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孟加拉国私立医学院医学生的抑郁和自杀意念。一项横断面网络调查。

Depression and suicidal ideation among medical students in a private medical college of Bangladesh. A cross sectional web based survey.

机构信息

Department of Community Medicine, Enam Medical College and Hospital, Savar, Dhaka, Bangladesh.

出版信息

PLoS One. 2022 Apr 29;17(4):e0265367. doi: 10.1371/journal.pone.0265367. eCollection 2022.


DOI:10.1371/journal.pone.0265367
PMID:35486632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9053818/
Abstract

This study was done to investigate the prevalence of depression and suicidal ideation among private medical students in Bangladesh. A total of 237 medical students participated in this cross-sectional web-based survey by e-questionnaire using the Google Form. The study was conducted from November 2020 to December 2020 at Enam Medical College and Hospital which is situated in Savar, Dhaka, Bangladesh. Out of 237 medical students, prevalence of depression was found 58.6%, and prevalence of suicidal ideation was found 27.4% which is higher than the global prevalence. Bivariate and multivariate analysis and logistic regression-based odds ratios (ORs) was done to see the association between grade of depression and suicidal thoughts with different variables. Association between grade of depression with family problems (x2 = 16.716, P = 0.001), drug addiction (x2 = 16.601, P = 0.001), committed relationship status (x2 = 40.292, P = <0.001) were statistically significant. Whereas, the association between suicidal thoughts with family problems (x2 = 29.881, P = <0.001), failed any subject during study (x2 = 12.024, P = 0.007), alcohol uses (x2 = 15.977, P = 0.001), drug addiction (x2 = 22.633, P = <0.001), committed relationship status (x2 = 35.219, P = <0.001) were statistically significant. However, medical students whom had to earn other than their family income were 2.3 times (OR: 2.285, 95% CL: 0.897, 5.820) greater prone to be depressed than those who do not had to earn by themselves. On the contrary, medical students who are single were 2.35 times (OR: 2.352, 95% CL: 0.926, 5.973) greater prone to have suicidal thoughts than the married students. This study showed that a large percentage of Bangladeshi medical students have been suffering from depression and suicidal ideation. Our recommendation for the authority of the medical colleges are, to build a system with counselling facilities inside every medical colleges in Bangladesh.

摘要

本研究旨在调查孟加拉国私立医学院学生中抑郁和自杀意念的流行情况。共有 237 名医学生通过谷歌表格的网络问卷调查参与了这项横断面研究。该研究于 2020 年 11 月至 12 月在孟加拉国达卡萨瓦尔的伊南医学院和医院进行。在 237 名医学生中,发现抑郁的患病率为 58.6%,自杀意念的患病率为 27.4%,高于全球患病率。进行了单变量和多变量分析以及基于逻辑回归的比值比 (OR),以观察抑郁程度和自杀念头与不同变量之间的关系。抑郁程度与家庭问题(x2 = 16.716,P = 0.001)、药物滥用(x2 = 16.601,P = 0.001)、恋爱关系状况(x2 = 40.292,P = <0.001)之间存在关联。而自杀念头与家庭问题(x2 = 29.881,P = <0.001)、学习期间任何科目不及格(x2 = 12.024,P = 0.007)、饮酒(x2 = 15.977,P = 0.001)、药物滥用(x2 = 22.633,P = <0.001)、恋爱关系状况(x2 = 35.219,P = <0.001)之间存在关联。然而,不得不靠自己家庭以外的收入来赚取学费的医学生患抑郁症的可能性是不这样做的学生的 2.3 倍(OR:2.285,95%CL:0.897,5.820)。相反,单身的医学生比已婚学生更有可能产生自杀念头,是后者的 2.35 倍(OR:2.352,95%CL:0.926,5.973)。本研究表明,孟加拉国很大一部分医学生患有抑郁和自杀意念。我们建议医学院校当局在孟加拉国的每所医学院内建立一个咨询服务系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/d0f1824a5206/pone.0265367.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/b5be103d8143/pone.0265367.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/d61cf810b2f9/pone.0265367.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/d0f1824a5206/pone.0265367.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/b5be103d8143/pone.0265367.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/d61cf810b2f9/pone.0265367.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9099/9053818/d0f1824a5206/pone.0265367.g003.jpg

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[3]
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[4]
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[6]
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本文引用的文献

[1]
Variation of stress levels, burnout, and resilience throughout the academic year in first-year medical students.

PLoS One. 2020-10-15

[2]
Depression and anxiety among university students during the COVID-19 pandemic in Bangladesh: A web-based cross-sectional survey.

PLoS One. 2020-8-26

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In Crisis: Medical Students in the COVID-19 Pandemic.

AEM Educ Train. 2020-4-25

[4]
Education and the COVID-19 pandemic.

Prospects (Paris). 2020

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Prevalence of depressive symptoms among Italian medical students: The multicentre cross-sectional "PRIMES" study.

PLoS One. 2020-4-17

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The prevalence of depression and associated risk factors among medical students: An untold story in Vietnam.

PLoS One. 2019-8-20

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Suicidal ideation in medical students: recent insights.

Adv Med Educ Pract. 2018-11-29

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Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students: A Systematic Review and Meta-Analysis.

JAMA. 2016-12-6

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Prevalence of Depression among Chinese University Students: A Meta-Analysis.

PLoS One. 2016-4-12

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Prevalence of stress among medical students: a comparative study between public and private medical schools in Bangladesh.

BMC Res Notes. 2015-7-30

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