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Some Mental Health Problems and Influential Factors of Secondary School Students in Hanoi, Vietnam Presenter: Hoang Khanh Chi

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Page 1: 16. hoang khanh chi

Some Mental Health Problems and Influential

Factors of Secondary School

Students in Hanoi, Vietnam

Presenter: Hoang Khanh Chi

Page 2: 16. hoang khanh chi

Content

2

1

2

3

5

Introduction

Method

Results

Conclusion4Recommendation

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IntroductionFive of the leading causes of health problems are mental disorders (WHO 2003)Health problems occurring during the adolescent period (Glover S. and et al 2002):

Influence on the adulthood

Increase the burden of disease

In Vietnam, the National Institute of Mental Health survey - 1994

Behavior disorder prevalence of adolescent (10-17 years old) ranged

from 0.3 to 3.7%

Depression rate in females: 3 times higher than that in male

Female’s anxiety disorders prevalence :~2.5 times higher than male’s

prevalence.

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Introduction (cont.)

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Most children spend many of their formative years in schools (social and physical environment)The interpersonal interactions in school play a significant role in shaping children’s physical, socio-psychological development. The National School Health Program in Vietnam identify the minimum programs and services (life skills, reproductive health, oral health, injury, nutrition and hygiene) to promote, protect, and maintain children health and wellbeing.Not many actions identifying and addressing the risks or causes of mental health problems or mental illness and also improving the protective factors

promoting positive mental health and wellbeing of children and adolescents

Mental Health Promotion program will be developed

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Conceptual FrameworkPHASE 1:

Baseline Survey

PHASE 1:

Baseline Survey

PHASE 2:

Intervention

PHASE 2:

Intervention

PHASE 3:

Results evaluation

PHASE 3:

Results evaluation

Describe mental health issue

-Depression -Anxiety disorders-Some risk behaviors

Describe mental health issue

-Depression -Anxiety disorders-Some risk behaviors

Changing risk and protective factors Changing risk and protective factors

Describe risk and protective factors

-Family/social factors-School factors

Describe risk and protective factors

-Family/social factors-School factors

Effecting influential factors- Family factors- School factors

Effecting influential factors- Family factors- School factors

Changing of:-Depression -Anxiety disorders -Some risk behaviors

Changing of:-Depression -Anxiety disorders -Some risk behaviors

Evaluating implementation

process

Evaluating implementation

process

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Method-The 1st phase is baseline survey identify some risk and protective factors toward depression and anxiety (quantitative part)- Sampling:

- 2 selected secondary schools ( Chu Van An in urban and Ta Thanh Oai in suburban areas)

- 10 classes each school

- 972 participants

- a self-administered questionnaire (on general information, family and school environment, and mental health situation)

-Data analyses: Epidata and SPSS 12.0

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Results: Sample characteristics

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934 participants including 478 boys (51.2%) & 456 girls (48.8%).57.5% girls & 42.5% boys have pubescent signals8.8% of students whose parents do not live together (due to divorce, separate or other reasons)Educational level of Chu Van An students’ parents are higher than that of Ta Thanh Oai students’ parentsAmong 12.7% of students who were disciplined in the previous semester, 9.3% have bad conduct (medium and low) and 22.4% have study results at the medium and low level.

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Results: Family environment

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10% of students reported that their father/mother is alcoholic.When students faced with difficulties or psychological/mental issues:

seeking help or sharing from their friends (36%) or from their mother (19.4%)

15.2% of students just stayed silent (not share with anybody)

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Results: Family environment (cont.)

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Significant difference between 2 schools (p<0.05)

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Results: School environment

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SchoolSchool connected (*)

Friendly and support env.

(*)

Regulation on bullyin

g

Student

entertainment (*)

Teacher and school behavi

ors

Bullying

situation (*)

CVA

Average

26.33 29.17 16.57 18.04 18.95 6.31

TTO

Average

28.24 30.16 16.76 19.72 19.23 6.55

Total

Average

27.24/35

29.64/36

16.66/20

18.84/24

19.08/24

6.42/15

(*): significant difference (p<0.05)

Students’ assessment about their school environment

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Results: Health risk behaviors

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Behaviors

SchoolTotal

Chu Van An Ta Thanh Oai

Thinking of suicide (*) 16.0% 4.5% 10.5%

Attempted suicide (*) 9.3% 3.1% 6.3%

Smoking 2.9% 1.6% 2.2%

Alcohol consumption (*) 8.0% 2.7% 5.5%

Beer consumption (*) 18.5% 7.1% 13.1%

Drunk 10.1% 8.7% 9.4%

Using a knife or weapon 1.4% 1.8% 1.6%

Fighting 8.6% 6.5% 7.6%

Driving motorbike (*) 10.1% 5.4% 7.8%

(*) Significant difference (p<0.05)

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Mental Health Problems

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The mean score of anxiety at two schools is 20.18/39 score.

The Chu Van An school’s situation is HIGHER than that of Ta Thanh Oai school (p<0.05)

Girls expressed their level of anxiety is higher than boys

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Mental Health Problems (cont.)

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The mean score of depression at two schools is 14.93/60 score.

The Chu Van An school’s situation (15.4%) is also HIGHER than that of Ta Thanh Oai school (p<0.05)

There is no difference between gender and among grades.

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Influential factors of anxiety disorder and depression

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Multivariate analyses of family and school environment factors showed that they influences to anxiety disorder (32.6%) and depression (39.1%).

Sex, whether parents do not live together, whether they do not live with parent, having quarrels with siblings, low study performances, school regulation of bullying, bullying, depression, and undertaking to risk behaviors associate significantly with anxiety.

Being at the age of puberty, witnessing parents quarrels, mother’s behaviors/attitude, grades, study performances, school connection, bullying, anxiety and undertaking to risk behaviors associate significantly with depression

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Anxiety disorder

Depression status

Risk behaviors

Conclusion

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A number of factors related to personal, family and school

A number of factors related to personal, family and school

Influenced to

Sex, puberty phenomenon, parents do not live together, low study performances, school connectednessschool's regulation of bullying, bullying status . An intervention program

to improve is needed.An intervention program to improve is needed.

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Conceptual FrameworkPHASE 1:

Baseline Survey

PHASE 1:

Baseline Survey

PHASE 2:

Intervention

PHASE 2:

Intervention

PHASE 3:

Results evaluation

PHASE 3:

Results evaluation

Describe mental health issue

-Depression -Anxiety disorders-Some risk behaviors

Describe mental health issue

-Depression -Anxiety disorders-Some risk behaviors

Changing risk and protective factors Changing risk and protective factors

Describe risk and protective factors

-Family/social factors-School factors

Describe risk and protective factors

-Family/social factors-School factors

Effecting influential factors- Family factors- School factors

Effecting influential factors- Family factors- School factors

Changing of:-Depression -Anxiety disorders -Some risk behaviors

Changing of:-Depression -Anxiety disorders -Some risk behaviors

Evaluating implementation

process

Evaluating implementation

process

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Recommendation Develop an intervention programs in schools improving students' mental health status.Intervention activities should included:

- Training

- Mental health problems at teenage period and the active teaching

methods for teachers.

- Life skills for students.

- Health Education campaigns:

- Interpersonal communication

- Student’s contest

- In-direct communication with parents

- Etc.

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Research team

1. Nguyen Thanh Huong, Ph.D. 2. Truong Quang Tien MPH 3. Hoang Khanh Chi MPH4. Nguyen Quynh Anh MPH 5. Nguyen Hoang Phuong BPH

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Thank you for

your attention!

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