,增加了年轻人对心理健康不佳的脆弱性.
- 乌干达坎帕拉的青少年面临着更高的心理健康风险,COVID-19大流行进一步加剧了这种风险.
- 了解城市青少年的心理健康和风险因素对于有效的公共卫生战略至关重要.
研究的目的:
- 为了确定乌干达坎帕拉青少年的心理健康状况.
- 在COVID-19大流行期间评估青少年心理健康问题的风险和相关因素.
- 为脆弱的城市青年提供有针对性的心理健康干预提供证据.
主要方法:
- 乌干达坎帕拉500名青少年 (年龄13-19岁) 的横截面调查,使用标准化心理评估工具 (PHQ,GAD-7).
- 后勤回归分析以确定抑郁症和通用焦虑症的相关性.
- 通过焦点小组讨论和关键信息人采访进行定性数据收集,并根据主题进行分析.
主要成果:
- 在不上学的青少年中,与上学的同龄人相比,抑郁症 (21.5%) 和焦虑症 (17.5%) 的患病率更高 (分别为14.0%和10.3%).
- 与心理健康不佳相关的关键因素包括孤独,不上学,COVID-19大流行和家庭冲突.
- 定性数据提供了对生活经验的更深入的见解,以及对青少年心理健康挑战的贡献因素.
结论:
- 乌干达坎帕拉的COVID-19大流行严重影响了青少年的心理健康,学校外的青少年尤其容易受到影响.
- 迫切需要有针对性的心理健康干预措施,以解决这一群体的抑郁和焦虑问题.
- 投资青少年心理健康对于建立性和确保未来在边缘化城市环境中取得成功至关重要.
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