Prevalence and correlates of common mental disorders among children and adolescents in Blantyre-Urban, Malawi.

Journal: Malawi medical journal : the journal of Medical Association of Malawi

Volume: 34

Issue: 2

Year of Publication: 2022

Affiliated Institutions:  School of Public Health and Family Medicine, Department of Family Medicine, Kamuzu University of Health Sciences. Malawi-Liverpool-Wellcome Trust Clinical Research Programme, Malaria Epidemiology Group, Kamuzu University of Health Sciences, Blantyre, Malawi. Malawi Epidemiology & Intervention Research Unit, Kamuzu University of Health Sciences, Lilongwe, Malawi. Centre for child and Adolescent Mental Health, University of Ibadan College of Medicine, Nigeria.

Abstract summary 

The high global prevalence of mental disorders justifies the need to quantify their burden in the sub-Saharan Africa where there is a dearth of information. These mental disorders are linked to different socio-demographic factors.To determine the prevalence of, and factors associated with mental disorders among children and adolescents in Blantyre City, Malawi.Children and adolescents aged 6 to 17 years were interviewed to determine their socio-demographic characteristics and assess their mental health status using the Strengths and Difficulties Questionnaire (SDQ) and Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS). Associations between mental disorders and socio-demographic characteristics were tested using Chi-square and logistic regression analysis.The prevalence of symptoms of psychopathology on the SDQ was 7.3% (95%CI 4.8-10.5%) while for the K-SADS was 5.9% (95% CI 3.7%-8.9%). The prevalence of mental disorders across the age ranges of 6 to 12 years and 13 to 17 years was 5.4% and 7.9 % respectively. Males had a higher prevalence (7.1%) compared to females (4.7%). Conduct disorder was most prevalent (3.4%), followed by either type of ADHD-Attention Deficit Hyperactive Disorders (2.0%). Having a single parent (p<0.001), staying with a non-biological guardian (p<0.030), engaging in paid work (p<0.039), not attending school (p<0.019) and having teacher difficulties(p<0.028) were positively associated with a mental disorder.The socio-demographic factors associated with the risk of developing mental disorders may be important targets for mental health intervention programs.

Authors & Co-authors:  Matandika Ian I Mategula Donnie D Kasenda Stephen S Adeniyi Yetunde Y Muula Adamson A

Study Outcome 

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Statistics
Citations :  GBD 2019 Mental Disorders Collaborators, author. Global, regional, and national burden of 12 mental disorders in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Psychiatry. 2022;9(2):137–150. doi: 10.1016/S2215-0366(21)00395-3.
Authors :  5
Identifiers
Doi : 10.4314/mmj.v34i2.5
SSN : 1995-7270
Study Population
Males,Females
Mesh Terms
Adolescent
Other Terms
Malawi;Mental disorders;children and adolescents;prevalence
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
Malawi