Mental Health Literacy and Associated Factors among Secondary School Students in Bhaktapur, Nepal
DOI:
https://doi.org/10.70280/njph(2024)v1i1.9Keywords:
Mental health literacy, Health literacy, school studentsAbstract
Introduction: Mental health problems like depression and anxiety are the leading contributors to the global burden of disease. Mental health problems are common in adults and children in Nepal, accounting for 13.2% and 11.2% of the population while only 21% sought treatment. Evaluation of mental health literacy is important in assisting the development of intervention and policies toward preventing mental health problems. This study aimed to assess the mental health literacy among the secondary school students of Bhaktapur municipality and identify the factors associated with it.
Methods: A cross-sectional descriptive study was conducted in December 2019 among 468 students of grade11 and 12. We selected the study sample using two-stage cluster sampling technique. A self-administered questionnaire was used for the data collection using a modified mental health literacy scale. Collected data were entered in EpiData 3.1 and SPSS 17.0. Descriptive analysis was done to find out the level of MHL. Variables that were found statistically significant (p<0.05) in the univariate analysis were further analysed using multiple linear regression method. Ethical approval was taken from the Institutional Review Committee of the Institute of Medicine, Nepal.
Results: The participants exhibited moderate level of mental health literacy score of 110.9 8 (SD=±11.11).This study shows that age below 18 years (β= 2.13, 95% CI= 0.093to4.164), science faculty (β= 6. 41, 95% CI= 3.71to8.57), internet source for health information (β=2.31, 95% CI= 0.21to4.41), part-time job (β= -6.78, 95% CI= -9.30to -4.25) and mental distress (β= -3.37, 95% CI= -5.27to -1.47) were significantly associated with MHL in the students.
Conclusions: Awareness of existing MHL levels in the secondary school students is crucial for the evaluation of targeted educational interventions and for the further development and implementation of these interventions in the future. This study also emphasizes the need for school mental health program and to include mental health literacy in the school curriculum.
Keywords: Mental health literacy, Health literacy, School students
References
1. Kessler RC, Aguilar-Gaxiola S, Alonso J, Chatterji S, Lee S, Ormel J, et al. The global burden of mental disorders: An update from the WHO World Mental Health (WMH) Surveys. Epidemiol Psichiatr Soc. 2009;18(1):23–33.
2. Ritchie H, Roser M. Mental Health. Our World in Data [Internet]. 2018 Jan 20 [cited 2021 Aug 19]; Available from: https://ourworldindata.org/mental-health
3. Ranjan J, Asthana H. Prevalence of Mental Disorders in India and Other South Asian Countries. Asian Journal of Epidemiology. 2017 Apr 15;10:45–53.
4. Jha AK, Ojha SP, Dahal S, Sharma P, Pant SB, Labh S, et al. Prevalence of Mental Disorders in Nepal: Findings from the Pilot Study. Journal of Nepal Health Research Council. 2019 Aug 8;17(2):141–7.
5. World Health Organization. Global accelerated action for the health of adolescents (AA-HA!): guidance to support country implementation. 2017. - [Internet]. [cited 2020 Jun 26]. Available from: www.who.int/mental_health/en/
6. Jorm AF. Mental health literacy. Public knowledge and beliefs about mental disorders. Br J Psychiatry. 2000 Nov;177:396–401.
7. Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012 Apr;67(3):231–43.
8. Aryal MN. National Adolescent Health and Development Strategy. :51.
9. Singh B, Singh R, Singh K. Knowledge and Attitude towards Mental Health and Mental Illness: An Issue among Rural and Urban Community of Jhapa District of Nepal. 2013 Sep 1;29.
10. Gurung G. Knowledge and attitude of nurses regarding mental illness. Journal of Chitwan Medical College. 2014 Jul 30;4(2):40–3.
11. Crowe T, Gimire B, Trollo S. The mental health needs of deaf adults in Nepal. International Social Work. 2014 Sep 5;59.
12. World Health Organization. Regional Office for South-East Asia. Mental health status of adolescents in South-East Asia: evidence for action [Internet]. World Health Organization. Regional Office for South-East Asia; 2017 [cited 2021 Oct 4]. Available from: https://apps.who.int/iris/handle/10665/254982
13. Reavley NJ, Jorm AF. Young people’s stigmatizing attitudes towards people with mental disorders: findings from an Australian national survey. Aust N Z J Psychiatry. 2011 Dec;45(12):1033–9.
