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KMID : 1120220230140040300
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Osong Public Health and Research Perspectives
2023 Volume.14 No. 4 p.300 ~ p.311
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Mental health and its determinants among adolescents living in families with separated or divorced parents in an urban area of Vietnam
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Binh Thang Tran
Minh Tu Nguyen
Minh Tam Nguyen
Xianghe Meng
Vo Nu Hong Duc
Thi Tra My Tran
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Abstract
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Objectives : We assessed the prevalence of stress, anxiety, and depression among adolescents living in families with separated or divorced parents in Hue City, Vietnam and identified factors associated with these conditions.
Methods : This cross-sectional study enrolled 309 adolescents, aged 12 to 17?years, living in families with separated or divorced parents in Hue City, Vietnam. The depression anxiety stress scale-21 (DASS-21) was used to measure stress, anxiety, and depression. Predictors of overall and individual mental health problems were identified using ordered and binary logistic regression, respectively.
Results : The DASS-21 scale revealed a 49.2% prevalence of stress, while anxiety and depression had s prevalence rates of 61.5%. Among participants, 42.4% experienced all 3 mental health issues. Several factors were identified as significant predictors of mental health problems, including poor to average economic status (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.21?3.31; p=0.007); being in high school (aOR, 5.02; 95% CI, 2.93?8.60; p<0.001); maternal occupation of teacher, healthcare professional, or official (aOR, 2.39; 95% CI, 1.13?5.03; p=0.022); longer duration of family separation or divorce (aOR, 1.24; 95% CI, 1.05?1.45; p=0.009); living with one’s mother (aOR, 1.69; 95% CI, 1.03?2.76; p=0.04); alcohol consumption (aOR, 1.70; 95% CI, 0.99?2.92; p=0.050); and being bullied (aOR, 5.33; 95% CI, 1.10?25.69; p=0.037). Most of these factors were associated with stress, anxiety, and depression. Additionally, smoking was associated with stress.
Conclusion : Adolescents with separated or divorced parents were at increased risk of stress, anxiety, and depression. The findings of this study provide important implications for prevention programs.
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KEYWORD
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Adolescent, Anxiety, Depression, Divorce, Emotional stress, Separated
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