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Psychopathology is associated with reproductive health risk in European adolescents
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- Gambadauro, Pietro (författare)
- Karolinska Institutet,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
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- Carli, Vladimir (författare)
- Karolinska Institutet,Karolinska Inst, Dept Learning Informat Management & Eth LIME, Natl Ctr Suicide Res & Prevent Mental Hlth NASP 3, S-17177 Stockholm, Sweden
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- 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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- 2018-11-06
- 2018
- Engelska.
- Ingår i: Reproductive Health. - : BMC. - 1742-4755 .- 1742-4755. ; 15:1
- 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
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Adolescence
- Behaviour
- Mental health
- Psychopathology
- Reproductive health
- Sexual initiation
- SEYLE study
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