14. Gorczynski P, Gibson K, Clarke N, Mensah T, Summers R. Examining mental health literacy, help-seeking behaviours, distress, and wellbeing in UK coaches. European Physical Education Review. 2020 Aug 1;26(3):713–26.
15. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The Mediator Role of Mental Health Literacy in the Relationship Between Demographic Variables and Health-Promoting Behaviours. Iran J Psychiatry Behav Sci [Internet]. 2018 Jun 30 [cited 2022 Apr 16];12(2). Available from: https://brief.land/ijpbs/articles/12603.html
16. Kim EJ, Yu JH, Kim EY. Pathways linking mental health literacy to professional help‐seeking intentions in Korean college students. J Psychiatr Ment Health Nurs. 2020 Aug;27(4):393–405.
17. Acharya S. Depression literacy among higher secondary students in Kathmandu district: a cross sectional study. Institute of Medicine: Tribhuvan University; 2016.
18. Christensen H, Griffiths K. The Internet and Mental Health Literacy. Aust N Z J Psychiatry. 2000 Dec 1;34(6):975–9.
19. Recto P, Champion JD. Assessment of Mental Health Literacy among Perinatal Hispanic Adolescents. Issues Ment Health Nurs. 2017 Dec;38(12):1030–8.
20. Gaebel W, Baumann AE. ["Open the doors"--the antistigma program of the World Psychiatric Association]. MMW Fortschr Med. 2003 Mar 10;145(12):34–7.
21. Svensson B, Hansson L. How mental health literacy and experience of mental illness relate to stigmatizing attitudes and social distance towards people with depression or psychosis: A cross-sectional study. Nord J Psychiatry. 2016;70(4):309–13.
22. Angermeyer MC, Richter-Werling M. [A mental health education program: the school project “Crazy? So What!” initiated by “Irrsinnig Menschlich (Madly Human) e.V. Leipzig”]. MMW Fortschr Med. 2003 Mar 10;145(12):38, 40–1.
23. Kaneko Y, Motohashi Y. Male gender and low education with poor mental health literacy: a population-based study. J Epidemiol. 2007 Jul;17(4):114–9.
24. Lo K, Gupta T, Keating JL. Interventions to Promote Mental Health Literacy in University Students and Their Clinical Educators. A Systematic Review of Randomised Control Trials. Health Professions Education. 2018 Sep;4(3):161–75.
25. Yu Y, Liu Z wei, Hu M, Liu X guang, Liu H ming, Yang JP, et al. Assessment of mental health literacy using a multifaceted measure among a Chinese rural population. BMJ Open. 2015 Oct 5;5(10):e009054.
26. MH SN, Husna H, Muhamad Afnan A, Suriani I, Nashriq AI. Sociodemographic Factors of Mental Health Literacy Among Housewives Living in Low Cost Apartments in Puchong, Selangor, Malaysia. Malaysian Journal of Medicine & Health Sciences. 2020 Jan;1;16(1).
27. Reavley NJ, Jorm AF. The quality of mental disorder information websites: a review. Patient Educ Couns. 2011 Nov;85(2):e16-25.
28. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The Mediator Role of Mental Health Literacy in the Relationship Between Demographic Variables and Health-Promoting Behaviours. Iran J Psychiatry Behav Sci [Internet]. 2018 Jun 30 [cited 2021 Oct 4];12(2). Available from: https://sites.kowsarpub.com/ijpbs/articles/12603.html#abstract
29. Gorczynski P, Gibson K, Clarke N, Mensah T, Summers R. Examining mental health literacy, help-seeking behaviours, distress, and wellbeing in UK coaches. European Physical Education Review. 2020 Aug 1;26(3):713–26.
30. Tay JL, Tay YF, Klainin-Yobas P. Mental health literacy levels. Archives of Psychiatric Nursing. 2018 Oct 1;32(5):757–63.
31. Mental health literacy and mental health status in adolescents: a population-based survey | Child and Adolescent Psychiatry and Mental Health | Full Text [Internet]. [cited 2022 Apr 16]. Available from: https://capmh.biomedcentral.com/articles/10.1186/1753-2000-8-
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Copyright (c) 2024 Sarita Duwal, Rajan Paudel, Mohan Paudel, Manisha Dhaubanjar, Jyoti Nepal, Dilaram Acharya, Saraswati Dhungana

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