Gautam Prayas, Dahal Maginsh, Ghimire Harishchandra, Chapagain Sakuntala, Baral Kushalata, Acharya Rohit, Khanal Sudip, Neupane Anu
School of Public Health, Chitwan Medical College, Chitwan, Nepal.
Department of Public Health, Asian College for Advance Studies, Purbanchal University, Satdobato, Lalitpur, Nepal.
Depress Res Treat. 2021 Feb 4;2021:7495141. doi: 10.1155/2021/7495141. eCollection 2021.
This community-based study is aimed at finding out the prevalence of depression, and its correlates among adolescents of rural Nepal. Data were collected among adolescents after multistage stratified proportionate random sampling by using the Patient Health Questionnaire (PHQ-9) to assess the depression among adolescent. Chi-square test and logistic regression model were applied. The prevalence of depression was found to be 27%. Adolescents who were not satisfied with their academic performance were 2.4 times more likely to have the risk of depression (AOR = 2.417, CI: 1.097-5.326). Likewise, tobacco users were almost fourteen times (AOR = 13.858, CI: 2.090-91.90), who intended to harm themselves were two times (AOR = 2.323, CI: 1.078-5.005), sleep deprivation were fifteen folds (AOR = 14.911, CI: 7.376-30.145), often scolded by their parents was almost three times (AOR = 2.931, CI: 1.195-7.436), and having poor relationship with friends were 2.4 times more likely (AOR = 2.371, CI: 1.078-5.215) of having depression. Sleep deprivation has a long-term negative impact on health leading depression.
这项基于社区的研究旨在查明尼泊尔农村青少年中抑郁症的患病率及其相关因素。通过多阶段分层按比例随机抽样，使用患者健康问卷（PHQ - 9）对青少年进行抑郁症评估，收集相关数据。应用卡方检验和逻辑回归模型。结果发现抑郁症患病率为27%。对学业成绩不满意的青少年患抑郁症风险高2.4倍（比值比=2.417，置信区间：1.097 - 5.326）。同样，吸烟的青少年患抑郁症风险几乎高14倍（比值比=13.858，置信区间：2.090 - 91.90），有自伤意图的青少年高2倍（比值比=2.323，置信区间：1.078 - 5.005），睡眠不足的青少年高15倍（比值比=14.911，置信区间：7.376 - 30.145），经常被父母责骂的青少年高近3倍（比值比=2.931，置信区间：1.195 - 7.436），与朋友关系不好的青少年患抑郁症风险高2.4倍（比值比=2.371，置信区间：1.078 - 5.215）。睡眠不足对健康有长期负面影响，可导致抑郁症。
