{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:53:56Z","timestamp":1782489236922,"version":"3.54.5"},"reference-count":38,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"unspecified","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,4,9]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify socio-demographic subgroups of adolescents through cluster analysis and examine the extent to which these clusters are associated with depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This cross-sectional study used cluster analysis and logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The Indonesian Health Survey 2023 is a nationally representative survey of Indonesia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 89,866 adolescents aged 15\u201324 years were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcome measures<\/jats:title>\n                    <jats:p>Depression was assessed using the Mini International Neuropsychiatric Interview. Logistic regression models were applied to estimate the association between cluster membership and depression risk, adjusting for behavioural factors (smoking and alcohol use), and geographical distribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five discrete socio-demographic clusters were identified in this study. Two clusters showed a significantly elevated risk of depression compared with the socioeconomically disadvantaged rural male cluster (Cluster 1). Cluster 2 (older, poor, rural females) had an OR 1.58 (95% CI 1.18 to 2.12), while Cluster 3 (younger, urban, affluent females) had an OR 2.60 (95% CI 1.92 to 3.52).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adolescent depression risk factors are shaped by intersecting socio-demographic vulnerabilities, particularly among females in disadvantaged rural and socioeconomically privileged urban settings. Gender-responsive and context-specific mental health interventions are required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-109727","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T12:35:15Z","timestamp":1778502915000},"page":"e109727","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Clustering socio-demographic of Indonesian adolescents and their associations with depression: a cross-sectional study"],"prefix":"10.1136","volume":"16","author":[{"given":"Fadhaa Aditya Kautsar","family":"Murti","sequence":"first","affiliation":[{"name":"Research Center in Advancing Community Healthcare (REACH), Universitas Airlangga, Surabaya, East Java, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nursalam","family":"Nursalam","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina Yeni","family":"Kustanti","sequence":"additional","affiliation":[{"name":"Study Program of Nursing Science, STIKES Bethesda Yakkum, Yogyakarta, Indonesia"},{"name":"Private Clinic for Wound and Palliative Care, Homecare, Lotus Care, Yogyakarta, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0437-6449","authenticated-orcid":false,"given":"Lisa","family":"McKenna","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sutrisno","family":"Sutrisno","sequence":"additional","affiliation":[{"name":"Departement of Nursing, Faculty of Health, Universitas Aisyah Pringsewu, Pringsewu, Lampung, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rifky Octavia","family":"Pradipta","sequence":"additional","affiliation":[{"name":"Research Center in Advancing Community Healthcare (REACH), Universitas Airlangga, Surabaya, East Java, Indonesia"},{"name":"Faculty of Nursing, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariyanti","family":"Saleh","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Universitas Hasanuddin, Makassar, Sulawesi Selatan, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7988-9196","authenticated-orcid":false,"given":"Ferry","family":"Efendi","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Universitas Airlangga, Surabaya, Jawa Timur, Indonesia"},{"name":"School of Nursing and Midwifery, La Trobe University, Bundoora, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"2026062608315137000_16.5.e109727.1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.5964\/ejop.6831","article-title":"A Systematic Review of Adolescent Flourishing","volume":"19","author":"Waigel","year":"2023","journal-title":"Eur J Psychol"},{"key":"2026062608315137000_16.5.e109727.2","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-021-01492-2"},{"key":"2026062608315137000_16.5.e109727.3","unstructured":"Institute for Health Metrics and Evaluation (IHME) . 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