title: Prevalence of mental health problems in adolescent schoolchildren in Galle District, Sri Lanka: eight months after tsunami.
abstract: The present study was conducted to assess the prevalence and associations of mental health problems (MHPs) among adolescent schoolchildren in Sri Lanka 8 months after the tsunami disaster. A descriptive cross-sectional study was carried out in the Galle Municipality area, Sri Lanka. The study instrument consisted of a self-administered questionnaire and the validated Sinhalese version of the Strengths and Difficulties Questionnaire. The prevalence of MHPs in the study population was 32.2% (confidence interval [CI] = 28.44% to 35.96%). Direct experience of the tidal wave (odds ratio [OR] = 2.93, P = .013), perception of being affected by tsunami (OR = 1.79, P = .0014), and impact of rumors (OR = 1.85, P < .001) were significantly associated with MHPs. Not having a close friend (OR = 1.79, P = .04), being criticized by teachers (OR = 1.66, P = .008), and adolescents being not satisfied with their academic achievements (OR = 2.42, P = .02) were also significantly associated with MHPs. Even 8 months after the tsunami, MHPs among adolescent schoolchildren in the affected areas are still very high.
authors.affiliation: Department of Community Medicine, Faculty of Medicine and Allied Sciences, Rajarata University of Sri Lanka, Saliyapura, Anuradhapura, Sri Lanka.
authors.forename: Thilini Chanchala
authors.initials: TC
authors.lastname: Agampodi
authors.forename: Suneth Buddhika
authors.initials: SB
authors.lastname: Agampodi
authors.forename: Pushpa
authors.initials: P
authors.lastname: Fonseka
mesh_terms: D000293:Adolescent; D016001:Confidence Intervals; D003430:Cross-Sectional Studies / Q000295:instrumentation; D005195:Family Relations; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D016017:Odds Ratio; D011159:Population Surveillance / Q000379:methods; D012931:Social Environment; D013188:Sri Lanka / Q000453:epidemiology; D057192:Tsunamis