Al-Amin Md, Rinky Farhana, Nizamul Hoque Bhuiyan Md, Yeasmin Roksana, Akter Tasmia, Hoque Nowrin, Reza Sompa
Institute of Nutrition and Food Science, University of Dhaka, Dhaka, Bangladesh.
Department of Biochemistry, Ibrahim Medical College, Dhaka, Bangladesh.
BMJ Open. 2025 Mar 4;15(3):e097745. doi: 10.1136/bmjopen-2024-097745.
Mental health issues, particularly anxiety and depression, are on the rise among university students globally, including in Bangladesh. However, comprehensive data on the factors influencing mental health outcomes in this group remain limited, hindering the development of effective programmes and interventions.
This study aims to assess the mental health status of university students in Bangladesh and examine the key factors influencing mental health outcomes.
A cross-sectional online survey was conducted in Bangladesh from December 2022 to March 2023.
Universities in Bangladesh.
University students aged 18 and older.
Data were collected through a structured survey that assessed depression and anxiety using the Patient Health Questionnaire and the Generalized Anxiety Disorder scale, as well as dietary diversity through the Individual Dietary Diversity Score.
The results showed that while female students exhibited greater dietary diversity, they also had higher obesity rates, whereas male students reported more physical activity. Mental health assessments revealed that 36.1% of participants experienced mild anxiety, 11.5% severe anxiety, 39.8% mild depression and 8.3% severe depression. Binary logistic regression analysis identified significant predictors of anxiety and depression, including gender, personal income, body mass index and screen time. Females were less likely to experience anxiety (crude odds ratios (COR): 0.531, p =0.034) and depression (COR: 0.591, p =0.023) compared with males. Furthermore, low intake of wheat, rice (COR: 2.123, p=0.050) and pulses (COR: 1.519, p=0.050), as well as high consumption of fats, oils (COR: 2.231, p=0.024) and sugary foods (COR: 2.277, p=0.001), were associated with anxiety, while inadequate intake of vitamin A- and C-rich fruits (COR: 1.435, p =0.018) was linked to depression. Overweight students were found to be more susceptible to depression.
The findings of the study emphasise the necessity for targeted interventions that promote healthier lifestyles to enhance mental health outcomes among university students in Bangladesh.
全球大学生群体中，心理健康问题，尤其是焦虑和抑郁问题呈上升趋势，孟加拉国也不例外。然而，关于影响该群体心理健康结果的因素的全面数据仍然有限，这阻碍了有效项目和干预措施的发展。
本研究旨在评估孟加拉国大学生的心理健康状况，并探讨影响心理健康结果的关键因素。
2022年12月至2023年3月在孟加拉国进行了一项横断面在线调查。
孟加拉国的大学。
18岁及以上的大学生。
通过结构化调查收集数据，该调查使用患者健康问卷和广泛性焦虑症量表评估抑郁和焦虑，并通过个人饮食多样性得分评估饮食多样性。
结果显示，虽然女学生的饮食多样性更高，但肥胖率也更高，而男学生的体育活动更多。心理健康评估显示，36.1%的参与者有轻度焦虑，11.5%有重度焦虑，39.8%有轻度抑郁，8.3%有重度抑郁。二元逻辑回归分析确定了焦虑和抑郁的显著预测因素，包括性别、个人收入、体重指数和屏幕使用时间。与男性相比，女性经历焦虑（粗比值比（COR）：0.531，p = 0.034）和抑郁（COR：0.591，p = 0.023）的可能性较小。此外，小麦、大米（COR：2.123，p = 0.050）和豆类（COR：1.519，p = 0.050）摄入量低，以及脂肪、油类（COR：2.231，p = 0.024）和含糖食品消费量高，与焦虑有关，而富含维生素A和C的水果摄入量不足（COR：1.435，p = 0.018）与抑郁有关。超重学生更容易患抑郁症。
该研究结果强调了有针对性的干预措施的必要性，这些措施应促进更健康的生活方式，以改善孟加拉国大学生的心理健康状况。
