Khan Asaduzzaman, Ahmed Rushdia, Burton Nicola W
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Health Systems and Population Studies Division, The International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh.
Ethn Health. 2020 Jan;25(1):34-46. doi: 10.1080/13557858.2017.1398313. Epub 2017 Nov 2.
Depression is a leading contributor to the global burden of disease, and often starts at a young age. Depression in young people can increase the risk of unhealthy lifestyle behaviour and can lead to substantial disability, social problems, poor health, and suicide. Other research has examined depressive symptoms among adult populations in Bangladesh, but little is known about other age groups. The aim of this study was to assess the prevalence and socio-demographic correlates of depressive symptoms among secondary school children of Dhaka city, Bangladesh. A self-completed questionnaire was administered to 898 students from eight secondary schools of Dhaka, the capital City of Bangladesh. Of the respondents, 755 (372 males, 383 females; average age 14.26 years; SD 1.15) completed the 10-item Center for Epidemiological Studies Depression Scale (CESD-10). A score of 10 or more was used to indicate depressive symptoms. Parents completed a separate questionnaire to provide individual and household/family-level data. Generalized Estimating Equations (GEE) was used to assess sociodemographic and lifestyle factors associated with adolescent depressive symptoms. Among the responding adolescents, 25% reported depressive symptoms with prevalence more common among females than males (30% vs. 19%). Factors significantly associated with symptoms of depression included being female, aged 15-16 years, self-perception of non-normal weight, feeling unsafe at school, sleep disturbance, low life satisfaction, high intake of sugary drinks, and regularly skipping breakfast. Depressive symptoms are prevalent among secondary school children in urban Bangladesh. Interventions for adolescents with depressive symptoms could focus on lifestyle practices such as weight management, personal safety, sleep hygiene and healthy eating.
抑郁症是全球疾病负担的主要促成因素，且往往始于年轻时。青少年抑郁症会增加不健康生活方式行为的风险，并可能导致严重残疾、社会问题、健康状况不佳和自杀。其他研究调查了孟加拉国成年人口中的抑郁症状，但对其他年龄组知之甚少。本研究的目的是评估孟加拉国达卡市中学生抑郁症状的患病率及其社会人口学相关因素。对来自孟加拉国首都达卡八所中学的898名学生进行了一份自我填写的问卷。在受访者中，755人（372名男性，383名女性；平均年龄14.26岁；标准差1.15）完成了10项流行病学研究中心抑郁量表（CESD - 10）。得分10分及以上被用来表明有抑郁症状。家长们填写了一份单独的问卷，以提供个人及家庭层面的数据。使用广义估计方程（GEE）来评估与青少年抑郁症状相关的社会人口学和生活方式因素。在有回应的青少年中，25%报告有抑郁症状，患病率女性高于男性（30%对19%）。与抑郁症状显著相关的因素包括女性、年龄在15 - 16岁、自我感觉体重不正常、在学校感觉不安全、睡眠障碍、生活满意度低、高糖饮料摄入量高以及经常不吃早餐。抑郁症状在孟加拉国城市的中学生中很普遍。针对有抑郁症状青少年的干预措施可以侧重于生活方式方面，如体重管理、个人安全、睡眠卫生和健康饮食。
