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孟加拉国达卡市学龄儿童母亲中抑郁症的患病率及相关因素:一项基于多阶段抽样的研究。

Prevalence and factors associated with depression among the mothers of school-going children in Dhaka city, Bangladesh: A multi stage sampling-based study.

作者信息

Sultana Sharmin, Zaman Sanjana, Chowdhury Abm Alauddin, Hasan Istiaque, Haque Md Imdadul, Hossain Md Kamrul, Ahmed Kazi Rumana, Chakraborty Promit Ananyo, Hossain Hawlader Mohammad Delwer

机构信息

Department of Public Health, Daffodil International University, Dhaka, 1207, Bangladesh.

Department of Pharmacy, North South University (NSU), Dhaka, Bangladesh.

出版信息

Heliyon. 2021 Jul 7;7(7):e07493. doi: 10.1016/j.heliyon.2021.e07493. eCollection 2021 Jul.

Abstract

BACKGROUND

Motherhood is associated with extra stress, and mothers of young children are particularly prone to developing depression and mental health problems.

METHODOLOGY

This analytical cross-sectional study was conducted in Dhaka city, Bangladesh, from June to December 2019. Mothers of school-going children were recruited through a multistage sampling technique. Dhaka city was divided into two divisions and then further subdivided into public and private sectors. Six schools were selected from each sector by using a simple random sampling technique. A list of class five to eight students were collected from each school by systematic random sampling. Data were collected through face-to-face interviews using semi-structured questionnaires. The rate of depressive symptoms was measured by the validated Zung Self-Rating Depression Scale (SDS).

RESULT

A total of 324 women participated in this study; the majority of the women (85.5%) were Muslim, 67.0% were housewives, and 53.1% had a girl child. Among the women, 15.4% had mild, 22.2% had moderate, and 20.1% had severe depression. Most of the child's behavioral and lifestyle factors were associated with the mother's depression. Adjusted analyses indicate that if a child is often unhappy, depressed, or tearful [(OR (95%CI = 22.27 (8.39-59.11)], gets nervous in new situations or easily loses confidence [(OR (95%CI) = 5.45 (2.96-10.00)], often lies or cheats [(OR (95%CI) = 8.93 (3.76-21.22)], gets afraid easily [(OR (95%CI) = 7.09 (3.79-13.24)], watches television for 3 h or more [(OR (95%CI) = 23.77 (6.46-87.48)] browses the internet for 3 h or more [(OR (95%CI = 7.37 (2.76-19.67)] were associated with mother's depression.

CONCLUSION

The study concludes that depression among the mothers of school-going children in Dhaka city of Bangladesh is high. Several lifestyles and behavioral factors of school-going children are significantly associated with the mothers' depression.

摘要

背景

为人母伴随着额外的压力,幼儿的母亲尤其容易患上抑郁症和心理健康问题。

方法

这项分析性横断面研究于2019年6月至12月在孟加拉国达卡市进行。通过多阶段抽样技术招募了学龄儿童的母亲。达卡市分为两个分区,然后进一步细分为公共和私营部门。使用简单随机抽样技术从每个部门中选出六所学校。通过系统随机抽样从每所学校收集五至八年级学生的名单。通过使用半结构化问卷进行面对面访谈来收集数据。抑郁症状的发生率通过经过验证的zung自评抑郁量表(SDS)进行测量。

结果

共有324名女性参与了这项研究;大多数女性(85.5%)是穆斯林,67.0%是家庭主妇,53.1%有一个女孩。在这些女性中,15.4%有轻度抑郁症,22.2%有中度抑郁症,20.1%有重度抑郁症。大多数孩子的行为和生活方式因素与母亲的抑郁症有关。调整分析表明,如果孩子经常不开心、沮丧或流泪[比值比(95%置信区间)=22.27(8.39 - 59.11)],在新情况下会紧张或容易失去信心[比值比(95%置信区间)=5.45(2.96 - 10.00)],经常说谎或欺骗[比值比(95%置信区间)=8.93(3.76 - 21.22)],容易害怕[比值比(95%置信区间)=7.09(3.79 - 13.24)],看电视3小时或更长时间[比值比(95%置信区间)=23.77(6.46 - 87.48)],上网浏览3小时或更长时间[比值比(95%置信区间)=7.37(2.76 - 19.67)],则与母亲的抑郁症有关。

结论

该研究得出结论,孟加拉国达卡市学龄儿童母亲的抑郁症患病率很高。学龄儿童的几种生活方式和行为因素与母亲的抑郁症显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea0/8353297/fa386cf2b48d/gr1.jpg

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