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Psychopathology is associated with reproductive health risk in European adolescents

Gambadauro, Pietro (författare)
Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden;Res Med Sweden, Gynaecol & Reprod Med, S-75224 Uppsala, Sweden
Carli, Vladimir (författare)
Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden
Wasserman, Camilla (författare)
Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden;Columbia Univ, New York State Psychiat Inst, Dept Child & Adolescent Psychiat, New York, NY USA
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Hadlaczky, Gergo (författare)
Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden
Sarchiapone, Marco (författare)
Univ Molise, Dept Med & Hlth Sci, I-86100 Campobasso, Italy;Natl Inst Hlth Migrat & Poverty, Via San Gallicano 25-A, I-00100 Rome, Italy
Apter, Alan (författare)
Tel Aviv Univ, Schneider Childrens Med Ctr Israel, Tel Aviv, Israel
Balazs, Judit (författare)
Vadaskert Child Psychiat Hosp & Outpatient Clin, H-1021 Budapest, Hungary;Eotvos Lorand Univ, Inst Psychol, Izabella U 46, H-1064 Budapest, Hungary
Bobes, Julio (författare)
Univ Oviedo, CIBERSAM Sch Med, Dept Psychiat, Julian Claveria 6-3, E-33006 Oviedo, Spain
Brunner, Romuald (författare)
Heidelberg Univ, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Blumenstr 8, D-69115 Heidelberg, Germany
Cosman, Doina (författare)
Iuliu Hatieganu Univ Med & Pharm, Clin Psychol Dept, Cluj Napoca, Romania
Haring, Christian (författare)
State Hosp Hall Tyrol, Tirol Kliniken, Dept Psychiat & Psychotherapy B, Milser Str 10, A-6060 Hall In Tirol, Austria
Hoven, Christina W. (författare)
Columbia Univ, New York State Psychiat Inst, Dept Child & Adolescent Psychiat, New York, NY USA;Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USA
Iosue, Miriam (författare)
Univ Molise, Dept Med & Hlth Sci, I-86100 Campobasso, Italy
Kaess, Michael (författare)
Heidelberg Univ, Ctr Psychosocial Med, Dept Child & Adolescent Psychiat, Blumenstr 8, D-69115 Heidelberg, Germany
Kahn, Jean Pierre (författare)
Univ Lorraine, CHRU Nancy, Dept Psychiat & Clin Psychol, Nancy, France;Univ Lorraine, Ctr Psychotherap Nancy Laxou, Pole 6, Nancy, France
McMahon, Elaine (författare)
Univ Coll Cork, Natl Suicide Res Fdn, Cork, Ireland
Postuvan, Vita (författare)
Univ Primorska, Andrej Marus Inst, Slovene Ctr Suicide Res, Muzejski Trg 2, Koper 6000, Slovenia
Varnik, Airi (författare)
Tallinn Univ, Ctr Behav & Hlth, Estonian Swedish Mental Hlth & Suicidol Inst, Tallinn, Estonia
Wasserman, Danuta (författare)
Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden
Carli, V (författare)
Karolinska Institutet
Cosman, D (författare)
Haring, C (författare)
Hoven, CW (författare)
Hadlaczky, G (författare)
Karolinska Institutet
Apter, A (författare)
Kaess, M (författare)
Iosue, M (författare)
Bobes, J (författare)
McMahon, E (författare)
Varnik, A (författare)
Postuvan, V (författare)
Balazs, J (författare)
Wasserman, D (författare)
Karolinska Institutet
Brunner, R (författare)
Sarchiapone, M (författare)
Kahn, JP (författare)
Wasserman, C (författare)
Gambadauro, P (författare)
Karolinska Institutet
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 (creator_code:org_t)
BMC, 2018
2018
Engelska.
Ingår i: Reproductive Health. - : BMC. - 1742-4755 .- 1742-4755. ; 15
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • BackgroundReproductive and mental health are key domains of adolescent wellbeing but possible interrelationships are poorly understood. This cross-sectional study evaluated the association between psychopathology and reproductive health risk among European adolescents.MethodsA structured self-report questionnaire was delivered to 12,395 pupils of 179 randomly selected schools in 11 European countries within the EU funded Saving and Empowering Young Lives in Europe (SEYLE) project. The questionnaire included items about sexual initiation and reproductive health risk factors, such as number of sexual partners, frequency of condom use, and pregnancy involvement. Psychopathology was evaluated with validated instruments and/or ad-hoc questions.ResultsOf 11,406 respondents (median age 15; interquartile range [IQR] 14-15; 57% females), 18.8% reported sexual initiation. Sixty percent of them also reported at least one reproductive risk factor. Sexual initiation was significantly more common among pupils older than 15years (38% versus 13.2% younger pupils) and males (21.3% versus 16.9% females). It was also more common among pupils with depression (age/sex-adjusted odds ratio [aOR] 1.871), anxiety (aOR 2.190), severe suicidal ideation (aOR 2.259), self-injurious behaviour (aOR 2.892), and suicide attempts (aOR 3.091). These associations were particularly strong among pupils 15years old and, for overt psychopathology, among pupils with low non-sexual risk behaviour profile and females. Depression (aOR 1.937), anxiety (aOR 2.282), severe suicidal ideation (aOR 2.354), self-injurious behaviour (aOR 3.022), and suicide attempts (aOR 3.284) were associated with higher reproductive health risk, defined by an increasing number of coexisting reproductive risk factors.ConclusionsThese findings suggest an alignment between mental and reproductive health risk and support the value of cross-domain collaboration in adolescent health. The association between psychopathology and reproductive health risk, as well as its variations with age, sex, and associated risk behaviours, should be considered when designing health-promoting or disease-preventing interventions for adolescents.

Ämnesord

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

Adolescence
Behaviour
Mental health
Psychopathology
Reproductive health
Sexual initiation
SEYLE study

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