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首页> 外文期刊>Global Health Action >Direct assessment of mental health and metabolic syndrome amongst Indonesian adolescents: a study design for a mixed-methods study sampled from school and community settings
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Direct assessment of mental health and metabolic syndrome amongst Indonesian adolescents: a study design for a mixed-methods study sampled from school and community settings

机译：印度尼西亚青少年心理健康和代谢综合征的直接评估：学校和社区环境中的混合方法研究的研究设计

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ABSTRACT Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality globally, with the burden largely borne by people living in low- and middle-income countries. Adolescents are central to NCD control through the potential to modify risks and alter the trajectory of these diseases across the life-course. However, an absence of epidemiological data has contributed to the relative exclusion of adolescents from policies and responses. This paper documents the design of a study to measure the burden of metabolic syndrome (a key risk for NCDs) and poor mental health (a key outcome) amongst Indonesian adolescents. Using a mixed-method design, we sampled 16–18-year-old adolescents from schools and community-based settings across Jakarta and South Sulawesi. Initial formative qualitative enquiry used focus group discussions to understand how young people conceptualise mental health and body weight (separately); what they perceive as determinants of these NCDs; and what responses to these NCDs should involve. These findings informed the design of a quantitative survey that adolescents self-completed electronically. Mental health was measured using the Centre for Epidemiologic Studies Depression Scale-Revised (CESD-R) and Kessler-10 (both validated against formal psychiatric interview in a subsample), with the metabolic syndrome measured using biomarkers and anthropometry. The survey also included scales relating to victimisation, connectedness, self-efficacy, body image and quality of life. Adolescents were sampled from schools using a multistage cluster design, and from the community using respondent-driven sampling (RDS). This study will substantially advance the field of NCD measurement amongst adolescents, especially in settings like Indonesia. It demonstrates that high quality, objective measurement is acceptable and feasible, including the collection of biomarkers in a school-based setting. It demonstrates how comparable data can be collected across both in-school and out of school adolescents, allowing a more comprehensive measure of NCD burden, risk and correlates.
机译：摘要非传染病（NCD）是全球性发病率和死亡率的主要原因，受到生活在低收入和中等收入国家的人的负担很大程度上。青少年通过潜力来修改风险并改变这些疾病的轨迹，是NCD控制的核心。然而，没有流行病学数据有助于与政策和反应的相对排除青少年。本文介绍了一项研究的设计，以衡量代谢综合征（NCDS的关键风险）和印度尼西亚青少年中的心理健康状况不佳（关键结果）。使用混合方法设计，我们在雅加达和南苏拉威西队的学校和社区环境中取出了16-18岁的青少年。初步形成性定性查询使用焦点小组讨论，了解年轻人如何概念性的心理健康和体重（单独）;他们认为这些NCD的决定因素是什么;以及对这些NCD的回答应该涉及。这些调查结果通知了青少年电子完成的定量调查的设计。使用流行病学研究中心测量抑郁症规模修订（CESD-R）和KESSLER-10（验证了核对子样本的正式精神病学访谈）测量心理健康，使用生物标志物和人类测量测量代谢综合征。该调查还包括与受害，关联，自我效能，身体形象和生活质量有关的尺度。使用多级集群设计以及使用受访者驱动的采样（RDS）来使用多级集群设计和社区中的学校采样。本研究将基本上推进青少年中NCD测量领域，特别是在印度尼西亚等环境中。它表明，高质量，客观的测量是可接受的和可行的，包括在基于学校的环境中的生物标志物的收集。它展示了如何在学校中学和学校的青少年中收集的可比数据，允许更全面的NCD负担，风险和相关性。

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