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在印度尼西亚全国成年人样本中,抑郁症状的高发率:童年逆境、社会人口因素和健康风险行为。

High prevalence of depressive symptoms in a national sample of adults in Indonesia: Childhood adversity, sociodemographic factors and health risk behaviour.

机构信息

HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria, South Africa; Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa.

Department of Research Innovation and Development, University of Limpopo, Turfloop Campus, Sovenga, South Africa; ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand.

出版信息

Asian J Psychiatr. 2018 Mar;33:52-59. doi: 10.1016/j.ajp.2018.03.017. Epub 2018 Mar 7.

DOI:10.1016/j.ajp.2018.03.017
PMID:29529418
Abstract

BACKGROUND

The aim of this study was to investigate depressive symptoms and their association with sociodemographic factors, stressors and support, including childhood adversity, health status risk and behaviour in Indonesia.

METHOD

In a cross-sectional national population survey in 2014-15 in Indonesia, 31442 adults (mean age 37.3 years, SD = 14.9, age range 15-101 years) responded to the Centers for Epidemiologic Studies Depression Scale (CES-D-10) and various other measures.

RESULTS

Overall, 15.0% of participants reported moderate and 6.9% severe depressive symptoms, or 21.8% moderate or severe depressive symptoms (21.4% among men and 22.3% among women). In multivariable logistic regression among both men and women, sociodemographic factors (younger age, poor subjective economic background, being unemployed, residing in Java and main island groups), stressors (childhood hunger and poor or fair self-rated health status and having experienced disasters), lack of social trust and religiosity, having one or more chronic conditions, tobacco use and soft drink consumption were positively and obesity negatively associated with moderate or severe depressive symptoms.

CONCLUSION

High rates (21.8%) of depressive symptoms were found. Several risk factors including sociodemographic factors such as younger age, stressors, lack of social support, health risk status and behaviour variables were identified which can be utilized in guiding interventions.

摘要

背景

本研究旨在探讨印度尼西亚人群抑郁症状及其与社会人口学因素、压力源和支持的关系,包括儿童期逆境、健康状况风险和行为。

方法

在 2014-2015 年印度尼西亚进行的一项横断面全国人群调查中,31442 名成年人(平均年龄 37.3 岁,标准差 14.9 岁,年龄范围 15-101 岁)回答了流行病学研究中心抑郁量表(CES-D-10)和其他各种测量方法。

结果

总体而言,15.0%的参与者报告有中度抑郁症状,6.9%报告有重度抑郁症状,或 21.8%有中度或重度抑郁症状(男性中为 21.4%,女性中为 22.3%)。在男女两性的多变量逻辑回归中,社会人口学因素(年龄较小、主观经济背景较差、失业、居住在爪哇岛和主要岛屿群)、压力源(儿童期饥饿和较差或一般自我健康状况以及经历过灾害)、缺乏社会信任和宗教信仰、存在一种或多种慢性疾病、吸烟和饮用软饮料与中度或重度抑郁症状呈正相关,而肥胖则呈负相关。

结论

发现了较高的抑郁症状发生率(21.8%)。确定了一些风险因素,包括社会人口学因素(如年龄较小、压力源、缺乏社会支持、健康风险状况和行为变量),这些因素可用于指导干预措施。

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