NDLI: Parental acceptance of school-based universal depression screening for children and adolescents in primary and secondary school in China

Content Provider	Springer Nature : BioMed Central
Author	Wu, Peipei Huang, Wenjuan Jiao, Feng Chen, Guoping Sun, Ying
Abstract	Introduction School-based universal depression screening (SBUDS) is an effective method for early identification of depression. As parents are the primary decision-makers for their children’s acceptance of healthcare services, this study aims to examine rural and urban parental acceptance of SBUDS. Methods The study assessed parental acceptance of SBUDS for their children and its association with self-reported parental perception of depression (i.e., parental knowledge of depression, self-efficacy to identify child depression, and depression stigma) and parental belief regarding the benefits and risks of SBUDS. The analysis included 13,480 parents with at least one child in grades 4–12 from 29 primary and secondary schools in four cities across China. Results In this large and diverse sample, 92.4% of the participants supported SBUDS for their children despite concerns about the risks of SBUDS (e.g., accuracy and privacy of screening results). Most parents supported SBUDS starting in 4th (25.5%) or 7th (24.7%) grades, though 7.6% responded no screening should be done. Regression analysis revealed that parents with a higher level of knowledge about depression (OR = 1.496, 95%CI [1.08, 2.073]; P = 0.015) had higher odds of parental acceptance of SBUDS. However, this association was not evident among rural parents stratified by urban-rural locality. Conclusions In this survey study, most Chinese parents accept SBUDS for their children despite concerns. Guidelines for maintaining adolescent confidentiality and ensuring the accuracy of results in an SBUDS will require careful consideration. Additionally, the study findings indicate that improving parental knowledge about adolescent depression is essential for promoting parental acceptance of SBUDS.
Related Links	https://bmcpublichealth.biomedcentral.com/counter/pdf/10.1186/s12889-025-21311-8.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14712458
DOI	10.1186/s12889-025-21311-8
Journal	BMC Public Health
Issue Number	1
Volume Number	25
Language	English
Publisher	BioMed Central
Publisher Date	2025-01-08
Access Restriction	Open
Subject Keyword	Public Health Medicine Epidemiology Biostatistics Vaccine Environmental Health Adolescents Parent Depression Schools Screening Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health
Journal Impact Factor	3.5/2023
5-Year Journal Impact Factor	3.9/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

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