Abstract
Psychiatric morbidity is one of the important causes of disease burden worldwide with overall prevalence of 20.3 % in children population of Malaysia (3rd National Health & Morbidity Survey, 2006). Social influences are known to impart great effects on the outcome of individual health, resulting in health disparities. This study was conducted to review the prevalence and to identify the social determinants of psychiatric morbidity among children in Malaysia. Two hundred forty school children and adolescents between 5 and 16 years of age answered the Reported Questionnaire for Children (RQC) to assess the children’s mental health. There were 102 children (42.5 %) with childhood psychiatric morbidity, with higher prevalence among females (25.8 % vs. 15.7 %). The prevalence rate was twofold higher when compared to the previous prevalence of 20.3 %. In their association with social determinants, the respondents’ ethnicity, Indians were found to be afflicted the most (p = <0.01), followed by Bajaus and Dusuns. There was also a significant association between the caretakers’ marital status to caseness (p = <0.05). The financial status of caretakers (p = <0.05) and sound pollution (p = <0.05) have significant roles in contributing to the prevalence of childhood psychiatric morbidity. Health behaviour (p = <0.05) and number of children per household (p = <0.05) were also significantly associated with children suffering from psychiatric morbidity. Multilevelled approaches are to be taken which include plans on elevating the socio-economic status of high-risk population and improve access and use of psychiatric management, screening programmes and community intervention programmes.
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References
Amato PR, Ochiltree G (1987) Child and adolescent competence in intact, one-parent and step-families: an Australian study. J Divorce 110:75–96
Bussing R, Zima BT, Gary FA, Garvan CW (2003) Barriers to detection, help-seeking, and service use for children with ADHD symptoms. J Behav Health Serv Res 30(2):176–189
CSDH (2008) Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. World Health Organization, Geneva
Cornelius MD, Day NL (2009) Developmental consequences of prenatal tobacco exposure. Curr Opin Neurol 22(2):121–125
Costello EJ, Mustillo S, Erkanli A, Keeler G, Angold A (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Arch Gen Psychiatry 60(8):837–844
Lipman EL, Offord DR, Boyle MH, Racine YA (1993) Follow-up of psychiatric and educational morbidity among adopted children. J Am Acad Child Adoles Psychiatry 32(5):1007–1012
Gibson HB (1969) Early delinquency in relation to broken homes. J Child Psychol Psychiatry 10:195–204
Kramer T, Evans N, Garralda ME (2000) Ethnic diversity among child and adolescent psychiatric (CAP) clinic attenders. Child Psychol Psychiatry Rev 5:169–175
Myer L (2008) Social determinants of psychological distress in a nationally-representative sample of South African adults. Soc Sci Med 66:e1828–e1840
Luthar SS (1993) Annotation: methodological and conceptual issues in research on childhood resilience. J Child Psychol Psychiatry 34:441–453
Marmot M (2005) Social determinants of health inequalities. Lancet 365:1099–1104
Offord DR, Boyle MH, Szatmari P et al (1987) Ontario child health study. II. Six-month prevalence of disorder and rates of service utilization. Arch General Psychiatry 44:832–836
Piven J, O’Leary D (1997). Neuroimaging in autism. In: Peterson BS, Lewis M (eds) Child and adolescent psychiatric clinics of North America: neuroimaging, vol 6, Chap 2. W. B. Saunders, Philadelphia, pp 305–324
Institute of Public Health, Ministry of Health Malaysia (2008) Psychiatric morbidity, a report of the third national health and morbidity survey, 2006. Institute of Public Health, Ministry of Health Malaysia, Malaysia
Ramli H, Ohn K, Krishnaswamy S, Kasmini K, Hassan S (1987) A prevalence survey of psychiatric morbidity in a rural Malaysian village: a preliminary report. Singapore Med J 28:530–533
Adlina S, Suthahar A, Ramli M, EdariahSoe-Soe-Aye AB, Mohd Ariff F, Narimah AHH, Nuraliza AS, Karuthan C (2007) Pilot study on depression among secondary school students in Selangor. Med J Malaysia 62(3):218–222
Toh CL, Ding LM, Peng R et al (1997) Psychiatric morbidity in children and adolescents. Public Health Institute, Ministry of Health, Malaysia
Normar Rashid Y, Zain AM, Jan N (2000) Psychiatric morbidity assessment among students. Malaysian J Psychiatry 8(2):31–38
Zubrick SR, Nguyen H, Silburn S et al (1995) Linkages between child health and child adversity. Commonwealth Department of Health, Housing and Community Services, Canberra
Giel R, De Arango MV, Climent CE, Harding TW, Ibrahim HHA, Ladrigoignacio L et al (1981) Childhood mental disorders in primary health care: results of observations in four developing countries. Pediatrics 68(5):677–683
Mann C, Lubar J, Zimmerman A, Miller C, Muenchen R (1992) Quantitative analysis of EEG in boys with attention deficit hyperactivity disorder: controlled study with clinical implications. Paediatric Neurol 8:30–36
Saltzman WR, Lester P, Beardslee WR, Layne CM, Woodward K, Nash WP (2001) Mechanisms of risk and resilience in military families: theoretical and empirical basis of a family-focused resilience enhancement program. Clin Child Fam Psychol Rev 14(3):213–230
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Adli, A. et al. (2015). Social Determinants of Psychiatric Morbidity Among Malaysian Children. In: Ab. Hamid, K., Ono, O., Bostamam, A., Poh Ai Ling, A. (eds) The Malaysia-Japan Model on Technology Partnership. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54439-5_7
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DOI: https://doi.org/10.1007/978-4-431-54439-5_7
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