Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria

Background: The global rise in adolescent mental health conditions highlights the need for preventive interventions particularly in schools for timely access to young people, building on inherent strengths and competencies. Aim: The study aims to determine the knowledge, attitude, mental health sta...

Full description

Saved in:
Bibliographic Details
Main Authors: Atinuke O. Olowe, Amme M. Tshabalala, Judith C. Bruce
Format: Article
Language:English
Published: AOSIS 2025-04-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/4858
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background: The global rise in adolescent mental health conditions highlights the need for preventive interventions particularly in schools for timely access to young people, building on inherent strengths and competencies. Aim: The study aims to determine the knowledge, attitude, mental health status and the predictors of mental health status of in-school adolescents. Setting: The study was conducted in government-owned secondary schools in Lagos State, Nigeria. Simple random sampling was used to select one of three senatorial districts; one junior and one senior secondary school with a nurse-led school clinic were purposively selected from the sampled district. Methods: Within a cross-sectional survey design, a self-administered questionnaire was used to obtain data from a sample of in-school adolescents aged 10–19 years (n = 148), enrolled in junior and senior classes. Results: Most in-school adolescents reported poor knowledge (62.2%; n = 92) and poor attitude (54.7%; n = 81) towards mental health; 37.2% (n = 55) reported being substantially at risk of conduct problems. A high proportion (79.7%) indicated normal prosocial behaviours. Level of knowledge (odds ratio [OR] = 3.25; p  0.05; 95% confidence interval [CI] = 1.34–7.86) as well as third or higher birth order (OR = 3.46; p  0.05; 95% CI = 1.34–8.94) were significant predictors of mental health status. Conclusion: Most in-school adolescents lack knowledge, have a poor attitude towards mental health and are more likely to display conduct problems impacting their mental health status. Contribution: The study provides baseline evidence for designing in-school programmes with a mental wellness focus to promote the mental health of adolescents, leveraging professional and parental networks.
ISSN:2071-2928
2071-2936