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. 2025 Apr 10;17(1):e1-e8.
doi: 10.4102/phcfm.v17i1.4858.

Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria

Atinuke O Olowe  1 , Amme M Tshabalala, Judith C Bruce
Affiliations

Self-reported knowledge, attitude and mental health status of in-school adolescents in Nigeria

Atinuke O Olowe et al. Afr J Prim Health Care Fam Med. .

Abstract

Background: The global rise in adolescent mental health conditions highlights the need for preventive interventions particularly in schools for timely access to young people, building on inherent strengths and competencies.

Aim: The study aims to determine the knowledge, attitude, mental health status and the predictors of mental health status of in-school adolescents.

Setting: The study was conducted in government-owned secondary schools in Lagos State, Nigeria. Simple random sampling was used to select one of three senatorial districts; one junior and one senior secondary school with a nurse-led school clinic were purposively selected from the sampled district.

Methods: Within a cross-sectional survey design, a self-administered questionnaire was used to obtain data from a sample of in-school adolescents aged 10-19 years (n = 148), enrolled in junior and senior classes.

Results: Most in-school adolescents reported poor knowledge (62.2%; n = 92) and poor attitude (54.7%; n = 81) towards mental health; 37.2% (n = 55) reported being substantially at risk of conduct problems. A high proportion (79.7%) indicated normal prosocial behaviours. Level of knowledge (odds ratio [OR] = 3.25; p 0.05; 95% confidence interval [CI] = 1.34-7.86) as well as third or higher birth order (OR = 3.46; p 0.05; 95% CI = 1.34-8.94) were significant predictors of mental health status.

Conclusion: Most in-school adolescents lack knowledge, have a poor attitude towards mental health and are more likely to display conduct problems impacting their mental health status.Contribution: The study provides baseline evidence for designing in-school programmes with a mental wellness focus to promote the mental health of adolescents, leveraging professional and parental networks.

Keywords: attitude; in-school adolescents; knowledge; mental health; mental health status.

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Conflict of interest statement

The authors declare that they have no financial or personal relationships that may have inappropriately influenced them in writing this article.

Figures

FIGURE 1
FIGURE 1
In-school adolescents’ knowledge of and attitude towards mental health.
FIGURE 2
FIGURE 2
Proportion of risk of developing mental health problems by adolescents’ level of knowledge and attitude.
See this image and copyright information in PMC

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