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- Title
Risk and protective factors related to changes in mental health among adolescents since COVID-19 in Hong Kong: a cross-sectional study.
- Authors
Yeung, Cheuk Yui; Men, Vera Yu; So, Wendy W. Y.; Fong, Daniel Yee Tak; Lam, Mona Wai Cheung; Cheung, Derek Yee Tak; Yip, Paul Siu Fai
- Abstract
Background: Most research has suggested that children and adolescents had poorer mental health than pre-COVID-19 pandemic status. There have been few investigations into factors associated with pre-peri pandemic differences in young people's mental health status. Our study aimed to investigate the association between sociodemographic factors, attitudes, and daily life experiences and these differences. Methods: We used self-reported cross-sectional data from the Youth Sexuality Survey (YSS) by the Family Planning Association of Hong Kong, collected from secondary school students aged 10–16 between the fourth and fifth waves of the pandemic. The study outcome was pre-peri pandemic differences in mental health (better, unchanged, or poorer). Associations between the study outcome with age, sex, satisfaction with academic performance, school life, relationship with classmates and family life, and average sleeping and exercising time in the past month, were assessed through multinomial logistic regression, controlling for depressive/anxiety symptoms and change in physical health status since the pandemic. Results: There were 6,665 respondents. Compared with pre-pandemic, approximately 30% reported poorer mental health, whilst 20% reported better mental health. Females (OR = 1.355, 95% CI = 1.159–1.585) and those dissatisfied with their academic performance (OR = 1.468, 95% CI = 1.233–1.748) were significantly more likely to report poorer mental health with reference to unchanged status, while those satisfied with family life had improved mental health with reference to unchanged (OR = 1.261, 95% CI = 1.006–1.579) and poorer status (OR = 1.369, 95% CI = 1.085–1.728). Conclusion: Policy and community strategies that promote good family relationships are thus essential for young people's mental health during societal challenges such as the COVID-19 pandemic.
- Subjects
HONG Kong (China); MENTAL illness prevention; MENTAL illness risk factors; HEALTH policy; CONFIDENCE intervals; ANALYSIS of variance; ATTITUDE (Psychology); CROSS-sectional method; MENTAL health; ACTIVITIES of daily living; PUBLIC health; REGRESSION analysis; RISK assessment; EXPERIENCE; COMPARATIVE studies; PSYCHOLOGICAL tests; QUESTIONNAIRES; RESEARCH funding; CHI-squared test; SOCIODEMOGRAPHIC factors; LOGISTIC regression analysis; ODDS ratio; DATA analysis software; COVID-19 pandemic; HIGH school students
- Publication
Child & Adolescent Psychiatry & Mental Health, 2023, Vol 17, Issue 1, p1
- ISSN
1753-2000
- Publication type
Article
- DOI
10.1186/s13034-023-00622-x