Gelaye Bizu, Lemma Seblewengel, Deyassa Negussie, Bahretibeb Yonas, Tesfaye Markos, Berhane Yemane, Williams Michelle A
Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA ; Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA.
Clin Pract Epidemiol Ment Health. 2012;8:126-33. doi: 10.2174/1745017901208010126. Epub 2012 Nov 2.
To evaluate the prevalence of mental distress and its correlates among working Ethiopian adults.
This cross-sectional study of 2,180 individuals (1,316 men and 864 women) was conducted among working adults in Addis Ababa, Ethiopia. A structured questionnaire was used to collect information on socio-demographic and lifestyle characteristics of participants. Mental distress was assessed using the self-reporting questionnaire (SRQ). Logistic regression was employed to estimate adjusted odds ratios (OR) and 95% confidence intervals (95% CI).
The prevalence of mental distress in the study sample was 17.7% (25.9% in women and 12.4% in men). Younger participants (age ≤24 years) had the highest prevalence of mental distress (35.5% in women and 16.7% in men). The odds of mental distress was 2.47-fold higher among women as compared with men (OR=2.47, 95% CI 1.97-3.09). Participants reporting excellent health status had a 50% reduced odds of mental distress (OR=0.47; 95%CI: 0.38-0.59); and moderate alcohol consumption was associated with a slight increased odds of mental distress (OR=1.26; 95%CI: 1.00-1.67).
A high prevalence of mental distress was observed among working adults in Ethiopia. Our findings suggest that the workforce institutions should provide targeted prevention and intervention programs to improve the mental health state of their employees. National mental health policy that clearly outlines and addresses mental distress among working adults is also warranted.
评估埃塞俄比亚在职成年人精神困扰的患病率及其相关因素。
在埃塞俄比亚亚的斯亚贝巴的在职成年人中开展了这项针对2180名个体(1316名男性和864名女性)的横断面研究。使用结构化问卷收集参与者的社会人口学和生活方式特征信息。采用自填式问卷调查(SRQ)评估精神困扰情况。运用逻辑回归估计调整后的优势比(OR)和95%置信区间(95%CI)。
研究样本中精神困扰的患病率为17.7%(女性为25.9%,男性为12.4%)。较年轻的参与者(年龄≤24岁)精神困扰患病率最高(女性为35.5%,男性为16.7%)。女性出现精神困扰的几率比男性高2.47倍(OR = 2.47,95%CI 1.97 - 3.09)。报告健康状况极佳的参与者出现精神困扰的几率降低了50%(OR = 0.47;95%CI:0.38 - 0.59);适度饮酒与精神困扰几率略有增加相关(OR = 1.26;95%CI:1.00 - 1.67)。
在埃塞俄比亚的在职成年人中观察到精神困扰的高患病率。我们的研究结果表明,劳动力机构应提供有针对性的预防和干预项目,以改善其员工的心理健康状况。还需要制定明确概述并解决在职成年人精神困扰问题的国家心理健康政策。