Analysis of mental health status of students in Inner Mongolia Autonomous Region / 中国学校卫生

ABSTRACT

Objective@#To analyze and evaluate the mental health of students in Inner Mongolia Autonomous Region, so as to provide a reference for conducting mental health education in schools.@*Methods@#A total of 18 867 students aged 9-22 were enrolled from 65 primary and secondary schools and 4 universities in Inner Mongolia that participated in the 2019 National Students Physical Fitness and Health Survey. From September to November 2019, in conjunction with the national student physical health survey, a questionnaire survey of the Kessler Psychological Distress Scale(K10) was carried out.@*Results@#The K10 average score of the survey subjects was (21.96±8.67). The score of the Mongolian nationality(22.57±8.59) was higher than that of the Han nationality(21.53 ±8.70)( t =8.18), the score of rural area (22.42±8.32) was higher than that of the urban area(21.40±9.05)( t = 8.04 ), the primary school students had the lowest score (19.56±8.61) and the senior high school students had the highest score(23.30±8.75)( F =183.26)( P <0.01). In the overall survey subjects, the detection rates of the four levels in good, fair, poor and poor mental health were 25.62%, 28.82%, 26.44% and 19.12%, respectively, and the detection rate of psychological problems was 45.57%. The comparison of the detection rates of mental health problems among attributes showed that the rates of the Han and Mongolian nationalities were 43.27% and 48.85%, respectively( χ 2=101.25); the rates of urban and rural areas were 41.70% and 48.80%, respectively( χ 2=183.44); the rates of the male and the female were 44.88% and 46.26%, respectively( χ 2=19.24)( P < 0.01 ). The prevalence psychological problems among students in primary school, junior high school, senior high school and college were 33.60 %, 49.78%, 52.85% and 47.43%, respectively( χ 2=803.63, P <0.01). Multiple linear regression showed that the detection of psychological problems of Mongolian nationality, urban area, the female and high school students was relatively high. Nationality, urban or rural areas and school stages were the influencing factors of K10 scores[ B(B 95%CI )=0.78(0.05-1.04),0.81( 0.06- 1.06),0.93(0.08-1.03), P <0.05)].@*Conclusion@#Mental health problems are prevalent in adolescents in Inner Mongolia. The government, society, parents and schools should pay more attention to the construction of the software and hardware environment of students mental health, strengthen mental health education and services, and effectively promote the development of students mental health.