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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry


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Minerva Pediatrica 2015 Sep 01

Does the prevalence of psychiatric distress and violence behaviors of children and adolescents differ according to the socioeconomic status of the living region? The CASPIAN- IV study

Kelishadi R. 1, Jari M. 1, Heshmat R. 2, Motlagh M. E. 3, Ardalan G. 4, Bahreynian M. 1, Kasaeian A. 5, Ahadi Z. 1, Najafi F. 6, Asayesh H. 7, Qorbani M. 8

1 Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran;
2 Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran;
3 Department of Pediatrics, Ahvaz University of Medical Sciences, Ahvaz, Iran;
4 Child Department of Pediatrics, Child Growth and Development Research Center, Research Institute for Primary Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran;
5 Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences & Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;
6 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran;
7 Department of Medical Emergency, Qom University of Medical Sciences, Qom, Iran;
8 Department of Community Medicine, Alborz University of Medical Sciences, Karaj, Iran & Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

AIM: This nationwide study aims to investigate the prevalence of psychiatric distress and violent behaviors in a nationally-representative sample of Iranian children and adolescents according to the socioeconomic status (SES) of their living region.
METHODS: In this study, 14880 school students, aged 6-18 years, were selected from 30 provinces in Iran. The World Health Organization Global School-based Health Survey questionnaire was used. Data were compared at national and subnational levels according to the SES of the living region.
RESULTS: Overall, 13486 students (49.2% girls) with mean (SD) age of 12.47(3.36) years completed the study. At national level, the prevalence of psychiatric distress ranged between 9 to 38%; the most and least prevalent psychiatric distresses were angriness (37.73%, 95%CI: 36.5, 38.99) and confusion (8.65%, 95%CI: 8.04, 9.29), respectively. Students living in regions with highest SES experienced angriness (41.24%, 95%CI: 38.94, 43.59) more than in those from the regions with lowest SES (31.18%, 95%CI: 26.71, 36.02). The prevalence of bully, victim and physical fight was 17.56% (95% CI: 16.73, 18.42), 27.36% (95% CI: 26.34, 28.42), and 39.94% (95% CI: 38.69, 41.20), respectively. The prevalence of violent behavior did not differ significantly in various regions of Iran.
CONCLUSION: The relatively high prevalence of psychiatric distress in Iranian children and adolescents necessitates paying more attention to mental health of this vulnerable age group. Differences in the prevalence of such disorders according to the SES of the living area should be considered in planning evidence-based preventive programs and in international comparisons.

language: English


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