Undergraduate Research Organization, Dhaka, Bangladesh; Department of Public Health & Informatics, Jahangirnagar University, Dhaka, Bangladesh.
School of Public Health, Independent University, Dhaka, Bangladesh; MATERS Trust, Dhaka, Bangladesh.
Psychiatry Res. 2019 Jun;276:124-128. doi: 10.1016/j.psychres.2019.05.007. Epub 2019 May 5.
Women living in disaster-prone areas are at risk of developing and suffering from mental health problems, such as depression. However, this issue has not been studied previously among village dwelling women in Bangladesh. Improved knowledge of post-disaster depression rates and its risk factors could facilitate design and implementation of targeted disaster management protocols. Therefore, face-to-face surveys were conducted from September to October 2017 among 111 women in Dalbangha village, Bangladesh who survived cyclone Mora. Depression was assessed using the Bangla Patient Health Questionnaire - 9 (PHQ-9) along with relevant socio-demographics and disaster-related variables. The prevalence of depression was 64.9% and 36.9% of the women failed to receive any alert prior to the disaster. Along with a wide range of post-disaster consequences, 36.0% were physically injured, 27.9% had to be absent from work with consequent income loss, and 17.1% experienced death of a family member. Lower age group (18-30 years), being an income earner, disaster-related physical injury, and post-disaster work absenteeism emerged as the risk factors associated with depressive symptoms. In light of current findings, disaster preparedness programs and management protocols should incorporate measures aimed at palliating the risk factor elements that promote depression among vulnerable women following a disaster.
生活在灾害多发地区的妇女面临着心理健康问题（如抑郁症）的风险。然而，在孟加拉国的农村妇女中，这一问题尚未得到研究。更好地了解灾后抑郁症的发病率及其危险因素，可以促进有针对性的灾害管理协议的设计和实施。因此，2017 年 9 月至 10 月期间，在孟加拉国 Dalbangha 村对 111 名幸存于气旋莫拉的妇女进行了面对面调查。使用 Bangla 患者健康问卷-9（PHQ-9）评估了抑郁症，同时还评估了相关的社会人口统计学和与灾害有关的变量。抑郁症的患病率为 64.9%，其中 36.9%的妇女在灾难发生前没有收到任何警报。除了各种灾后后果外，36.0%的人身体受伤，27.9%的人因工作而缺勤，导致收入损失，17.1%的人经历了家庭成员死亡。年龄较小（18-30 岁）、作为收入者、与灾害相关的身体伤害以及灾后缺勤是与抑郁症状相关的危险因素。根据目前的研究结果，灾害准备计划和管理协议应纳入旨在减轻风险因素的措施，这些风险因素会在灾难后促进脆弱妇女患上抑郁症。
