INTRODUCTION Young people are at risk of developing mental health disorders. Depression, anxiety, and behavioral problems are among the primary causes of illness and impairment among teenagers. Suicide is the fourth highest cause of mortality in those aged 15 to 29. This study aimed to assess the determinants of mental health among children in Ethiopia. METHODS Online databases were searched from inception until March 2023. Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 was used in this review. Subgroup analysis, I2 test, funnel plot, and Egger's test were performed. Pooled odds ratios (OR) were calculated. RESULT Fourteen studies were included in the meta-analysis. The pooled prevalence of mental illnesses among Ethiopian children was 24.68% (95% CI: 19.99%-32.38%). Having previous child abuse history (OR: 5.65; 95% CI: 4.32-7.39), poor socio-economic status (OR: 1.94; 95% CI: 1.24-3.04), urban residence (OR: 1.93; 95% CI:1.39-2.67), and being male (OR: 1.65; 95% CI: 1.15-2.38) were determinants of childhood mental illness in Ethiopia. CONCLUSION and Recommendations: Mental disorders are highly prevalent in children with a history of child abuse, and a strong legislative body must be established to prosecute child abusers. Interventions that focus on gender equality in education and the creation of a safe environment for poor urban children are suggested.

中文翻译：

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埃塞俄比亚儿童精神疾病及其决定因素：系统回顾和荟萃分析，2023 年。

简介 年轻人有患精神健康障碍的风险。抑郁、焦虑和行为问题是青少年疾病和障碍的主要原因。自杀是 15 至 29 岁人群的第四大死因。这项研究旨在评估埃塞俄比亚儿童心理健康的决定因素。方法 从开始到 2023 年 3 月检索在线数据库。本次综述使用了 2020 年系统评价和荟萃分析的首选报告项目。进行亚组分析、I2 检验、漏斗图和 Egger 检验。计算合并比值比 (OR)。结果 荟萃分析中纳入了十四项研究。埃塞俄比亚儿童精神疾病的汇总患病率为 24.68%（95% CI：19.99%-32.38%）。有虐待儿童史（OR：5.65；95% CI：4.32-7.39）、社会经济地位较差（OR：1.94；95% CI：1.24-3.04）、城市居住（OR：1.93；95% CI：1.39） -2.67）和男性（OR：1.65；95% CI：1.15-2.38）是埃塞俄比亚儿童精神疾病的决定因素。结论和建议：有虐待儿童史的儿童中精神障碍非常普遍，必须建立强有力的立法机构来起诉虐待儿童者。建议采取以教育中的性别平等和为贫困城市儿童创造安全环境为重点的干预措施。