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埃塞俄比亚南方各族州人民区域州哈瓦萨市哈瓦萨大学医学与健康科学学院本科健康科学专业学生心理困扰的预测因素:一项横断面研究

Predictors of mental distress among undergraduate health science students of Hawassa University, College of Medicine and Health Sciences, Hawassa, SNNPR, Ethiopia: a cross-sectional study.

作者信息

Bedaso Asres, Duko Bereket, Yeneabat Tebikew

机构信息

1Hawassa University, College of Medicine and Health Sciences, School of Nursing, P.O. Box 1560, Hawassa, Ethiopia.

2College of Health Sciences, Department of Midwifery, Debre Markos University, Debre Markos, Amhara, Ethiopia.

出版信息

Ann Gen Psychiatry. 2020 Feb 3;19:6. doi: 10.1186/s12991-020-0258-y. eCollection 2020.

Abstract

INTRODUCTION

Mental distress is a mental health problem which includes anxiety, depression and somatic symptoms. Mental health problems affect society as a whole and no group is immune to mental disorders; however, students have significantly high level of mental distress than their community peers.

OBJECTIVE

The aim of the study is to assess magnitude of mental distress and its predictors among undergraduate health science students of Hawassa University, College of Medicine and Health Sciences, SNNPR, Ethiopia.

METHODS

Institution-based cross-sectional study was conducted among 311 students. Simple random sampling technique was used to select the study participants. Data were collected using pre-tested and structured self-administered questionnaire. Mental distress among students was assessed using SRQ-20, which is validated in Ethiopia. Bivariate and multivariate logistic regression model was fitted to identify predictors of mental distress among students. An adjusted odds ratio with 95% confidence interval was computed to determine the level of significance with -value less than 0.05.

RESULT

A total of 309 study participants were interviewed with a response rate of 99.34%. Among the total respondents 105 (34%) of them were found to have mental distress. In multiple logistic regression analysis, poor social support (AOR = 5.28; 95% CI (2.176-12.84) and current substances use (AOR = 12.83, 95% CI (7.13-23.13), were significant predictors of mental distress among respondents.

CONCLUSION AND RECOMMENDATIONS

The overall magnitude of mental distress among students was found to be high. Therefore, it is recommended that mental distress needs due attention and remedial action from policy-makers, college officials, non-governmental organizations, parents, students and other concerned bodies.

摘要

引言

精神困扰是一种心理健康问题,包括焦虑、抑郁和躯体症状。心理健康问题影响着整个社会,没有哪个群体能免受精神障碍的影响;然而,学生的精神困扰程度明显高于他们所在社区的同龄人。

目的

本研究的目的是评估埃塞俄比亚南方各族州人民区域州哈瓦萨大学医学与健康科学学院本科健康科学专业学生中精神困扰的程度及其预测因素。

方法

在311名学生中开展了基于机构的横断面研究。采用简单随机抽样技术选取研究参与者。使用经过预测试的结构化自填问卷收集数据。使用在埃塞俄比亚经过验证的SRQ-20评估学生的精神困扰情况。采用双变量和多变量逻辑回归模型来确定学生精神困扰的预测因素。计算调整后的比值比及95%置信区间,以确定显著性水平,P值小于0.05。

结果

共对309名研究参与者进行了访谈,回复率为99.34%。在所有受访者中,发现105人(34%)有精神困扰。在多变量逻辑回归分析中,社会支持差(调整后的比值比=5.28;95%置信区间为(2.176 - 12.84))和当前使用物质(调整后的比值比=12.83,95%置信区间为(7.13 - 23.13))是受访者精神困扰的显著预测因素。

结论与建议

发现学生中精神困扰的总体程度较高。因此,建议政策制定者、学院管理人员、非政府组织、家长、学生和其他相关机构应对精神困扰给予应有的关注并采取补救措施。

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