Balami Ahmed D
Niger J Med. 2015 Jul-Sep;24(3):223-32.
Depression, anxiety and stress, are not only health problems by themselves, but also associated with other negative health consequences. The national youth service is usually characterized by a number of new challenges and experiences which may require life style adjustments by the corps member. However, no previous study on psychological factors has been conducted among corps members.
This study was conducted to determine the prevalence of depression, anxiety and, stress and their associated factors among corps members serving in Kebbi state.
A cross-sectional study was conducted among 264 corps members from four local government areas of the state. Selection of the local government areas and the individual participants was by simple random sampling. Data was collected from May to June 2014 using a self-administered questionnaire. Data analysis used chi-square test to identify the relationship between categorical variables and multivariate logistic regression to identify the independent factors for depression, anxiety and stress each.
The response rate was 97%. Most of the respondents were males (63.6%), single (85.5%), and above 20 years of age (71.6%). The overall prevalences of depression, anxiety and stress among the respondents were 36.4%, 54.5% and 18.2% respectively. The independent factors for depression were; being from the North central (OR = 5.99; 95% CI: 2.194-16.354) or South-south; and the perception of earning enough income (OR = 2.987; 95% CI: 1.062-8.400). For anxiety, male gender (OR = 0.411; 95% CI: 0.169-0.999); and being from the North central were significant risk factors (OR = 3.731; 95% CI: 1.450-9.599). Being above 26 years of age was an independent risk factor for stress (OR = 0.083; 95% CI: 0.018-0.381). Also, those who had ever schooled outside their towns of residence were less likely to be stressed compared to those who had never (OR = 0.30; 95% CI: 0.110-0.855). All other factors did not show any significant association with any of the outcome variables in multivariate analysis.
In conclusion, the prevalences of depression, anxiety and stress are high among corps members serving in Kebbi state. There is need to expand the scope of this study to a national level so as to get a bigger picture of the problem.
抑郁、焦虑和压力本身不仅是健康问题，还与其他负面健康后果相关。国家青年服务通常具有一系列新的挑战和经历，这可能需要团员调整生活方式。然而，此前尚未对团员进行过关于心理因素的研究。
本研究旨在确定在凯比州服务的团员中抑郁、焦虑和压力的患病率及其相关因素。
对该州四个地方政府辖区的264名团员进行了一项横断面研究。地方政府辖区和个体参与者的选择采用简单随机抽样。2014年5月至6月使用自填式问卷收集数据。数据分析使用卡方检验来确定分类变量之间的关系，并使用多变量逻辑回归来分别确定抑郁、焦虑和压力的独立因素。
应答率为97%。大多数受访者为男性（63.6%）、单身（85.5%）且年龄在20岁以上（71.6%）。受访者中抑郁、焦虑和压力的总体患病率分别为36.4%、54.5%和18.2%。抑郁的独立因素为：来自中北部（比值比=5.99；95%置信区间：2.194 - 16.354）或南部；以及认为收入足够（比值比=2.987；95%置信区间：1.062 - 8.400）。对于焦虑，男性（比值比=0.411；95%置信区间：0.169 - 0.999）；以及来自中北部是显著的危险因素（比值比=3.731；95%置信区间：1.450 - 9.599）。26岁以上是压力的独立危险因素（比值比=0.083；95%置信区间：0.018 - 0.381）。此外，与从未在居住城镇以外上学的人相比，曾在居住城镇以外上学的人压力较小（比值比=0.30；95%置信区间：0.110 - 0.855）。在多变量分析中，所有其他因素与任何结局变量均未显示出显著关联。
总之，在凯比州服务的团员中，抑郁、焦虑和压力的患病率较高。有必要将本研究的范围扩大到全国层面，以便更全面地了解该问题。
