Abstract
Adolescent mental health is an urgent global public health issue and is affected by household, school, and community environments. However, few studies, and none in Japan, have used applied ecological models to identify environmental factors that affect adolescent mental health. This study aimed to examine an applied ecological model of sequential association between household, school, and community environmental factors and their effects on adolescent mental health in Japan (ECO-AM model). This was a secondary analysis of data from the 2013 Japanese Comprehensive Survey of Living Conditions. Participants were 893 adolescents aged 12–14 years and their household heads living in Japan. Data for 728 adolescents were analyzed after excluding participants with missing values (valid response rate: 81.5%). Screening using the six-item Kessler Psychological Distress Scale demonstrated that 33.8% of adolescents had mood and anxiety disorders. Covariance structure analysis yielded a model with strong goodness-of-fit that described associations between mood and anxiety disorder and vitality, and household, school and community environments. The explanatory variables accounted for 36% of mood and anxiety disorder scores. The study emphasizes the importance of the relationship between different environments and suggests that a better understanding of environmental factors would help support adolescent mental health.
Funder
Grants-in-Aid for Scientific Research (KAKENHI) of the Japan Society for the Promotion of Science
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference54 articles.
1. Child and Adolescent Mental Health Worldwide: Evidence for Action;Kieling;Lancet,2011
2. World Health Organization (2021, October 04). Promoting Mental Health: Concepts, Emerging Evidence, Practice, (Summary Report), Available online: https://apps.who.int/iris/bitstream/handle/10665/42940/9241591595.pdf.
3. World Health Organization (2021, October 14). Adolescent Mental Health, Available online: https://www-who-int.translate.goog/news-room/fact-sheets/detail/adolescent-mental-health?_x_tr_sl=en&_x_tr_tl=ja&_x_tr_hl=ja&_x_tr_pto=nui,op,sc.
4. How Adolescent Health Influences Education and Employment: Investigating Longitudinal Associations and Mechanisms;Hale;J. Epidemiol. Community Health,2018
5. Review of Health and Risk-Behaviours, Mental Health Problems and Suicidal Behaviours in Young Europeans on the Basis of the Results from the Eu-Funded Saving and Empowering Young Lives in Europe (SEYLE) Study;Wasserman;Psychiatr. Pol.,2016
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献