Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Mental Health Condition of Socioeconomically Disadvantaged Adolescents and Physical Inactivity as a Risk Factor
Sosyoekonomik Dezavantajlı Adölesanların Ruhsal Sağlık Durumları ve Bir Risk Faktörü Olarak Fiziksel İnaktivite
Alime SELÇUK TOSUNa, Deniz TANYERa, Belgin AKINa, Emine ERGİNa, Tuba ÖZAYDINa
aDepartment of Public Health Nursing, Selcuk University Faculty of Health Sciences, Konya, TURKEY
Turkiye Klinikleri J Nurs Sci. 2019;11(2):120-8
doi: 10.5336/nurses.2018-62764
Article Language: EN
Full Text
ABSTRACT
 Objective: Mental health problems emerge in early and late adolescence and it is an important public health problem. This study aimed to assess the mental condition in socioeconomically disadvantaged adolescents to determine risk factors that affect their mental condition and, assess the effect of physical inactivity as arisk factor for mental health conditions. Material and Methods: This descriptive study was conducted with 993 students in a secondary and high school.The Socio-demographic Characteristics Questionnaire Form, The General Health Questionnaire -12, and the Physical Activity Questionnaire were used to collect data. Data analysis was performed using descriptive statistics, chi-square test, regression analysis and multiple regression analysis. Results: The mean age of the participating students was 15.3±1.2 years (min=13-max=17); 53.9% of the students were male. The logistic regression analysis determined that the "female gender" and moderate/poor perception of academic achievement are important risk factors regarding poor/moderate mental health conditions. There were significant differences between age, gender, perceived academic achievement, and physical activity total score and mental health condition. Conclusion: In this study, approximately 1/3 of the students assessed mental health condition as moderate or poor. Regarding determining these problems in the early period, it will be important to assess the mental health condition of students while performing health screening within the scope of school health services.

Keywords: Adolescent; depression; exercises; mental health
ÖZET
 Amaç: Ruhsal sağlık sorunları erken ve geç adölesan dönemde ortaya çıkmaktadır ve önemli bir halk sağlığı sorunudur. Bu çalışma ile sosyo ekonomik yönden dezavantajlı adölesanlarda ruhsal durumun değerlendirilmesi ve ruhsal durumu etkileyen risk faktörlerinin belirlenmesi, ve ruhsal sağlık durumu için bir risk faktörü olarak fiziksel inaktivitenin değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı türdeki bu çalışma, bir ortaokul ve lisede öğrenim gören 993 öğrenci ile yürütülmüştür. Verilerin toplanmasında öğrencilerin Sosyo-demografik Özellikler Anket Formu, Genel Sağlık Anketi ve Fiziksel Aktivite Soru Formu kullanılmıştır. Verilerin analizi tanımlayıcı istatistikler, ki kare testi, logistik regresyon analizi ve çoklu regresyon analizi kullanılarak gerçekleştirilmiştir. Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 15,3±1,2 yıl olup (min=13-max=17) %53,9'u erkek öğrencidir. Lojistik regresyon analizine göre cinsiyetin kız olması ve akademik başarıyı orta/kötü algılamanın orta/kötü ruhsal sağlık durumu için önemli risk faktörleri olduğu belirlenmiştir. Yaş, cinsiyet, algılanan akademik başarı durumu ve fiziksel aktivite toplam puanı ile ruhsal sağlık durumu arasında istatistiksel olarak anlamlı bir fark tespit edilmiştir. Sonuç: Bu çalışmada öğrencilerin yaklaşık 1/3'ü ruhsal sağlık durumunu orta ve kötü olarak değerlendirmiştir. Okul sağlığı hizmetleri kapsamında sağlık taramaları yapılırken öğrencilerin ruhsal durumlarının da değerlendirilmesi erken dönemde bu sorunların saptanması açısından önemli olacaktır.

Anahtar Kelimeler: Adölesan; depresyon; egzersiz; ruh sağlığı
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