{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T01:29:01Z","timestamp":1782869341852,"version":"3.54.5"},"reference-count":92,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Epidemiological evidence about the prevalence of adolescent mental health issues and their association with mental health literacy is crucial for sustained mental health promotion strategies. Adolescence is a critical life stage for mental health promotion. However, evidence is not available among Ethiopian school adolescents. Hence, the present study examined the prevalence of adolescents\u2019 mental health issues and their correlation with mental health literacy.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Materials and methods<\/jats:title>\n<jats:p>A cross-sectional study was conducted among adolescents (grades 5\u201312) in Dire Dawa city, Eastern Ethiopia using multistage random sampling. Data was collected using the Strength and Difficulty Questionnaire, WHO-5 well-being index, and mental health literacy questionnaire. SPSS version 25 was used for the descriptive, Chi-square, binary logistic regression, and correlation analyses.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Between 14.0\u201324.5% of adolescents had reported mental health problems: internalizing problems (14.9\u201328.8%), emotional problems (10.4\u201325.5%), and peer relationship problems (17.8\u201325.5%). These mental health problems were significantly greater among adolescents who had either themselves or their family members used psychoactive substances (p\u22640.05). Females from upper elementary (5\u20138 grade) and lower secondary (9\u201310) grade levels had a higher prevalence of mental health problems (AOR: 2.60 (0.95\u20137.10, p&lt;0.05)). The effect of age, parental education, or employment status was insignificant (p&gt;0.05). The prevalence of depression ranged from 18.0\u201325.5%. Mental health literacy was negatively correlated with total difficulties scores and positively associated with mental well-being scores (p&lt;0.05).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>The prevalence of adolescents\u2019 mental health problems was higher. It implied that promoting mental health literacy could enhance adolescents\u2019 positive mental health. Intervention programs should prioritize vulnerable groups and individuals reporting symptoms of mental health difficulties. Future studies should involve qualitative studies and consider effect of other determinants.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0295545","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T17:54:46Z","timestamp":1729792486000},"page":"e0295545","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":5,"title":["Mental health issues and the association of mental health literacy among adolescents in urban Ethiopia"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9584-2408","authenticated-orcid":true,"given":"Hailemariam Mamo","family":"Hassen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-5949","authenticated-orcid":true,"given":"Manas Ranjan","family":"Behera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepanjali","family":"Behera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ranjit Kumar","family":"Dehury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"pone.0295545.ref001","article-title":"Mental health literacy in children and adolescents in low- and middle-income countries: a mixed studies systematic review and narrative synthesis","author":"L Renwick","year":"2022","journal-title":"Eur Child Adolesc Psychiatry"},{"key":"pone.0295545.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1136\/bmjopen-2022-063687","article-title":"Mental health literacy of school-going adolescents in sub-Saharan Africa: a regional systematic review protocol","volume":"12","author":"T Sodi","year":"2022","journal-title":"BMJ Open"},{"key":"pone.0295545.ref003","first-page":"339","article-title":"A Systematic Review of Mental Health Literacy Measures for Children and Adolescents","volume":"8","author":"M Kucera","year":"2023","journal-title":"Adolesc Res Rev"},{"key":"pone.0295545.ref004","article-title":"Ethiopian National Mental Health Strategy (2020\u20132025)","volume":"2025","author":"Ministry of Health Federal Democratic Republic of Ethiopia","year":"2020","journal-title":"Fed Minist Heal"},{"key":"pone.0295545.ref005","first-page":"2","article-title":"Mental Health Literacy of Adolescents and the Effect of Socio- demographic Characteristics: A Cross-sectional Study","volume":"20","author":"HM Hassen","year":"2021","journal-title":"Online J Heal allied Sci"},{"key":"pone.0295545.ref006","first-page":"25","article-title":"Improving mental health literacy as a strategy","author":"M Kelly Claire","year":"2007","journal-title":"The Medical Journal of Australia Medical Journal of Australia"},{"key":"pone.0295545.ref007","first-page":"1","article-title":"Improving mental health literacy as a strategy to facilitate early intervention for mental disorders","volume":"187","author":"CM Kelly","year":"2007"},{"key":"pone.0295545.ref008","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1080\/10410236.2015.1037423","article-title":"Why We Need the Concept of \u201cMental Health Literacy.\u201d","volume":"30","author":"AF Jorm","year":"2015","journal-title":"Health Commun"},{"key":"pone.0295545.ref009","doi-asserted-by":"crossref","first-page":"182","DOI":"10.5694\/j.1326-5377.1997.tb140071.x","article-title":"\u201cMental health literacy\u201d: A survey of the public\u2019s ability to recognise mental disorders and their beliefs about the effectiveness of treatment","volume":"166","author":"AF Jorm","year":"1997","journal-title":"Med J Aust"},{"key":"pone.0295545.ref010","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/j.1440-1614.2006.01734.x","article-title":"Research on mental health literacy: What we know and what we still need to know","volume":"40","author":"A. 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