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Mental Health Problems and Associated Factors in Chinese High School Students in Henan Province: A Cross-Sectional Study

Author

Listed:
  • Yan Luo

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, 76# Yanta West Road, Xi’an 710061, Shaanxi Province, China
    Contributed equally.)

  • Zhenti Cui

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, 76# Yanta West Road, Xi’an 710061, Shaanxi Province, China
    Contributed equally.)

  • Ping Zou

    (School of Nursing, Nipissing University, 750 Dundas West, Room 209, Toronto, ON M6J3S3, Canada)

  • Kai Wang

    (Department of Epidemiology and Biostatistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13# Hang Kong Road, Wuhan 430030, Hubei Province, China)

  • Zihan Lin

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, 76# Yanta West Road, Xi’an 710061, Shaanxi Province, China)

  • Jinjie He

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, 76# Yanta West Road, Xi’an 710061, Shaanxi Province, China)

  • Jing Wang

    (Faculty of Nursing, Health Science Center, Xi’an Jiaotong University, 76# Yanta West Road, Xi’an 710061, Shaanxi Province, China)

Abstract

Approximately one in five adolescents experience mental health problems globally. However, studies on mental health problems in Chinese high school students are few. Therefore, this study examined the status and associated factors of mental health problems in high school students in China. A stratified two-stage cluster sampling procedure was adopted, leading to a final sample of 15,055 participants from 46 high schools in all 17 provincial cities of Henan province, China. Self-reported questionnaires were used to collect the data. A mental health problems variable was assessed using the Mental Health Inventory of Middle School Students. The positive rate of mental health problems among high school students was 41.8%, with a male predominance (43.3% versus 40.2% in females; p < 0.01). The most frequent mental health problem was academic stress (58.9%). Higher grades, physical disease, chronic constipation, alcohol consumption, engagement in sexual behavior, residence on campus, and living in nonurban areas and with single-parent families were significantly associated with higher odds of having mental health problems ( p < 0.05). We suggest that the prevention of mental health problems in high school students be strengthened, especially in students with physical illnesses, unhealthy behaviors, and single-parent families.

Suggested Citation

  • Yan Luo & Zhenti Cui & Ping Zou & Kai Wang & Zihan Lin & Jinjie He & Jing Wang, 2020. "Mental Health Problems and Associated Factors in Chinese High School Students in Henan Province: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(16), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:16:p:5944-:d:399670
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    References listed on IDEAS

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    1. Chunling Lu & Zhihui Li & Vikram Patel, 2018. "Global child and Adolescent Mental Health: The Orphan of Development Assistance for Health," Working Papers id:12710, eSocialSciences.
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    3. Meyrose, Ann-Katrin & Klasen, Fionna & Otto, Christiane & Gniewosz, Gabriela & Lampert, Thomas & Ravens-Sieberer, Ulrike, 2018. "Benefits of maternal education for mental health trajectories across childhood and adolescence," Social Science & Medicine, Elsevier, vol. 202(C), pages 170-178.
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    Cited by:

    1. Javier Ortuño-Sierra & Beatriz Lucas-Molina & Félix Inchausti & Eduardo Fonseca-Pedrero, 2021. "Special Issue on Mental Health and Well-Being in Adolescence: Environment and Behavior," IJERPH, MDPI, vol. 18(6), pages 1-4, March.
    2. Xiaolei Xiu & Qing Qian & Sizhu Wu, 2022. "Mental Health Problems and Associated Factors among High School Students in Shandong Province of China: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    3. Zhenti Cui & Ping Zou & Zihan Lin & Yingdong Cao & Yan Luo, 2022. "Gender Differences in Excessive Screen Time among Chinese High School Students in Henan Province," IJERPH, MDPI, vol. 20(1), pages 1-14, December.

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