Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study
The aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school stu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2019-01-01
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| Series: | Cadernos de Saúde Pública |
| Subjects: | |
| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2019000105005&lng=en&tlng=en |
| _version_ | 1828197671834222592 |
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| author | Qinglin Cheng Yong Xu Li Xie Yunkai Hu Yongxiang Lv |
| author_facet | Qinglin Cheng Yong Xu Li Xie Yunkai Hu Yongxiang Lv |
| author_sort | Qinglin Cheng |
| collection | DOAJ |
| description | The aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school students aged 13-18 years, who were randomly selected using a multi-phase stratified cluster sampling technique. We also designed a multicenter school-based case-control study to evaluate the potential environmental impact of ST factors on this population. The overall positive rate of ST among the eastern Chinese adolescents was 12.1%. Somatic symptoms score (SSS) and positive ST rate were higher in females than males. Additionally, the SSS and positive ST rate for the 18-year-old group were significantly higher than in other age groups. In comparison to those in urban areas, adolescents in rural areas had significantly higher SSS and positive ST rate. Multiple conditional regression analyses revealed that family medical history, anxiety and depression scores; superstitious beliefs; left-behind adolescents; teacher-student support; family conflict; and family independence and achievement orientation were significantly linked to ST in adolescents. The models also indicated family medical history was the strongest impact factor to adolescent ST, even though ST were prevalent in the three studied eastern Chinese provinces. Gender, age, and dwelling differences were very significant in the SSS and positive ST rate in adolescents. This study concludes that adolescent ST are influenced by multiple environments. |
| first_indexed | 2024-04-12T10:23:45Z |
| format | Article |
| id | doaj.art-422f9c497f4a4b14abc874c451fe59b4 |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-04-12T10:23:45Z |
| publishDate | 2019-01-01 |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-422f9c497f4a4b14abc874c451fe59b42022-12-22T03:37:01ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642019-01-0135110.1590/0102-311x00008418S0102-311X2019000105005Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational studyQinglin ChengYong XuLi XieYunkai HuYongxiang LvThe aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school students aged 13-18 years, who were randomly selected using a multi-phase stratified cluster sampling technique. We also designed a multicenter school-based case-control study to evaluate the potential environmental impact of ST factors on this population. The overall positive rate of ST among the eastern Chinese adolescents was 12.1%. Somatic symptoms score (SSS) and positive ST rate were higher in females than males. Additionally, the SSS and positive ST rate for the 18-year-old group were significantly higher than in other age groups. In comparison to those in urban areas, adolescents in rural areas had significantly higher SSS and positive ST rate. Multiple conditional regression analyses revealed that family medical history, anxiety and depression scores; superstitious beliefs; left-behind adolescents; teacher-student support; family conflict; and family independence and achievement orientation were significantly linked to ST in adolescents. The models also indicated family medical history was the strongest impact factor to adolescent ST, even though ST were prevalent in the three studied eastern Chinese provinces. Gender, age, and dwelling differences were very significant in the SSS and positive ST rate in adolescents. This study concludes that adolescent ST are influenced by multiple environments.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2019000105005&lng=en&tlng=enSomatization DisordersAdolescentPrevalenceMulticenter Study |
| spellingShingle | Qinglin Cheng Yong Xu Li Xie Yunkai Hu Yongxiang Lv Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study Cadernos de Saúde Pública Somatization Disorders Adolescent Prevalence Multicenter Study |
| title | Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study |
| title_full | Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study |
| title_fullStr | Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study |
| title_full_unstemmed | Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study |
| title_short | Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study |
| title_sort | prevalence and environmental impact factors of somatization tendencies in eastern chinese adolescents a multicenter observational study |
| topic | Somatization Disorders Adolescent Prevalence Multicenter Study |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2019000105005&lng=en&tlng=en |
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