{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T18:09:35Z","timestamp":1783706975523,"version":"3.55.0"},"reference-count":34,"publisher":"Royal College of Psychiatrists","issue":"6","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych open"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec id=\"S2056472423005835_sec_a1\">\n\t    <jats:title>Background<\/jats:title>\n\t    <jats:p>Psychosocial health problems are major public health burdens for adolescents. Identifying risk factors is essential to containing negative health implications.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005835_sec_a2\">\n\t    <jats:title>Aims<\/jats:title>\n\t    <jats:p>This study aimed to estimate the burden of psychosocial health problems among adolescents, and identify potential risk and protective factors.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005835_sec_a3\" sec-type=\"methods\">\n\t    <jats:title>Method<\/jats:title>\n\t    <jats:p>We used the Global School-based Student Health Survey data from 68 countries across six World Health Organization regions. We computed the overall, national- and regional-level weighted estimates of the mean number of psychosocial health problems. Adjusted Poisson regression models examined the factors associated with psychosocial health problems.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005835_sec_a4\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Our sample totalled 202 040 adolescents aged 11\u201317 years (mean age 14.6 [s.d. 1.18] years), composed of 95 589 (47.31%) boys and 104 191 (51.57%) girls (2260 (1.12%) missing answers). Samoa had the highest mean number of psychosocial health problems (mean 2.64 [s.d. 1.41]), and Niue had the lowest (mean 0.33 [s.d. 0.72]). In the pooled analysis, the following factors were associated with higher rates of psychosocial health problems in adolescents globally: \u226513 years of age, being female, experiencing food insecurity, experiencing physical violence, having been bullied, engagement in physical altercation, experiencing serious injury, missing school without parental permission, lack of parental support or monitoring, parents who were not understanding of their child's problems and high sedentary behaviour. Being female, food insecurity, bullying, physical attacks or serious injury were all significantly associated with higher rates of psychosocial health problems in each of the six regions separately.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S2056472423005835_sec_a5\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>The prevalence of psychosocial health problems is high among adolescents, although there are country-level variations. Health promotion strategies should consider the identified factors to promote adolescents\u2019 health and well-being.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/bjo.2023.583","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T05:41:48Z","timestamp":1697434908000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Emerging burdens of adolescent psychosocial health problems: a population-based study of 202 040 adolescents from 68 countries"],"prefix":"10.1192","volume":"9","author":[{"given":"Md Ashfikur","family":"Rahman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9610-1479","authenticated-orcid":false,"given":"Satyajit","family":"Kundu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enryka","family":"Christopher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bright Opoku","family":"Ahinkorah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Okyere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riaz","family":"Uddin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rashidul Alam","family":"Mahumud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2023,10,16]]},"reference":[{"key":"S2056472423005835_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s12646-020-00550-2"},{"key":"S2056472423005835_ref22","author":"Lipari","year":"2014","journal-title":"Serious Mental Health Challenges among Older Adolescents and Young Adults: The CBHSQ Report"},{"key":"S2056472423005835_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2021.02.014"},{"key":"S2056472423005835_ref2","author":"United Nations","year":"2016","journal-title":"The Sustainable Development Goals"},{"key":"S2056472423005835_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-020-00667-y"},{"key":"S2056472423005835_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32335-3"},{"key":"S2056472423005835_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.12.042"},{"key":"S2056472423005835_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(18)30403-6"},{"key":"S2056472423005835_ref28","first-page":"147","article-title":"Psychological distress among adolescents in Laos, Mongolia, Nepal, and Sri Lanka","volume":"13","author":"Lee","year":"2019","journal-title":"Asian Nurs Res (Korean Soc Nurs Sci)"},{"key":"S2056472423005835_ref33","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.15.163295"},{"key":"S2056472423005835_ref26","doi-asserted-by":"publisher","DOI":"10.1186\/s13104-019-4300-6"},{"key":"S2056472423005835_ref30","doi-asserted-by":"publisher","DOI":"10.4324\/9781351248433-3"},{"key":"S2056472423005835_ref7","year":"2021","journal-title":"Mental Health of Adolescents."},{"key":"S2056472423005835_ref6","volume-title":"World Drug Report 2018: Opioid Crisis, Prescription Drug Abuse Expands; Cocaine and Opium Hit Record Highs","year":"2018"},{"key":"S2056472423005835_ref16","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdy133"},{"key":"S2056472423005835_ref20","unstructured":"20 World Health Organization (WHO). 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Published by Cambridge University Press on behalf of the Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e188"}}