Department of Family Medicine, Muhammad Abdullahi Wase Teaching Hospital, Kano, Nigeria.
Department of Public Health, Ministry of Health, Katsina, Nigeria.
Niger Postgrad Med J. 2021 Jul-Sep;28(3):198-203. doi: 10.4103/npmj.npmj_414_21.
Depression among medical students has been partly attributed to the nature of medical education, and may lead to poor academic and professional adjustment. The objectives of the study were to assess the prevalence of depression and its relationship to socio-demographic and clinical risk factors among medical students of Bayero University in Kano, Nigeria.
A descriptive cross-sectional study was performed. Two hundred and seventy-nine medical students were selected using a multi-stage sampling technique. The respondents were given a self-reporting questionnaire, which included sociodemographic details and 3-item Oslo Social Support Rating Scale. Depression was assessed using the Mini-International Neuropsychiatric Interview (7.0).
The prevalence of depression among medical students was 15.1%. Depression was more in females, <22 years, those at the lower level of study, poor social support, family history of depression and history of depression. After logistic regression, only being female (P = 0.008) and history of depression (P = 0.007) differentiated medical students with depression from those with no depression with odds ratio (OR) of 2.88 (95% confidence interval [CI] = [1.31, 6.33]) and OR of 2.79 (95% CI = [1.33, 5.84]), respectively. There was no association between depression and poor financial state (P = 0.175), self-reported academic performance (P = 0.719) and use of psychoactive substances (P = 0.311).
Depression is an important condition among medical students in Nigeria. There is a need to help students with mental health challenges by providing preventive measures, early identification and treatment mechanisms in medical schools in the country.
医学生的抑郁部分归因于医学教育的性质，可能导致学业和职业调整不良。本研究的目的是评估尼日利亚卡诺 Bayero 大学医学生抑郁的患病率及其与社会人口学和临床危险因素的关系。
采用描述性横断面研究。使用多阶段抽样技术选择了 279 名医学生。受访者被给予一份自我报告问卷，其中包括社会人口统计学细节和 3 项奥斯陆社会支持评定量表。使用迷你国际神经精神访谈 (7.0) 评估抑郁。
医学生的抑郁患病率为 15.1%。女性、<22 岁、处于较低学习水平、社会支持差、有抑郁家族史和有抑郁史的学生抑郁发生率更高。经过逻辑回归，只有女性（P=0.008）和抑郁史（P=0.007）将患有抑郁的医学生与没有抑郁的医学生区分开来，其优势比（OR）分别为 2.88（95%置信区间[CI]：[1.31，6.33]）和 2.79（95% CI：[1.33，5.84]）。抑郁与经济状况不佳（P=0.175）、自我报告的学业成绩（P=0.719）和使用精神活性物质（P=0.311）之间没有关联。
抑郁是尼日利亚医学生的一个重要问题。该国医学院校有必要通过提供预防措施、早期识别和治疗机制来帮助有心理健康挑战的学生。
