eprintid: 25596
rev_number: 13
eprint_status: archive
userid: 1589
dir: disk0/00/02/55/96
datestamp: 2019-01-22 09:01:35
lastmod: 2024-03-11 02:06:26
status_changed: 2019-01-22 09:01:35
type: article
metadata_visibility: show
creators_name: Gambadauro, Pietro
creators_name: Carli, Vladimir
creators_name: Wasserman, Camilla
creators_name: Hadlaczky, Gergö
creators_name: Sarchiapone, Marco
creators_name: Apter, Alan
creators_name: Balazs, Judit
creators_name: Bobes, Julio
creators_name: Brunner, Romuald
creators_name: Cosman, Doina
creators_name: Haring, Christian
creators_name: Hoven, Christina W.
creators_name: Iosue, Miriam
creators_name: Kaess, Michael
creators_name: Kahn, Jean Pierre
creators_name: McMahon, Elaine
creators_name: Postuvan, Vita
creators_name: Värnik, Airi
creators_name: Wasserman, Danuta
title: Psychopathology is associated with reproductive health risk in European adolescents
subjects: ddc-610
divisions: i-910600
keywords: Adolescence, Behaviour, Mental health, Psychopathology, Reproductive health, Sexual initiation, SEYLE study
abstract: Background: Reproductive and mental health are key domains of adolescent wellbeing but possible interrelationships are poorly understood. This cross-sectional study evaluated the association between psychopathology and reproductive health risk among European adolescents.

Methods: A structured self-report questionnaire was delivered to 12,395 pupils of 179 randomly selected schools in 11 European countries within the EU funded “Saving and Empowering Young Lives in Europe” (SEYLE) project. The questionnaire included items about sexual initiation and reproductive health risk factors, such as number of sexual partners, frequency of condom use, and pregnancy involvement. Psychopathology was evaluated with validated instruments and/or ad-hoc questions.

Results: Of 11,406 respondents (median age 15; interquartile range [IQR] 14–15; 57% females), 18.8% reported sexual initiation. Sixty percent of them also reported at least one reproductive risk factor. Sexual initiation was significantly more common among pupils older than 15 years (38% versus 13.2% younger pupils) and males (21.3% versus 16.9% females). It was also more common among pupils with depression (age/sex-adjusted odds ratio [aOR] 1.871), anxiety (aOR 2.190), severe suicidal ideation (aOR 2.259), self-injurious behaviour (aOR 2.892), and suicide attempts (aOR 3.091). These associations were particularly strong among pupils ≤15 years old and, for overt psychopathology, among pupils with low non-sexual risk behaviour profile and females. Depression (aOR 1.937), anxiety (aOR 2.282), severe suicidal ideation (aOR 2.354), self-injurious behaviour (aOR 3.022), and suicide attempts (aOR 3.284) were associated with higher reproductive health risk, defined by an increasing number of coexisting reproductive risk factors.

Conclusions: These findings suggest an alignment between mental and reproductive health risk and support the value of cross-domain collaboration in adolescent health. The association between psychopathology and reproductive health risk, as well as its variations with age, sex, and associated risk behaviours, should be considered when designing health-promoting or disease-preventing interventions for adolescents.
date: 2018-11
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1654772526
own_urn: urn:nbn:de:bsz:16-heidok-255961
language: eng
bibsort: GAMBADAUROPSYCHOPATH201811
full_text_status: public
publication: Reproductive health
volume: 15
number: 186
place_of_pub: London
pagerange: 1-12
issn: 1742-4755
citation:   Gambadauro, Pietro ; Carli, Vladimir ; Wasserman, Camilla ; Hadlaczky, Gergö ; Sarchiapone, Marco ; Apter, Alan ; Balazs, Judit ; Bobes, Julio ; Brunner, Romuald ; Cosman, Doina ; Haring, Christian ; Hoven, Christina W. ; Iosue, Miriam ; Kaess, Michael ; Kahn, Jean Pierre ; McMahon, Elaine ; Postuvan, Vita ; Värnik, Airi ; Wasserman, Danuta  (2018) Psychopathology is associated with reproductive health risk in European adolescents.  Reproductive health, 15 (186).  pp. 1-12.  ISSN 1742-4755     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/25596/1/12978_2018_Article_618.pdf