COVID-19大流行第一年青少年获得精神卫生支持的情况、未满足的需求和偏好

IF 2.2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion and Chronic Disease Prevention in Canada-Research Policy and Practice Pub Date : 2023-04-12 DOI:10.24095/hpcdp.43.4.03
Lauren R Gorfinkel, Gaelen Snell, David Long, Mari Del Casal, Judy Wu, Kimberly Schonert-Reichl, Martin Guhn, Hasina Samji
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引用次数: 1

摘要

2019冠状病毒病大流行对青少年心理健康产生了广泛影响。然而,对青少年寻求支持、未满足的需求和对精神卫生保健的偏好知之甚少。方法:采用青少年发展量表(YDI)对加拿大不列颠哥伦比亚省的青少年(N = 1928,平均年龄= 17.1,SD = 0.3)进行学校管理调查。在这个队列中,我们评估了可获得的心理健康支持的特征、未满足需求的普遍程度以及对面对面服务与基于互联网的服务的偏好。结果:总体而言,40%的青少年获得了心理健康支持,而41%的青少年的需求未得到满足。最常获得支持的是家庭医生或儿科医生(23.1%)和学校的成年人(20.6%)。最受欢迎的心理保健方式是面对面咨询(72.4%),其次是聊天服务(15.0%)、电话(8.1%)和视频电话(4.4%)。焦虑青少年(调整患病率比[aPR] = 1.29, 95% CI: 1.10-1.51)、酗酒青少年(1.14,1.01-1.29)、性别少数群体(1.28,1.03-1.58)和性少数群体(1.28,1.03-1.45)获得支持的调整患病率较高。抑郁青少年(1.90,1.67-2.18)、焦虑青少年(1.78,1.56-2.03)、女性青少年(1.43,1.31-1.58)、性别少数群体(1.45,1.23-1.70)和性少数群体(1.15,1.07-1.23)的调整后需求未满足率较高。结论:性别或性少数地位的青少年和焦虑的青少年比其他人更有可能讨论心理健康问题,也更有可能报告未满足的需求。最常见的支持来源是初级卫生保健提供者和学校的成年人,而最受欢迎和最不受欢迎的支持模式分别是面对面和视频通话服务。
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Access to mental health support, unmet need and preferences among adolescents during the first year of the COVID-19 pandemic.

Introduction: The COVID-19 pandemic has had widespread effects on adolescent mental health. However, little is known about support-seeking, unmet need and preferences for mental health care among adolescents.

Methods: The Youth Development Instrument (YDI) is a school-administered survey of adolescents (N = 1928, mean age = 17.1, SD = 0.3) across British Columbia, Canada. In this cohort, we assessed the characteristics of accessed mental health supports, prevalence of unmet need and preferences for in-person versus internet-based services.

Results: Overall, 40% of adolescents obtained support for mental health, while 41% experienced unmet need. The most commonly accessed supports were family doctors or pediatricians (23.1%) and adults at school (20.6%). The most preferred mode of mental health care was in-person counselling (72.4%), followed by chat-based services (15.0%), phone call (8.1%) and video call (4.4%). The adjusted prevalence of accessing support was elevated among adolescents with anxiety (adjusted prevalence ratio [aPR] = 1.29, 95% CI: 1.10-1.51), those who used alcohol (1.14, 1.01-1.29), gender minorities (1.28, 1.03-1.58) and sexual minorities (1.28, 1.03-1.45). The adjusted prevalence of unmet need was elevated among adolescents with depression (1.90, 1.67-2.18), those with anxiety (1.78, 1.56-2.03), females (1.43, 1.31-1.58), gender minorities (1.45, 1.23-1.70) and sexual minorities (1.15, 1.07-1.23).

Conclusion: Adolescents of gender or sexual minority status and those with anxiety were more likely than others to have discussed mental health concerns and also to have reported unmet need. The most common sources of support were primary health care providers and adults at school, while the most and least preferred modes of support were in-person and video call services, respectively.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
65
审稿时长
40 weeks
期刊介绍: Health Promotion and Chronic Disease Prevention in Canada: Research, Policy and Practice (the HPCDP Journal) is the monthly, online scientific journal of the Health Promotion and Chronic Disease Prevention Branch of the Public Health Agency of Canada. The journal publishes articles on disease prevention, health promotion and health equity in the areas of chronic diseases, injuries and life course health. Content includes research from fields such as public/community health, epidemiology, biostatistics, the behavioural and social sciences, and health services or economics.
期刊最新文献
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