Although refugee adolescents and children are recognised as a health risk population, few studies have explored their Health-related Quality of Life (HRQOL). The present study investigated 1) the sociodemographic pred...Although refugee adolescents and children are recognised as a health risk population, few studies have explored their Health-related Quality of Life (HRQOL). The present study investigated 1) the sociodemographic predictors of HRQOL such as ethnicity, trauma exposure, and length of residency in Australia in a multiethnic paediatric population with refugee experiences and 2) the relationship between mental healthcare utilisation and HRQOL. Method: Participants were 458 adolescents and children, aged 4 - 17 years, living in South Australia. Parents provided data across the sample and adolescents also completed questionnaires. Overall HRQOL and its composite functional dimensions were assessed using the Paediatric Quality of Life (PedsQL) instrument. Questions from the Child and Adolescent Component of the Australian National Survey of Mental Health and Wellbeing were used to assess service utilisation. Results: Migration region/ethnicity predicted better HRQOL as well as physical, emotional and psychosocial functioning for both children and adolescents. African youths indicated higher HRQOL than those from the former Yugoslavia and the Middle East/South Asia respectively. Pre-migration trauma exposure was associated with lower HRQOL;and longer stay in Australia was related to lower emotional functioning in children. There was a negative association between healthcare service utilisation and PedsQL scores, with participants accessing services demonstrating lower HRQOL. Conclusion: Using more rigorous methods, future research is needed to investigate additional sociodemographic predictors of HRQOL, and protective/risk factors that impact on HRQOL of young refugees.展开更多
Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,s...Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.展开更多
文摘Although refugee adolescents and children are recognised as a health risk population, few studies have explored their Health-related Quality of Life (HRQOL). The present study investigated 1) the sociodemographic predictors of HRQOL such as ethnicity, trauma exposure, and length of residency in Australia in a multiethnic paediatric population with refugee experiences and 2) the relationship between mental healthcare utilisation and HRQOL. Method: Participants were 458 adolescents and children, aged 4 - 17 years, living in South Australia. Parents provided data across the sample and adolescents also completed questionnaires. Overall HRQOL and its composite functional dimensions were assessed using the Paediatric Quality of Life (PedsQL) instrument. Questions from the Child and Adolescent Component of the Australian National Survey of Mental Health and Wellbeing were used to assess service utilisation. Results: Migration region/ethnicity predicted better HRQOL as well as physical, emotional and psychosocial functioning for both children and adolescents. African youths indicated higher HRQOL than those from the former Yugoslavia and the Middle East/South Asia respectively. Pre-migration trauma exposure was associated with lower HRQOL;and longer stay in Australia was related to lower emotional functioning in children. There was a negative association between healthcare service utilisation and PedsQL scores, with participants accessing services demonstrating lower HRQOL. Conclusion: Using more rigorous methods, future research is needed to investigate additional sociodemographic predictors of HRQOL, and protective/risk factors that impact on HRQOL of young refugees.
文摘Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.
