James-Hawkins Laurie, Naved Ruchira Tabassum, Cheong Yuk Fai, Yount Kathryn M
University of Essex.
Senior Scientist, International Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Psychol Men Masc. 2019 Jan;20(1):104-114. doi: 10.1037/men0000150. Epub 2018 Apr 19.
Depression is a worldwide problem, and is especially prevalent in lower-income countries with insufficient resources and widespread poverty, such as Bangladesh. Yet multilevel determinants of depressive symptoms in men have not been studied in this context. We leverage a novel dataset from men in Bangladesh to determine the community- and individual-level influences of masculine dominance strain and financial strain on the frequency of married men's depressive symptoms in Bangladesh. Data were collected between January and June, 2011, as part of the conducted by The International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b). Masculine dominance strain at both levels was related to the frequency of depressive symptoms. Financial strain only at the individual level was related to the frequency of depressive symptoms. We conclude that community-level economic interventions may not directly influence individual-level depression; however, addressing customary conceptions of masculinity at the community and individual level and addressing individual-level financial strain are promising joint strategies to improve married men's mental health in Bangladesh and similar settings.
抑郁症是一个全球性问题，在资源不足且贫困普遍的低收入国家尤为普遍，比如孟加拉国。然而，在这种背景下，尚未对男性抑郁症状的多层次决定因素进行研究。我们利用来自孟加拉国男性的一个新数据集，来确定男性主导压力和经济压力在社区和个体层面上对孟加拉国已婚男性抑郁症状发生频率的影响。数据收集于2011年1月至6月期间，是由孟加拉国腹泻疾病研究国际中心（icddr,b）开展的一项研究的一部分。两个层面的男性主导压力都与抑郁症状的发生频率相关。仅个体层面的经济压力与抑郁症状的发生频率相关。我们得出结论，社区层面的经济干预可能不会直接影响个体层面的抑郁症；然而，在社区和个体层面解决关于男性气质的传统观念，并解决个体层面的经济压力，是改善孟加拉国及类似环境中已婚男性心理健康的有前景的联合策略。
