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Citation |
Wang J, Zou J, Luo J, Liu H, Yang Q, Ouyang Y, Hu M, Lin Q. Psychiatry Res. 2019; ePub(ePub): ePub. |
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Affiliation |
Department of Nutrition Science & Food Hygiene, Xiangya School of Public Health, Central South University, 110 Xiangya Road, Changsha, Hunan 410078, China. Electronic address: linqian@csu.edu.cn. |
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Copyright |
(Copyright © 2019, Elsevier Publishing) |
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DOI |
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PMID |
30878304 |
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Abstract |
In rural regions of China, the rural-to-urban migrant worker population and their left-behind children-60 million children who remain in home villages-have diversified the rural adolescence experience in terms of family life, compounding known mental health disparities. This study examined the impact of a comprehensive panel of home- and school-related variables on the prevalence of three common mental health complaints among rural adolescents. Data were collected using a self-formulated questionnaire administered to 1347 seventh grade students in a rural county of Hunan Province in Fall 2017. The prevalence of mental health symptoms was 10-18%. Bullying, loneliness, and stress from home and school environments were risk factors; good life satisfaction and willingness to reach out to adult and peer social networks were protective. Being a left-behind child was only significantly associated with depression symptoms, and notably, none of the other variables specific to left-behind children were found to be influential on mental health outcomes. These results suggest that the school-related factors included in our analysis accounted for a share of the risk typically explained by home-related factors alone. Schools may therefore be reliable settings for mental health programs in rural areas with ever more unpredictable home environments. Language: en |
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Keywords |
Adolescent; CI, confidence interval; China; GAD, generalized anxiety disorder; IQR, interquartile range; Left-behind; List of abbreviations: LBC, left-behind children; Mental health; OR, odds ratio; PHQ, Patient Health Questionnaire; Rural; SCL-90: symptom checklist-90; School |