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BACKGROUND: Poor mental health remains the leading cause of disability, with considerable negative impacts in low- and middle-income countries. In this study, we examined the prevalence and correlates of psychosocial distress among in-school adolescents in Mozambique. METHODS: This was a cross-sectional study of 1918 in-school adolescents, using data from the 2015 Mozambique Global School-Based Health Survey. Descriptive and inferential statistics were adopted in analysing the data. Statistical significance was set at p < 0.05. RESULTS: The prevalence of psychosocial distress was 21.2% (24.1% females and 18.5% males). Older adolescents AOR = 1.681, 95% CI = 1.233-2.292 had higher odds of experiencing psychosocial distress, compared with younger adolescents. In terms of sex, males AOR = 0.755, 95% CI 0.601-0.950 had lower odds of experiencing psychosocial distress, compared with females. Adolescents who were bullied AOR = 1.451, 95% CI 1.150-1.831, physically attacked AOR = 1.802, 95% CI 1.404-2.313, and engaged in a physical fight AOR = 1.376, 95% CI 1.070-1.769 were respectively more likely to experience psychosocial distress than those who did not. Conversely, adolescents who had close friends AOR = 0.503, 95% CI 0.372-0.681 had lower odds of being psychosocially distressed than those who did not have close friends. CONCLUSION: The prevalence of psychosocial distress among in-school adolescents in Mozambique is relatively high. The country may not be able to meet the Sustainable Development Goal 3.4 target of promoting mental health and wellbeing of all by the year 2030 if current rates of psychosocial distress persist among in-school adolescents. Mental health education and counselling as well as social support from friends should be intensified to reduce mental health problems and enable adolescents to effectively deal with the psychosocial challenges encountered in their transition from childhood to adulthood.
Amu et al. (Sat,) studied this question.