ABSTRACT
OBJECTIVE: Rapid economic growth and social change in China in recent years have been accompanied by increased rates of mental health problems among the country's adolescents. This study examined rates of mental health service use and associated factors among Chinese adolescents. METHODS: A survey of 1,891 high school students in grades ten through 12 from three high schools in Shantou, China, was conducted in 2009. Measures of mental health status, service need (perceived and objective), mental health service use, and informal help seeking were obtained. RESULTS: Twenty-five percent of the adolescents reported a perceived need for the services of a mental health professional. Only 5% of the sample had used school-based mental health services and only 4% had used non-school-based services. Three factors emerged as independently associated with adolescent use of both school-based and non-school-based services: perceiving a need for mental health services, having turned to a teacher for help, and having turned to a relative other than one's parents for help. Male gender, being a 12th grader, and being an only child were independently associated with use of school-based services only, whereas a suicide attempt and having turned to one's parents for help were independently associated with use of non-school-based services. CONCLUSIONS: Findings indicate a high level of unmet need for mental health services among Chinese adolescents and highlight the need to improve the mental health knowledge of parents, teachers, and other significant individuals in adolescents' lives to facilitate adolescents' access to the mental health services that they need.
Subject(s)
Health Services Accessibility , Health Services Needs and Demand , Mental Health Services/statistics & numerical data , Adolescent , Age Factors , China , Cross-Sectional Studies , Family Characteristics , Female , Humans , Logistic Models , Male , Odds Ratio , Patient Acceptance of Health Care , School Health Services/statistics & numerical data , Sex FactorsABSTRACT
<p><b>OBJECTIVE</b>To investigate the current demands for professional continuing medical education (CME) in ophthalmic nurses and their influential factors, and to provide evidence for properly setting the curriculum of professional CME for nurses.</p><p><b>METHODS</b>Qualitative and quantitative analysis was performed on 60 nurses in an ophthalmic hospital by questionnaire survey and group interview.</p><p><b>RESULTS</b>Of the nurses surveyed, 49 (81.7%) thought the training time of professional CME needs to be adjusted, 40 (66.7%) referred to the training pattern, and 53 (88.3%) the training contents. The demanded courses of training mainly included professional nursing knowledge, professional nursing skills, and ophthalmic knowledge. Most nurses considered the influential factors for training were unreasonable training time and lack of applicability of some courses.</p><p><b>CONCLUSION</b>To improve the quality of professional CME for ophthalmic nurses, the training curriculum should be designed in consideration of ophthalmic characteristics, different work experiences of nurses, and different nursing positions, the training time should be arranged properly, and various training patterns should be adopted flexibly.</p>
Subject(s)
Adult , Female , Humans , Young Adult , Cross-Sectional Studies , Education, Nursing, Continuing , Needs Assessment , Nurses , Ophthalmology , EducationABSTRACT
Objective To investigate the causes of bicycle injuries among middle school students in rural areas and attitudes of students, their parents and teachers toward bicycle injuries.Methods 103 respondents in 14 groups were interviewed using focus group discussion outline. Data were taped and interpreted by two experienced researchers using the QSR NVivo 8.0 software.Results Disobeying the traffic rules, riding bicycle carelessly and fast speed when riding bicycle were the first leading causes of bicycle injuries among middle school students. The relative importance of disobeying traffic rules, inattentive riding the bicycles and fast speed were 1.00, 0.80 and 0.78respectively. Students, their parents and teachers held different attitudes toward the determinants of road condition(23 person-time)'. Fast riding speed was the most important subjective cause (students and parents were 14 and 8 person-time during the interview)but teachers thought that disobeying traffic rules was the most important one(by 14 person-time). Conclusion Residents in rural China had low awareness of child bicycle injuries. There is a need to improve the awareness of road safety among rural residents. Future intervention strategies should be tailored to address main determinants to reduce the incidence of road traffic injuries among children.
