性自我效能在越南女性移民工人的心理健康和抑郁症状之间的关系中的中介作用。
The mediation effects of sexual self-efficacy in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in Vietnam.
机构信息
Department of Infectious Diseases and Microbiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA.
出版信息
Int J Soc Psychiatry. 2023 Dec;69(8):2068-2078. doi: 10.1177/00207640231188033. Epub 2023 Jul 21.
BACKGROUND
Depression is a common mental disorder that significantly contributes to the global burden of disease. Studies have consistently reported that migrant workers experience higher levels of depressive symptoms, especially women.
AIMS
This study aimed to examine the mediation role of sexual self-efficacy on the relationship between psychological wellbeing, and depressive symptoms among young female migrant workers in Vietnam's industrial zones.
METHODS
A cross-sectional study was conducted among 1061 female migrant workers aged 18 to 29 from January to November 2020 in Hanoi, Vietnam. Anonymous interview questionnaires were used to collect data on demographic characteristics, psychosocial wellbeing (PWB), sexual self-efficacy, and depressive symptoms. Mediation analysis was conducted to explore the mediation effect of sexual self-efficacy on the relationship between PWB and depressive symptoms.
RESULTS
Nearly 8% of the female migrant workers reported experiencing depressive symptoms. The final mediation model showed that the effect of overall psychological wellbeing on depressive symptoms was partially mediated by sexual self-efficacy. Specifically, 4.1% of the effect of overall PWB on depressive symptoms was mediated through sexual self-efficacy. In the PWB subdimension analyses, sexual self-efficacy mediated 14.3% of the effect of personal growth, 8.8% of the effect of purpose in life, 8.0% of the effect of autonomy, and 7.8% of the effect of environmental mastery on depressive symptoms, respectively.
CONCLUSION
The study findings demonstrate that sexual self-efficacy plays an important role in the relationship between psychosocial wellbeing and depressive symptoms among female migrant workers in industrial zones in Vietnam. Improving psychosocial wellbeing and promoting sexual health including sexual self-efficacy should be prioritized when addressing depressive symptoms and mental health concerns among industrial zone female migrant workers in Vietnam, which may also be applicable in other low- and middle-income countries with similar socio-cultural settings.
背景
抑郁症是一种常见的精神障碍，对全球疾病负担有重大影响。研究一致报告称，移民工人的抑郁症状水平更高，尤其是女性。
目的
本研究旨在检验性自我效能感在越南工业区年轻女性移民工人的心理幸福感和抑郁症状之间的关系中的中介作用。
方法
2020 年 1 月至 11 月，在越南首都河内对 1061 名年龄在 18 至 29 岁的女性移民工人进行了一项横断面研究。采用匿名访谈问卷收集人口统计学特征、心理社会幸福感 (PWB)、性自我效能感和抑郁症状的数据。进行中介分析以探讨性自我效能感对 PWB 和抑郁症状之间关系的中介作用。
结果
近 8%的女性移民工人报告有抑郁症状。最终的中介模型表明，整体心理幸福感对抑郁症状的影响部分通过性自我效能感中介。具体来说，PWB 对抑郁症状的总影响有 4.1%是通过性自我效能感中介的。在 PWB 子维度分析中，性自我效能感分别中介了个人成长、生活目标、自主性和环境掌控对抑郁症状的影响的 14.3%、8.8%、8.0%和 7.8%。
结论
研究结果表明，性自我效能感在越南工业区女性移民工人的心理幸福感和抑郁症状之间的关系中起着重要作用。在解决越南工业区女性移民工人的抑郁症状和心理健康问题时，应优先考虑改善心理幸福感，并促进性健康，包括性自我效能感，这在具有类似社会文化背景的其他中低收入国家也可能适用。
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