Magnitude of health problems among late adolescents: a cross sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20160992Keywords:
Adolescence, Mental health, Adolescent behaviours, Menstruation disorders, Reproductive healthAbstract
Background: Adolescence is a very important phase of growth and maturity, but is often related with mental and behavioural problems. However, very few attempts are made to understand the magnitude of adolescent health problems; hence the current study was planned.
Methods: It is a cross-sectional study conducted among arts, commerce and science college students from Sangli, (Maharashtra) India; by using cluster random sampling. Due ethical considerations and written consent were undertaken. The study tool was self-administered questionnaire with inventories like SPIN, DASS-21 and PSST-A. Analysis was done using percentages and chi-square test. Microsoft Excel 2007 and SPSS-22 were used for analysis.
Results: Eight hundred one (67.5%) students had psychological problems with anxiety being the commonest. Menstrual problems were reported by 413 (58.4%) female students. Psychological problems were associated with menstrual problems.
Conclusions: Majority of students had some psychological problem. Menstrual problems were present in more than 50% female students. There is unmet need for proper guidance and help regarding health.
References
World Health Organization. The second decade: improving adolescent health and development. Geneva: World Health Organization, 2001.
Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A et al. Adolescence and the social determinants of health. Lancet. 2012;379:1641-52.
Patton GC, Viner RM. Pubertal transitions in health. Lancet 2007;369:1130-9.
Patton GC, Coffey C, Cappa C, Currie D, Riley LM, Gore FM et al. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet. 2012;379:1665-75.
Tonin V. Young people seeking mental-health care. Lancet. 2007;369:1239-40.
Connor KM, Davidson JR, Churchill LE, Sherwood A, Foa E, Weisler RH. Psychometric properties of the Social Phobia Inventory (SPIN). New self-rating scale. Br J Psychiatry. 2000;176:379-86.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scales. 2nd ed. Sydney: Psychology Foundation;1995.
Steiner M, Peer M, Palova E, Freeman EW, Macdougall M, Soares CN. The premenstrual symptoms screening tool revised for adolescents (PSST-A): prevalence of severe PMS and premenstrual dysphoric disorder in adolescents. Arch Womens Ment Health. 2011;14(1):77-81.
World Health Organization. Guidelines for the management of sexually transmitted infections. Geneva: World Health Organization, 2001.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edn. Text rev. Washington DC: Am J Psychiatry. 2000.
Al-Gelban KS. Depression, anxiety and stress among Saudi adolescent school boys. J R Soc Promot Health. 2007;127(1):33-7.
Bayram N, Bilgel N. The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Soc Psychiatry Psychiatr Epidemiol. 2008;43(8):667-72.
The world health report 2001- mental health: new understanding, new hope. Geneva. Bull World Health Organ. 2001;79(11):1085.
Mohanraj R, Subbaiah K. Prevalence of depressive symptoms among urban adolescents in South India. J Indian Assoc Child Adolesc Ment Health 2010;6:33-43.
Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet. 2012;379:1056-67.
Al-Hinai SS, Al-Saidy O, Dorvlo ASS. Culture and prevalence of social phobia in a college population in Oman. In: Landow M, eds. College students: mental health and coping strategies. Hauppauge, NY: Nova Science Publishers; 2006:115-32.
Hofmann SG, Asnaani A, Hinton DE. Cultural aspects in social anxiety and social anxiety disorder. Depress Anxiety. 2010;27:1117-27.
Schneier FR, Johnson J, Hornig CD, Liebowitz MR, Weissman MM. Social phobia: comorbidity and morbidity in an epidemiologic sample. Arch Gen Psychiatry.1992;49(4):282-8.
Mehtalia K, Vankar GK. Social anxiety in adolescents. Indian J Psychiatry. 2004;46:221-7.
Al Sabbah H, Vereecken C, Abdeen Z, Coats E, Maes L. Associations of overweight and of weight dissatisfaction among Palestinian adolescents: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). J Hum Nutr Diet. 2009;22(1):40-9.
Dixit S, Agarwal GG, Singh JV, Kant S, Singh N. A study on consciousness of adolescent girls about their body image. Indian J Comm Med. 2011;36:197-202.
Petroski EL, Pelegrini A, Glaner MF. Reasons and prevalence of body image dissatisfaction in adolescents. Ciênc Saúde coletiva. 2012;17(4).
Stice E, Hayward C, Cameron RP, Killen JD, Taylor CB. Body-image and eating disturbances predict onset of depression among female adolescents: a longitudinal study. J Abnorm Psychol. 2000;109(3):438-44.
Mirza NM, Davis D, Yanovski JA. Body dissatisfaction, self-esteem, and overweight among inner-city Hispanic children and adolescents. J Adolesc Health. 2005;36(3):267.e16-267e20.
Izgic F, Akyuz G, Dogan O, Kugu N. Social phobia among university students and its relation to self-esteem and body image. Can J Psychiatry. 2004;49:630-6.
Slap GB. Menstrual disorders in adolescence. Best Pract Res Clin Obstet Gynaecol. 2003;17:75-92.
Thakre SB, Thakre SS, Ughade SU, Thakre AD. Urban-rural differences in menstrual problems and practices of girl students in nagpur, India. Indian Pediatr. 2012;49:733-6.
Singh A, Kiran D, Singh H, Nel B, Singh P, Tiwari P. Prevalence and severity of dysmenorrhea: a problem related to menstruation, among first and second year female medical students. Indian J Physiol Pharmacol. 2008;52:389-97.
Verma PB, Pandya CM, Ramanuj VA, Singh MP. Menstrual pattern of adolescent school girls of bhavnagar(Gujarat). NJIRM. 2011;2:38-40.
Merikangas KR, Foeldenyi M, Angst J. The Zurich Study. XIX. Patterns of menstrual disturbances in the community: results of the Zurich Cohort Study. Eur Arch Psychiatry Clin Neurosci. 1993;243:23-32.