Exploring the effect of social ties on mental health outcomes among adolescents in selected peri-urban communities in Kumasi Metropolis, Ghana
摘要
This study investigated the relationship between social ties and adolescent mental health outcomes in Kumasi, Ghana.
MethodsA total of 384 adolescents from three peri-urban communities participated in this cross-sectional study. The independent variable, social ties, was examined using the social network index (SNI), whereas the dependent variables, depression, anxiety and stress, were assessed using the DASS-21 scale. The data were collected using a questionnaire and analyzed in SPSS binary logistic regression, with statistical significance set at a p value < 0.05.
ResultsThe prevalence rates of depression, anxiety, and stress were 56.3%, 72.9%, and 43.5% respectively. Most adolescents reported having ≥ 3 siblings 240 (62.5%), and spoke to them regularly 162 (44.0%). The majority of adolescents had both parents alive 327 (85.3%), and seven in ten reported speaking to both parents at least once every two weeks 266 (70.0%). Adolescents who resided in Kotei community were less likely to experience depression (aOR = .516; 95%CI = .285-.933) than those residing in Boadi community. Adolescents who did not see or call both parents were more likely to be depressed (aOR = 1.307; 95%CI = .328–5.210) than those who saw or spoke with both parents in the past two weeks. Adolescents who interacted with one to two of their relatives apart from their parents and siblings were four times more likely to be anxious (aOR = 4.538; 95%CI = 1.606–12.824) than those who did not interact with any of their external relatives.
ConclusionAdolescent mental health is influenced by social ties, with parent support demonstrating protective effects against depression. The government of Ghana must prioritize youth-friendly mental health services to address mental health issues among adolescents in peri-urban communities in Ghana.