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27 March 2002
New Health Crisis of Our Young Generation:
Surveillance Finds Many School Students Are Emotionally Disturbed
A
large-scale surveillance conducted by the Centre of Health Education and
Promotion of The Chinese University of Hong Kong revealed that many of our
younger generation are emotionally disturbed and good school environment
is conducive to the health of adolescents.
This study on youth health risk behaviours
was conducted in late 2001 on 1,906 primary school students and 5,286 secondary
school students aged 10 to 16 from 34 schools. It examined self-rated
academic performance, health status, life satisfaction and depressive symptoms;
and their correlation with other health risk behaviours (i.e., physical inactiveness,
unhealthy diet, smoking, alcohol drinking and taking illicit drug).
The key findings include:
- 27% of students disagreed that they had satisfactory
life.
- 26% of students felt hopeless and 10% felt lonely most
of the time.
- 14.7% of students have considered suicide and nearly
10% have planned for it.
- Less than 40% would seek help form parents and only about
one quarter of students would seek help from teachers or social workers when
they had suicidal ideation.
- 35.8% of students had depressive symptoms.
- The median Life Satisfaction Score was found to be 19
on a scale of 5 to 30 with higher scores being more satisfied with life (in
this study the minimum score was 5, maximum score was 30, and 50% of the
subjects ranged 15 to 23).
Depressive symptoms are associated
with a number of factors. Amongst those with depressive symptoms, only
31.7% performed exercise regularly whilst for those without 68.3% did so.
Around 25% of students with depressive symptoms had considered suicide and
hurt themselves versus less than 10% amongst those without depressive symptoms.
Those with depressive symptoms were more likely to have unhealthy eating
habits, smoke, drink alcohol or take illicit drugs. They were more
likely to report being threatened at schools or involved in fighting.
Amongst those students who self-rated
themselves distinction in academic performance, only 23.2% had depressive
symptoms whilst 55% of those with poor self-rated academic performance had
such symptoms. Similarly, those considered themselves distinctive in
academic performance had higher life satisfaction scores than those rating
themselves poor in academic performance. Students who are taking regular
exercise, healthy diet, non-drinkers, non-smokers, not taking illicit drugs,
and no fighting or receiving threats of being injured had higher life satisfaction
scores.
Schools with lower depression scores
were found to differ in certain aspects of school social environment and
community partnership from those with higher scores. These were: a
supportive social environment, school ethos promoting closer relationship
between staff and students, and follow up action plans for unforeseeable
events. These schools rewarded students for academic improvement and
participation in community services and created a positive climate for youth
development.
The Centre for Health Education and
Health Promotion conducted the first territory wide student health surveillance
survey in 1999. Over 10% students reported their normal daily activities
interfered because of their poor physical and emotional health. Over
50% school children did not perform vigorous exercise regularly. The
results aroused the public attention to the health of our young generation.
This present study shows that the proportion of students feeling hopeless
has increased from 14% in 1999 to 25% in 2001.
This present study further proves that
the health of children and adolescents will affect their ability to learn.
As early as 1998, the Centre launched the "Healthy Schools"/Health Promoting
Schools Programme. The concept of Health Promoting School helps to
develop a safe social and physical environment for the 'total population'
of the school. The school environment has a direct impact on the self-esteem,
educational achievement, and health of its pupils and staff. The Hong
Kong Healthy Schools Award Scheme builds on the concept of health promoting
school to encourage educational achievement, better health and emotional
well-being; thereby supporting pupils in improving the quality of their lives.
It also promotes staff development, parental education, involvement of whole
school community, and linkage with different stakeholders so as to improve
the health and well-being of the students, parents and staff, and the community
at large. With increasing number of students with emotional problems
and health risk behaviours, an integrated, holistic and school-based approach
to promote youth health is needed. This study has shown that eliminating
one health risk behaviour would improve the overall physical and emotional
well being of the students.
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