ArticleBMC psychiatry2022
Prevalence and associated factors of depression, anxiety, and stress among high school students in, Northwest Ethiopia, 2021.
Article in BMC psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.
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Who cites it
28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Prevalence of stress and associated factors among students in Ethiopia: a systematic review and meta-analysis.Frontiers in public health · 2025Pooled it
- Prevalence of depression and its associated factors among Ethiopian students: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- Unhealthy behaviors associated with mental health disorders: a systematic comparative review of diet quality, sedentary behavior, and cannabis and tobacco use.Frontiers in public health · 2023Pooled it
- Unmasking the burden of mental health symptoms and risk behaviors in Vietnamese adolescents: evidence from a multicenter cross-sectional study involving 2,631 high school students.Social psychiatry and psychiatric epidemiology · 2026Article
- Perceived Academic Stress and Its Correlates Among Secondary School Adolescents in Kathmandu, Nepal.Public health challenges · 2026Article
- Prevalence and risk factors of depression, anxiety, and stress among secondary school students in Abha city, Saudi Arabia.Frontiers in psychiatry · 2026Article
- Exploring barriers to mental health care access among rural adolescents in Gondar Zuria, Ethiopia: a qualitative study.BMC public health · 2025Article
- Youth depression in Ethiopia: a comprehensive systematic review and meta-analysis.Child and adolescent psychiatry and mental health · 2025Review
- Depression, anxiety, and stress levels among adolescents - A school-based study.Journal of family medicine and primary care · 2025Article
- Correlation between anxiety scores and academic performance among adolescent schoolchildren in Northern Sudan: A cross-sectional study.World journal of psychiatry · 2025Article
- The bidirectional associations between smartphone multitasking and anxiety symptoms among Chinese college students.Journal of behavioral addictions · 2025Article
- Racism in Education among Black Youth in Canada and its Association with Depression, Anxiety, Stress, and Post-Traumatic Stress Disorder.Research on child and adolescent psychopathology · 2025Article
- Understanding the burden of depression, anxiety and stress among first-year undergraduate students.BMC psychiatry · 2025Article
- Prevalence of anxiety and depression among university students in Southern Saudi Arabia based on a cross sectional survey.Scientific reports · 2025Article
- Depression and Anxiety Among Adolescents in Northern Sudan: A School-Based Cross-Sectional Study.Medicina (Kaunas, Lithuania) · 2025Article
- Health literacy and associated factors among adult type 2 diabetic patients in Woldia Comprehensive Specialized Hospital, North-East Ethiopia, 2022.Frontiers in public health · 2025Article
- The influence of emotional intelligence, sociodemographic and academic factors on mental health of nursing students in the Fez-Meknes region of Morocco.Journal of education and health promotion · 2025Article
- Serum ferritin and iron deficiency in adolescent schoolchildren with depression in northern Sudan: unmatched case-control study.Frontiers in psychiatry · 2025Article
- Longitudinal patterns of natural hazard exposures and anxiety and depression symptoms among young adults in four low- and middle-income countries.Scientific reports · 2024Article
- Intergenerational effects of child maltreatment on adolescents' anxiety and depression in Ethiopia: the important mediating and moderating roles of current psychological distress.BMC psychiatry · 2024Article
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Authors and funding
5 authors at 2 institutions in 1 country.
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Abstract
backgroundMany studies have revealed that students' performance in school, is affected by symptoms of depression, anxiety, and stress, which may impair their academic achievement, and lead to school dropout. However, to date, no studies have evaluated these three disorders among high school students in Africa. Therefore, in this study, we aimed to assess the prevalence of depression, anxiety, stress, and their associated factors among high school students in Northwest Ethiopia.
methodsAn institution-based cross-sectional study was conducted. A simple random sampling technique was used to select 849 participants from six high schools in Northwest Ethiopia. A self-administered Depression, Anxiety, and Stress Scale (DASS-21) questionnaire was used to collect the data. Data were analyzed using SPSS Version 25.0 software to identify factors associated with DAS, and bi-variable and multi-variable analyses were performed.
resultsThe prevalence of depression, anxiety, and stress was 41.4, 66.7, and 52.2% respectively. Being female (AOR = 1.304, 95% CI = 1.006-1.849), higher risky khat chewers (AOR = 5.595, 95% CI = 2.357-11.132), having social phobia (AOR = 1.416, 95% CI = 1.045-1.919) were associated with depression. Being higher risky cigarette smokers (AOR = 4.777, 95% CI = 1.407-7304), having a history of chronic medical illness (AOR = 2.099, 95% CI = 1.045-4.218), and having a family history of mental illness (AOR = 1.777, 95% CI = 1.028-3.073) associated with anxiety. Stress was associated with high-risk alcohol drinkers (AOR = 1.828, 95% CI = 1.012-3.303), rural residency (AOR = 1.395, 95%CI = 1.010-1.925), and low social support (AOR 1.7391, 95% CI = 1.203-2.515).
conclusionThe burden of DAS among high school students was found to be high. Female sex, chewing khat, and having social phobia are associated with depression. Conversely, smoking cigarettes, having a chronic medical illness, and having a family history of mental illness are all linked to anxiety. Being a highly risky alcoholic drinker, having poor social support, and being a rural resident are positively associated with stress. Therefore, extending mental health services to all high schools, and strengthening the existing counseling services, are recommended.
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