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...

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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
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author Atinuke O. Olowe
Amme M. Tshabalala
Judith C. Bruce
author_facet Atinuke O. Olowe
Amme M. Tshabalala
Judith C. Bruce
author_sort Atinuke O. Olowe
collection DOAJ
description 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.
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series African Journal of Primary Health Care & Family Medicine
spelling doaj-art-1a573ed92c9644e6a79c8f8c3f81aad12025-08-20T02:14:03ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362025-04-01171e1e810.4102/phcfm.v17i1.48581237Self-reported knowledge, attitude and mental health status of in-school adolescents in NigeriaAtinuke O. Olowe0Amme M. Tshabalala1Judith C. Bruce2Department of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and Department of Nursing Science, Faculty of Clinical Sciences, University of Lagos, LagosDepartment of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Nursing Education, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgBackground: 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.https://phcfm.org/index.php/phcfm/article/view/4858knowledgeattitudemental healthmental health statusin-school adolescents
spellingShingle Atinuke O. Olowe
Amme M. Tshabalala
Judith C. Bruce
Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
African Journal of Primary Health Care & Family Medicine
knowledge
attitude
mental health
mental health status
in-school adolescents
title Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
title_full Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
title_fullStr Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
title_full_unstemmed Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
title_short Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria
title_sort self reported knowledge attitude and mental health status of in school adolescents in nigeria
topic knowledge
attitude
mental health
mental health status
in-school adolescents
url https://phcfm.org/index.php/phcfm/article/view/4858
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AT ammemtshabalala selfreportedknowledgeattitudeandmentalhealthstatusofinschooladolescentsinnigeria
AT judithcbruce selfreportedknowledgeattitudeandmentalhealthstatusofinschooladolescentsinnigeria