Public health unit engagement in school mental health programs and adolescent mental health during the COVID-19 pandemic: COMPASS, 2018-2022.

Autor:	Benny C; School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada.; Department of Health Promotion, Chronic Disease, and Injury Prevention, Public Health Ontario, Toronto, ON M5B 1W2, Canada., Smith BT; Department of Health Promotion, Chronic Disease, and Injury Prevention, Public Health Ontario, Toronto, ON M5B 1W2, Canada.; Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M7, Canada., Patte KA; Department of Health Sciences, Brock University, St. Catharines, ON LS2 3A1, Canada., Leatherdale ST; School of Public Health Sciences, University of Waterloo, Waterloo, ON N2L 3G1, Canada., Pabayo R; School of Public Health, University of Alberta, Edmonton, AB T6G 1C9, Canada.; School of Public Health, University of Alberta, Centre for Healthy Communities, Edmonton, AB T6G 2R3, Canada.
Jazyk:	angličtina
Zdroj:	Journal of public health (Oxford, England) [J Public Health (Oxf)] 2024 Aug 08. Date of Electronic Publication: 2024 Aug 08.
DOI:	10.1093/pubmed/fdae179
Abstrakt:	Background: Public health unit (PHU) engagement in schools is important for promoting wellness in students. We aimed to investigate if PHU engagement with schools may have provided protection against the risk of depression and anxiety in students during the COVID-19 pandemic. Methods: We used longitudinal data from the Cannabis, Obesity, Mental health, Physical activity, Alcohol use, Smoking and Sedentary behaviour survey between the 2018/19 and 2020/21 academic years. Multilevel models were used to assess the association between PHU engagement with school mental health programs prior to the COVID-19 pandemic and depressive (Center for Epidemiologic Studies Depression scale Revised) and anxiety symptoms (Generalized Anxiety Disorder scale) during the COVID-19 pandemic. Results: The sample included 23 894 students across 104 secondary schools in British Columbia, Alberta, Ontario and Quebec. In confounder-adjusted models, PHU engagement before the pandemic was not associated with student depressive symptoms (B = -0.01, 95% CI = -0.04, 0.02), but was protective against anxiety symptoms (B = -0.03, -0.06, 0.001) during the COVID-19 pandemic. Discussion: The results highlight that PHU engagement with mental health programming in schools was protective against anxiety for students during the COVID-19 pandemic. The findings support the importance of PHU engagement for improving student mental health and pandemic recovery. (© The Author(s) 2024. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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