Health System and Population Studies Division, icddr, b, Dhaka 1000, Bangladesh.
School of Health & Life Sciences, Department of Public Health, North South University, Dhaka, Bangladesh.
J Affect Disord. 2021 Mar 1;282:689-694. doi: 10.1016/j.jad.2020.12.137. Epub 2020 Dec 28.
This study aims to assess the prevalence of depression among public university students in Bangladesh, with a larger and more diverse sample than those included in previous studies. A cross-sectional study was conducted between April and September, 2018 at two public universities in Bangladesh. Data was collected on socio-demographic characteristics, lifestyle factors, history of depression, and symptoms of depression (9-item Patient Health Questionnaire). Multivariable logistic regression was applied to explore the independent relationships between depression and student characteristics. A total of 400 students participated in the survey. Mean age of the students was 22 (SD: 2.2) years. The prevalence of depression was 47.3% and higher in female than male students (50.7% vs. 43.6%). Results of the multivariate analysis showed that the odds were approximately 4.6 times higher for students who spent more than 6 hours per day on social media (OR:4.69, 95% CI: 1.94-11.30); more than 2 times higher among the students who had personal history of depression (OR: 3.51, 95% CI: 2.221-5.59). Male gender and having a smoking habit were both correlated with depressive symptoms (OR: 1.90; 95% CI:1.05-3.41) compared to the female students (OR:1.5; 95% CI:0.51-4.3). Nearly half of the students met the criteria for moderate to severe depression. Poor academic performance, use of social media and history of depression were the main factors associated with depressive symptoms. Given the high prevalence of depression in this student population, it is imperative to develop psychosocial interventions to better support students during this critical phase of life .
本研究旨在评估孟加拉国公立大学学生中抑郁的流行率，样本量大于以往研究，且更加多样化。2018 年 4 月至 9 月在孟加拉国的两所公立大学进行了横断面研究。收集了社会人口统计学特征、生活方式因素、抑郁史和抑郁症状（9 项患者健康问卷）的数据。应用多变量逻辑回归探讨抑郁与学生特征之间的独立关系。共有 400 名学生参加了调查。学生的平均年龄为 22 岁（标准差：2.2）。抑郁的患病率为 47.3%，女生高于男生（50.7%比 43.6%）。多变量分析结果表明，每天花在社交媒体上超过 6 小时的学生，其患病的几率大约是其他人的 4.6 倍（OR：4.69，95%CI：1.94-11.30）；有个人抑郁史的学生患病的几率大约是其他人的 3.51 倍（OR：3.51，95%CI：2.221-5.59）。与女生相比，男生（OR：1.90；95%CI：1.05-3.41）和有吸烟习惯的学生（OR：1.5；95%CI：0.51-4.3）出现抑郁症状的几率更高。近一半的学生符合中度至重度抑郁的标准。学业成绩差、使用社交媒体和抑郁史是与抑郁症状相关的主要因素。鉴于该学生群体中抑郁的高患病率，必须制定社会心理干预措施，在这个关键人生阶段更好地为学生提供支持。
