Analysis of Mental Health and Substance Use Disorders, and Self-Harm among Young People in 185 Countries

IF 1.6 3区 心理学 Q2 FAMILY STUDIES Journal of Child and Family Studies Pub Date : 2024-08-15 DOI:10.1007/s10826-024-02899-8
Veli Durmuş
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Abstract

Young people’s mental and substance use disorders are a significant public health issue worldwide. A large proportion of the world’s disease burden among young people is attributable to mental health disorders. This study examines the prevalence of mental and substance use disorders, the incidence of self-harm behaviors, years lived with disability, and years of life lost by country-level income groups and gender among young people (10–24 years) in 185 countries at two time points: 1990 and 2019. A descriptive study was conducted using secondary data extracted from the Global Burden of Disease Study (GBD) 2019 to estimate the prevalence of mental health and substance use disorders, as well as self-harm behaviors among young people. Percentage changes in 1990–2019, 95% uncertainty intervals (UIs), and correlations with the socio-demographic index, sustainable development goals were examined. The findings showed that globally, the prevalence of mental and substance use disorders among young people of both genders slightly decreased from 1990. However, these rates varied significantly across country-level income groups and sexes. High-income countries showed significantly the highest increase of mental health disorder rates at these time points, while lower-middle-income countries had the greatest decrease in the study. Furthermore, females displayed higher incidence rates of self-harm at younger ages compared to males across all income-based groups. These findings provide valuable insights for policymakers, enabling them to better understand the situation and make data-driven policy decisions. This includes estimating the economic burden of disorders, planning services, and allocating resources effectively.

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对 185 个国家年轻人的心理健康和药物使用障碍以及自残情况的分析
年轻人的精神障碍和药物使用障碍是全世界一个重要的公共卫生问题。全世界青少年疾病负担的很大一部分可归因于精神健康失调。本研究按国家收入组别和性别对 185 个国家的年轻人(10-24 岁)在 1990 年和 2019 年两个时间点的精神障碍和药物使用障碍患病率、自残行为发生率、残疾生活年数和生命损失年数进行了研究:1990年和2019年。我们利用从《2019 年全球疾病负担研究》(GBD)中提取的二手数据开展了一项描述性研究,以估算年轻人中精神健康和药物使用障碍以及自残行为的流行率。研究考察了 1990-2019 年间的百分比变化、95% 不确定区间(UIs)以及与社会人口指数和可持续发展目标的相关性。研究结果表明,在全球范围内,男女青年的精神和药物使用失调症患病率与 1990 年相比略有下降。然而,这些比率在不同国家的收入组别和性别之间存在显著差异。在这些时间点上,高收入国家的精神疾病发病率增幅最大,而中低收入国家的发病率降幅最大。此外,在所有收入组别中,与男性相比,女性在更年轻时的自残发生率更高。这些发现为政策制定者提供了宝贵的见解,使他们能够更好地了解情况并做出以数据为导向的决策。这包括估算失调症的经济负担、规划服务和有效分配资源。
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来源期刊
CiteScore
3.60
自引率
4.80%
发文量
300
期刊介绍: Journal of Child and Family Studies (JCFS) international, peer-reviewed forum for topical issues pertaining to the behavioral health and well-being of children, adolescents, and their families. Interdisciplinary and ecological in approach, the journal focuses on individual, family, and community contexts that influence child, youth, and family well-being and translates research results into practical applications for providers, program implementers, and policymakers. Original papers address applied and translational research, program evaluation, service delivery, and policy matters that affect child, youth, and family well-being. Topic areas include but are not limited to: enhancing child, youth/young adult, parent, caregiver, and/or family functioning; prevention and intervention related to social, emotional, or behavioral functioning in children, youth, and families; cumulative effects of risk and protective factors on behavioral health, development, and well-being; the effects both of exposure to adverse childhood events and assets/protective factors; child abuse and neglect, housing instability and homelessness, and related ecological factors influencing child and family outcomes.
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