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Gender differences in symptoms of depression among adolescents in Eastern Norway: Results from a cross-sectional study
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).ORCID-id: 0000-0002-9105-2791
Inland Norway university.
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
2019 (Engelska)Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, nr 2, s. 157-165Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Aim: The aim of this study was to compare and describe gender differences and the associations between symptoms of depression and family conflict and economics, lifestyle habits, school satisfaction and the use of health-care services among adolescents. Methods: Data were retrieved from Ungdata which is a cross-sectional study. Adolescents (n=8052) from secondary school grades 8, 9 and 10 (age 13–16 years) participated in the study from 41 municipal schools in four counties. Results: Girls reported a higher prevalence of symptoms of depression than boys. Gender differences were seen on all items related to symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and health-care services. Multiple regressions showed that family conflicts and economics contributed to 19.2% of the variance in symptoms of depression in girls and 12.4% in boys. School satisfaction made a strong contribution: 21.5% in girls and 15.4% in boys. The total model explained 49% of the total variance in symptoms of depression in girls and 32.5% in boys. Conclusions: Gender demonstrated a pattern through a higher proportion of girls reporting symptoms of depression, family conflict and economics, lifestyle habits, school satisfaction and use of health-care services. Even though the adolescents reported symptoms of depression, few used the school health-care services and public health nurses. This indicates that they need a person-centered approach for symptoms of depression. The findings may have important implications for planning for adolescents in school health services.

Ort, förlag, år, upplaga, sidor
SAGE Publications Ltd , 2019. Vol. 47, nr 2, s. 157-165
Nyckelord [en]
Adolescent, depression, gender, lifestyle habits, school health-care, school satisfaction, socioeconomics
Nationell ämneskategori
Omvårdnad
Identifikatorer
URN: urn:nbn:se:kau:diva-66553DOI: 10.1177/1403494817715379ISI: 000462758700010Scopus ID: 2-s2.0-85042186768OAI: oai:DiVA.org:kau-66553DiVA, id: diva2:1187133
Tillgänglig från: 2018-03-02 Skapad: 2018-03-02 Senast uppdaterad: 2019-08-16Bibliografiskt granskad
Ingår i avhandling
1. Mental health problems among adolescents: Public health nurses' work and interprofessional collaboration within the school health service
Öppna denna publikation i ny flik eller fönster >>Mental health problems among adolescents: Public health nurses' work and interprofessional collaboration within the school health service
2019 (Engelska)Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
Abstract [en]

The aim with this thesis was to study adolescents with mental health problems, factors that are associated with mental health problems, visits to the public health nurse (PHN), and how PHNs and other professionals experience the collaboration in school and school health services related to mental health problems.

 

Methods: Qualitative and quantitative methods were used. Study I included cross-sectional data from Ungdata, with 8052 adolescents. Descriptive statistics and hierarchical regression were used to analyse the data. Study II included individual interviews with 12 boys and qualitative content analysis was used. In study III, four focus group interviews were conducted and analysed with qualitative content analysis. In study IV, 18 PHNs were individually interviewed and a phenomenographic approach was used to analyse the interviews.

Results: Gender differences were seen in the symptoms of depression, family conflicts and economics, lifestyle habits, school satisfaction and use of school health services with girls reporting in a higher proportion than boys. Boys described barriers such as finding the PHN inaccessible, difficulty talking about mental health problems and uncertainty about confidentiality when visiting the PHN. Interprofessional collaboration (IPC) is important for identifying adolescents with mental health problems. Accessibility, having different obligations, lack of criteria and goals and being dependent on others were described as affecting IPC.

Conclusion: There are differences in boys and girls with girls reporting more mental health problems and visiting the school health service more often than boys. Boys described several barriers to visiting the PHN, but, when these barriers were crossed, the boys experienced the visit as positive. Several factors affected IPC in schools and the school health services. There were variations in the collaboration experienced, but when it worked it was experienced as positive.

Abstract [en]

Mental health problems among adolescents are increasing and are a major public health issue worldwide. The aim of this thesis was to study adolescents with mental health problems, factors that are associated with mental health problems, the visit to the public health nurse (PHN), and how PHNs and other professionals experience interprofessional collaboration (IPC) in school and school health services related to mental health problems. Gender differences in mental health problems, as well as in help-seeking behavior, were identified. Boys visit the PHN to a smaller extent than girls and they experienced barriers such as finding the PHN inaccessible, difficulty talking about their problems with the PHN and uncertainty about confidentiality. When the PHN was trustworthy, confident and supportive, the visit was described as positive.

The PHN in the school health service is in a position to identify mental health problems among adolescents In this setting IPC is essential. Factors such as lack of criteria and goals, different obligations, accessibility and being dependent on others were affecting collaboration. When the professionals and the PHN were included in the IPC, it was experienced as positive.

Ort, förlag, år, upplaga, sidor
Karlstad: Karlstads universitet, 2019. s. 81
Serie
Karlstad University Studies, ISSN 1403-8099 ; 2019:24
Nyckelord
adolescents, interprofessional collaboration, mental health problems, public health nurse, secondary school
Nationell ämneskategori
Omvårdnad
Forskningsämne
Omvårdnad
Identifikatorer
urn:nbn:se:kau:diva-74366 (URN)978-91-7867-043-7 (ISBN)978-91-7867-048-2 (ISBN)
Disputation
2019-10-04, 1A 305, Lagerlöfsalen, Karlstad, 10:00 (Svenska)
Opponent
Handledare
Tillgänglig från: 2019-09-11 Skapad: 2019-08-16 Senast uppdaterad: 2019-09-11Bibliografiskt granskad

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Granrud, M. D.Theander, Kersti

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