Prevalence and determinants of depressive symptoms among young adolescents in Malaysia: A cross-sectional study

Singh, Sarbhan and Lai, Chee Herng and Md Iderus, Nuur Hafizah and Mohd Ghazali, Sumarni and Ahmad, Lonny Chen Rong Qi and Cheng, Lim Mei and Nadzri, Mohamad Nadzmi and Zulkifli, Asrul Anuar and Suppiah, Jeyanthi and Ahmad Zaki, Rafdzah and Nik Farid, Nik Daliana and Supramanian, Rama Krishna and Nordin, Awatef Amer and Lin, Chong Zhuo and Kaur, Kushilpal and Mohd Ghazali, Nur'ain (2023) Prevalence and determinants of depressive symptoms among young adolescents in Malaysia: A cross-sectional study. Children-Basel, 10 (1). ISSN 2227-9067, DOI

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Depression is the most common mental health problem affecting adolescents globally, wherein its increasing prevalence together with the negative health impacts escalates the need for further research in this area. This work determined the prevalence and factors associated with depressive symptoms among young adolescents in Malaysia. A total of 1350 adolescent aged 13 to 14 years in school across nine secondary schools in Selangor state, Malaysia participated in a cross-sectional study. Independent variables were examined using the using the Global School-Based Student Health Survey included age, gender, ethnicity, alcohol intake, smoking and illicit drug use, loneliness, bullying, parental marital status, income and supervision; and the Health Literacy and Stigma questionnaire examined mental health literacy levels. Depressive symptoms were the dependent variable which was examined using the Center for Epidemiology Study Depression (CESD) instrument. Prevalence of depressive symptoms among all participants was 19 % (95% CI 16.9, 21.2]), with a higher prevalence of depressive symptoms being reported among females 26.3% (95% CI 23.0, 29.8]) compared to males 11.7% (95% CI 9.4, 14.4]). Determinants namely females (AOR = 3.83; 95% CI 2.66, 5.52]), smoking (AOR = 6.16; 95% CI 3.15, 12.05]), been bullied (AOR = 3.70; 95% CI 2.51, 5.47]), felt lonely (AOR = 10.46; 95% CI 7.09, 15.42]) and having no parental supervision (AOR = 1.79; 95% CI 1.26, 2.53]) significantly increased the odds of depressive symptoms among all adolescents in the multivariate model. In addition, feeling lonely, being bullied and smoking were identified as common significant determinants of depressive symptoms across both genders. Feeling lonely (65% to 71%) and being bullied (10% to 19%) were ranked as the most important determinants of depressive symptoms among young adolescents. Tackling these factors would be instrumental in helping decision makers formulate depression prevention strategies and activities for adolescents.

Item Type: Article
Funders: None
Uncontrolled Keywords: Depressive symptoms; Adolescents; Determinants; Malaysia
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HQ The family. Marriage. Woman
Divisions: Faculty of Medicine > Social & Preventive Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 29 Nov 2023 04:12
Last Modified: 03 Dec 2023 01:22

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