Prevalence and correlates of psychological distress among 13–14 year old adolescent girls in North Karnataka, South India: a cross-sectional study

BMC Public Health

Martine Collumbien¹  Tara S. Beattie¹  Charlotte Watts¹  Leslie Kelly¹  Lori Heise²  Stephen Moses³  Shajy Isac⁴  Prakash Javalkar⁴  T. Raghavendra⁴  Ravi Prakash⁴  Satyanarayana Ramanaik⁴  April Mazzuca⁵ 

[1] Department of Global Health and Development, London School of Hygiene and Tropical Medicine;Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University;Departments of Community Health Sciences and Medicine and Medical Microbiology, University of Manitoba;Karnataka Health Promotion Trust;School of Population and Public Health, University of British Columbia;

关键词: Adolescent girls;    School drop out;    Child marriage;    Sexual abuse;    Psychological distress;    Suicide ideation;   

DOI  :  10.1186/s12889-018-6355-z

来源: DOAJ

【 摘 要 】

Abstract Background Mental health disorders among adolescents have emerged as a major public health issue in many low and middle-income countries, including India. There is a paucity of research on the determinants of psychological distress, particularly among the poorest girls in the poorest communities. The purpose of this study was to assess the prevalence and correlates of different indicators of psychological distress among 13–14 year old low caste girls in rural, south India. Methods Cross-sectional survey of 1191 low caste girls in two districts in north Karnataka, conducted as part of a cluster randomised-control trial. Bivariate and multivariate logistic regression analysis assessed correlates of different indicators of psychological distress. Results More than one third of girls (35.1%) reported having no hope for the future. 6.9% reported feeling down, depressed or hopeless in the past 2 weeks. 2.1% reported thinking they would be better off dead or of hurting themselves in some way in the past 2 weeks. 1.6% reported sexual abuse, 8.0% rrecent eve teasing and 6.3% having no parental emotional support. Suicidal ideation was independently associated with sexual abuse (AOR 11.9 (3.0–47.0)) and a lack of parental emotional support (AOR 0.2 (0.1–0.5)). Feeling down, depressed or hopeless was independently associated with recent eve-teasing (AOR 2.9 (1.6–5.4)), a harassing or abusive school environment (AOR 3.9 (1.8–8.2)), being frequently absent (AOR 2.8 (1.5–5.5)) or having dropped out of school (AOR 2.1 (1.0–4.3)), and living in Vijayapura district (AOR 2.5 (1.6–4.1)). Having no hope for the future was independently associated with a range of factors, including recent “eve-teasing” (AOR 1.5 (1.0–2.4)), being engaged (AOR 2.9 (0.9–9.7)), not participating in groups (AOR 0.5 (0.4–0.6)) and a lack of emotional support (AOR 0.6 (0.4–0.7)). Conclusions Rather than being a time of optimism, a third of low caste girls in rural north, Karnataka have limited hope for the future, with some contemplating suicide. As well as having important development benefits, interventions that address the upstream structural and gender-norms based determinants of poor mental health, and provide adolescent services for girls who require treatment and support, should have important benefits for girls’ psychological wellbeing. Trial registration Prospectively registered at ClinicalTrials.GovNCT01996241. November 27, 2013

【 授权许可】

Unknown