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孟加拉国建筑工人中抑郁、焦虑和压力的患病率及其危险因素:一项横断面研究。

Prevalence and risk factors of depression, anxiety, and stress among the Bangladeshi construction workers: A cross-sectional study.

机构信息

Department of Biochemistry and Food Analysis, Patuakhali Science and Technology University, Patuakhali, Bangladesh.

Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.

出版信息

PLoS One. 2024 Aug 19;19(8):e0307895. doi: 10.1371/journal.pone.0307895. eCollection 2024.

Abstract

BACKGROUND

Construction workers are a population that is at risk for mental illnesses such as depression, anxiety, and even suicide due to the high stress and physical demands of their work. This study aimed to determine the prevalence and risk factors for depression, anxiety, and stress among Bangladeshi construction workers.

METHODS

From February 2022 to June 2022, community-based cross-sectional research was conducted among construction workers. Survey data was gathered using interviewer administered questionnaires with 502 participants from the construction sites. Data were collected based on the information related to socio-demographics, lifestyle, occupation, health hazards, and mental health (i.e., depression, anxiety, and stress). The results were interpreted using the chi-square test and logistic regression utilizing SPSS statistical software.

RESULTS

The study revealed the prevalence rates of depression, anxiety, and stress among construction workers to be 17.9%, 30.3%, and 12%, respectively. Key findings indicate that construction workers who maintained a healthy sleep duration were 64% less likely to be depressed compared to those with poor sleep (AOR = 0.36; 95% CI: 0.21-0.61, p<0.001). Workers who did not experience breathing issues upon starting construction work had a 45% lower likelihood of experiencing depression (AOR = 0.55; 95% CI: 0.32-0.97, p = 0.037) and an 82% lower likelihood of experiencing anxiety (AOR = 0.18; 95% CI: 0.11-0.30, p<0.001). Bricklayer construction workers were 72% less likely to experience stress (AOR = 0.28; 95% CI: 0.08-0.95, p = 0.041), and workers without breathing issues after starting construction work were 66% less likely to experience stress (AOR = 0.34; 95% CI: 0.17-0.66, p = 0.001).

CONCLUSIONS

The study found that depression, anxiety, and stress are prevalent among construction workers in Bangladesh, with breathing issues as a significant risk factor. Thus, there is a need for effective measures to reduce these problems and provide a safe working environment for construction workers to ensure their productivity and the country's overall growth.

摘要

背景

由于工作压力大、体力要求高,建筑工人面临着抑郁、焦虑甚至自杀等精神疾病的风险,这使得他们成为一个易患精神疾病的群体。本研究旨在确定孟加拉国建筑工人中抑郁、焦虑和压力的患病率和风险因素。

方法

2022 年 2 月至 6 月,采用基于社区的横断面研究方法,对建筑工地的 502 名建筑工人进行了调查。使用经过验证的问卷,通过访谈的方式收集数据。数据收集的内容包括社会人口统计学、生活方式、职业、健康危害和心理健康(即抑郁、焦虑和压力)。使用 SPSS 统计软件进行卡方检验和逻辑回归分析。

结果

研究显示,建筑工人中抑郁、焦虑和压力的患病率分别为 17.9%、30.3%和 12%。主要发现表明,与睡眠不佳的工人相比,保持健康睡眠时长的建筑工人患抑郁的可能性降低了 64%(AOR = 0.36;95%CI:0.21-0.61,p<0.001)。没有在开始施工时出现呼吸问题的工人患抑郁的可能性降低了 45%(AOR = 0.55;95%CI:0.32-0.97,p = 0.037),患焦虑的可能性降低了 82%(AOR = 0.18;95%CI:0.11-0.30,p<0.001)。砌砖工人患压力的可能性降低了 72%(AOR = 0.28;95%CI:0.08-0.95,p = 0.041),开始施工后没有呼吸问题的工人患压力的可能性降低了 66%(AOR = 0.34;95%CI:0.17-0.66,p = 0.001)。

结论

本研究发现,抑郁、焦虑和压力在孟加拉国建筑工人中很常见,呼吸问题是一个重要的风险因素。因此,需要采取有效的措施来减少这些问题,为建筑工人提供一个安全的工作环境,以确保他们的生产力和国家的整体增长。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c70/11332995/64094f15f4e4/pone.0307895.g001.jpg

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