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埃塞俄比亚南部大学生心理困扰的患病率及相关因素:一项横断面研究。

The Prevalence and Factors Associated with Mental Distress among College Students in Southern Ethiopia: A Cross-Sectional Study.

作者信息

Tessema Tesfalem Teshome, Gebremariam Temesgen Abdi, Abebe Etaferahu Alemayehu, Gebre Ribka Dinku

机构信息

Department of Public Health, Hawassa College of Health Sciences, Hawassa Ethiopia.

Southern Regional State Health Office, Hawassa Ethiopia.

出版信息

Ethiop J Health Sci. 2019 May;29(3):353-360. doi: 10.4314/ejhs.v29i3.7.

Abstract

BACKGROUND

Although mental health problems affect the general population, students are highly vulnerable to psychological disorders. Mental distress among students is a cause of concern as it may impair their behavior and diminish learning, which could negatively affect their academic performance. Therefore, the objective of this study was to assess the prevalence and the factors associated with mental distress among college students in Southern Ethiopia.

METHODS

Institution based cross-sectional study was conducted among 280 regular students of Hawassa College of Health Sciences. Mental distress was measured using a Self-Reporting Questionnaire (SRQ-20). The data were entered into Epi-Info version 3.5.4 and analyzed using Statistical Package for Social Science (SPSS) version 20. Multivariable logistic analysis was performed following bivariate analysis to adjust for the effect of confounders.

RESULT

The prevalence of mental distress among the study subjects was found to be 59 (22.30%). Female students were 2.08 times more likely to have mental distress as compared to male students (AOR =2.08 [95% CI: 1.14-3.82]). The odds of mental distress among third-year students was 60% lower compared to second-year students [AOR = 0.40; 95 % CI, (0.19, 0.87)]. Students who were from Amhara ethnic group were 3.37 times more likely to have mental distress as compared to students from Sidama ethnic group [AOR=3.37;95%CI (1.13-10.09)]. Moreover, students who had Grade Point Average of below 60% were 4.69 times more likely to be mentally distressed as compared to those students who scored Grade Point Average of greater or equal to 60% (AOR= 4.69; 95% CI,[ 2.46, 8.96).

CONCLUSION

The finding suggests the importance of providing mental health counseling support for students as part of the teaching and learning process. More research to further explore the multiple factors influencing students' mental health condition should also be conducted.

摘要

背景

尽管心理健康问题影响普通人群,但学生极易患上心理障碍。学生中的精神困扰令人担忧,因为它可能损害他们的行为并减少学习,这可能对他们的学业成绩产生负面影响。因此,本研究的目的是评估埃塞俄比亚南部大学生中精神困扰的患病率及其相关因素。

方法

在哈瓦萨健康科学学院的280名普通学生中进行了基于机构的横断面研究。使用自填问卷(SRQ-20)测量精神困扰。数据录入Epi-Info 3.5.4版本,并使用社会科学统计软件包(SPSS)20版本进行分析。在双变量分析后进行多变量逻辑分析,以调整混杂因素的影响。

结果

研究对象中精神困扰的患病率为59例(22.30%)。与男学生相比,女学生出现精神困扰的可能性高2.08倍(调整后比值比[AOR]=2.08[95%置信区间:1.14 - 3.82])。三年级学生出现精神困扰的几率比二年级学生低60%[AOR = 0.40;95%置信区间,(0.19,0.87)]。与来自希达莫族的学生相比,阿姆哈拉族的学生出现精神困扰的可能性高3.37倍[AOR = 3.37;95%置信区间(1.13 - 10.09)]。此外,平均绩点低于60%的学生出现精神困扰的可能性是平均绩点大于或等于60%的学生的4.69倍(AOR = 4.69;95%置信区间,[2.46,8.96])。

结论

研究结果表明,在教学过程中为学生提供心理健康咨询支持非常重要。还应开展更多研究,进一步探索影响学生心理健康状况的多种因素。

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