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Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents

A Multicenter Observational Study

Bibliographic Data

ID5166398
AuthorsQinglin Cheng (0000-0003-2899-7626, Hangzhou Center for Disease Control and Prevention), Y Xu (0000-0002-9755-1102, Medical College of Soochow University, China), Li Xie (0000-0003-3368-4747, Hangzhou Center for Disease Control and Prevention), Yunkai Hu (0000-0002-4805-9496, Fuyang Center for Disease Control and Prevention, China), Y Lv (0000-0001-9373-641X, Jin’an District Center for Disease Control and Prevention, China)
Year2019
Volume35
Issue1
Pagese00008418-e00008418
Publication date2019-01-01
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00008418
PMID30673056
OpenAlexW2914406653
SciELOS0102-311X2019000105005
LanguageEN
Citations received4
References cited39

The aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school students aged 13-18 years, who were randomly selected using a multi-phase stratified cluster sampling technique. We also designed a multicenter school-based case-control study to evaluate the potential environmental impact of ST factors on this population. The overall positive rate of ST among the eastern Chinese adolescents was 12.1%. Somatic symptoms score (SSS) and positive ST rate were higher in females than males. Additionally, the SSS and positive ST rate for the 18-year-old group were significantly higher than in other age groups. In comparison to those in urban areas, adolescents in rural areas had significantly higher SSS and positive ST rate. Multiple conditional regression analyses revealed that family medical history, anxiety and depression scores; superstitious beliefs; left-behind adolescents; teacher-student support; family conflict; and family independence and achievement orientation were significantly linked to ST in adolescents. The models also indicated family medical history was the strongest impact factor to adolescent ST, even though ST were prevalent in the three studied eastern Chinese provinces. Gender, age, and dwelling differences were very significant in the SSS and positive ST rate in adolescents. This study concludes that adolescent ST are influenced by multiple environments

Anxiety · Cluster sampling · Cross-sectional study · Depression (economics) · Observational study · Population · Psychiatry · Rural area · Somatization · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Demography · Internal Medicine · Medicine · Personality Disorders and Psychopathology · Psychology · Psychosomatic Disorders and Their Treatments

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Citations per year0.8
Citation span2021 - 2026 (6)
Highly citedNo

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