Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.

<h4>Background</h4>As epidemiological data on child mental health in low- and middle-income countries are limited, a large-scale survey was undertaken to estimate the prevalence and amount of child emotional and behavioral problems (EBP) in Nepal as reported by the parents.<h4>Meth...

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Autores principales: Jasmine Ma, Pashupati Mahat, Per Håkan Brøndbo, Bjørn H Handegård, Siv Kvernmo, Anne Cecilie Javo
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:a022218933b246128e6f5c3655c9719d2021-12-02T20:18:48ZParent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.1932-620310.1371/journal.pone.0255596https://doaj.org/article/a022218933b246128e6f5c3655c9719d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255596https://doaj.org/toc/1932-6203<h4>Background</h4>As epidemiological data on child mental health in low- and middle-income countries are limited, a large-scale survey was undertaken to estimate the prevalence and amount of child emotional and behavioral problems (EBP) in Nepal as reported by the parents.<h4>Methods</h4>3820 schoolchildren aged 6-18 years were selected from 16 districts of the three geographical regions of Nepal, including rural, semi-urban and urban areas. We used the Nepali version of the Child Behavior Checklist (CBCL)/6-18 years as screening instrument. Comparisons of child problems between genders and between the seven largest castes and ethnic groups were carried out by analysis of variance. Prevalence was computed based on American norms.<h4>Results</h4>Adjusted prevalence of Total Problems was 18.3% (boys: 19.1%; girls:17.6%). The prevalence of internalizing problems was higher than externalizing problems. The mean scores of Total, Externalizing, and Internalizing problems were 29.7 (SD 25.6), 7.7 (SD 8.0), and 9.1 (SD 8.1), respectively. The Khas Kaami (Dalit) group scored the highest, and the indigenous Tharu group scored the lowest on all scales. In the Mountains and Middle Hills regions, problem scores were higher in the rural areas, whereas in the Tarai region, they were higher in the urban areas.<h4>Conclusion</h4>The prevalence and magnitude of emotional and behavioral problems in Nepali children were found to be high compared to findings in meta-analyses worldwide. Problem scores varied according to gender, castes /ethnic groups, and living areas. Our findings highlight the need for a stronger focus on child mental problems in a low-and middle-income country like Nepal.Jasmine MaPashupati MahatPer Håkan BrøndboBjørn H HandegårdSiv KvernmoAnne Cecilie JavoPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255596 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jasmine Ma
Pashupati Mahat
Per Håkan Brøndbo
Bjørn H Handegård
Siv Kvernmo
Anne Cecilie Javo
Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
description <h4>Background</h4>As epidemiological data on child mental health in low- and middle-income countries are limited, a large-scale survey was undertaken to estimate the prevalence and amount of child emotional and behavioral problems (EBP) in Nepal as reported by the parents.<h4>Methods</h4>3820 schoolchildren aged 6-18 years were selected from 16 districts of the three geographical regions of Nepal, including rural, semi-urban and urban areas. We used the Nepali version of the Child Behavior Checklist (CBCL)/6-18 years as screening instrument. Comparisons of child problems between genders and between the seven largest castes and ethnic groups were carried out by analysis of variance. Prevalence was computed based on American norms.<h4>Results</h4>Adjusted prevalence of Total Problems was 18.3% (boys: 19.1%; girls:17.6%). The prevalence of internalizing problems was higher than externalizing problems. The mean scores of Total, Externalizing, and Internalizing problems were 29.7 (SD 25.6), 7.7 (SD 8.0), and 9.1 (SD 8.1), respectively. The Khas Kaami (Dalit) group scored the highest, and the indigenous Tharu group scored the lowest on all scales. In the Mountains and Middle Hills regions, problem scores were higher in the rural areas, whereas in the Tarai region, they were higher in the urban areas.<h4>Conclusion</h4>The prevalence and magnitude of emotional and behavioral problems in Nepali children were found to be high compared to findings in meta-analyses worldwide. Problem scores varied according to gender, castes /ethnic groups, and living areas. Our findings highlight the need for a stronger focus on child mental problems in a low-and middle-income country like Nepal.
format article
author Jasmine Ma
Pashupati Mahat
Per Håkan Brøndbo
Bjørn H Handegård
Siv Kvernmo
Anne Cecilie Javo
author_facet Jasmine Ma
Pashupati Mahat
Per Håkan Brøndbo
Bjørn H Handegård
Siv Kvernmo
Anne Cecilie Javo
author_sort Jasmine Ma
title Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
title_short Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
title_full Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
title_fullStr Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
title_full_unstemmed Parent reports of children's emotional and behavioral problems in a low- and middle- income country (LMIC): An epidemiological study of Nepali schoolchildren.
title_sort parent reports of children's emotional and behavioral problems in a low- and middle- income country (lmic): an epidemiological study of nepali schoolchildren.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/a022218933b246128e6f5c3655c9719d
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