Sources of academic stress among Iranian adolescents: a multilevel study from Qazvin City, Iran

Abstract Background Academic stress can cause mental and physical problems affect adolescents’ healthy development. This study aimed to estimate academic explore its sources at the individual- school levels among school-going adolescents in city of Qazvin, Iran. Results cross-sectional used a stratified cluster sampling recruit 1724 students aged 12–19 years from 53 schools Qazvin City. Data were collected using validated self-administered questionnaire. The mean score was 45.7 (95% CI 45.2, 46.3). level statistically higher older 47.5 46.7, 48.3) than younger 44.1 43.4, 44.9) adolescents. main stressors included: future uncertainty 69.7 68.8, 70.7), competition 58.5 57.3, 59.6), interaction with teachers 56.1 55.3, 56.9). Gender, educational period, type, family socioeconomic status, father’s education associated stress. Conclusions We conducted multilevel random sample male female indicated moderate Iranian several individual school-level variables. Students their families need on prevention methods coping mechanisms. Future research should focus developing testing policies interventions improve students’ health performance.