Islam Tafajjal, Mia Masom, Mondal Md Abdul Hannan, Hasan Mohammad Jahid, Hasan M Tasdik, Hossain Md Golam
Department of Psychology, Faculty of Biological Science, University of Rajshahi, Rajshahi, Bangladesh.
Health Research Group, Department of Statistics, University of Rajshahi, Rajshahi, Bangladesh.
PLoS One. 2025 May 30;20(5):e0325348. doi: 10.1371/journal.pone.0325348. eCollection 2025.
Asthma is a severe long-term respiratory and multidimensional disease. It affects a large proportion of people worldwide. Knowledge regarding asthma and its impact on depression among university students in Bangladesh is very limited. The objective of this study was to investigate asthma, as well as to explore the relationship between asthma and depressive symptoms among university students in Bangladesh.
This study employed a cross-sectional design. Data was collected from Rajshahi University, Bangladesh. A total of 400 university students were recruited for this study. A semi-structured questionnaire was utilized to gather information from the participants. The primary outcome variable was asthma, which was assessed with the question: "Are you suffering from asthma (diagnosed by a doctor within the past year)?" Depressive symptoms were measured using the nine-item Patient Health Questionnaire (PHQ-9). Factors influencing asthma and its association were examined using a binary logistic regression model.
The study revealed that 53 (13.3%, 95% CI: 10.1% - 17.0%) of the students were suffering from asthma. Three significant predictors of asthma among university students were found: (i) having a family history of asthma (p < 0.01), (ii) being underweight (p < 0.01), and (iii) being born as a second or later child (p < 0.01). Findings also revealed that 48.8% of students exhibited symptoms of depression, with a significantly higher prevalence among female students compared to males (65.3% vs. 38.8%). Having asthma was found to be significantly associated with increased odds of depression (OR = 2.65, p < 0.002). Students with a history of asthma had 165% of more likelihood to depressive symptoms compared to their non-asthmatic peers suggesting a significant association between depressive symptoms and asthma in this population.
A considerable number of university students in Bangladesh suffer from asthma, with several modifiable factors such as depressive symptoms associated with the condition. The findings of this research will assist health professionals, policymakers, and university authorities in addressing the health challenges faced by students.
哮喘是一种严重的长期呼吸道多维疾病。它影响着全球很大一部分人。在孟加拉国,关于哮喘及其对大学生抑郁症影响的知识非常有限。本研究的目的是调查哮喘,并探讨孟加拉国大学生中哮喘与抑郁症状之间的关系。
本研究采用横断面设计。数据收集自孟加拉国拉杰沙希大学。本研究共招募了400名大学生。使用半结构化问卷从参与者那里收集信息。主要结果变量是哮喘,通过以下问题进行评估:“你是否患有哮喘(在过去一年内由医生诊断)?” 使用九项患者健康问卷(PHQ - 9)测量抑郁症状。使用二元逻辑回归模型检查影响哮喘及其关联的因素。
研究表明,53名(13.3%,95%置信区间:10.1% - 17.0%)学生患有哮喘。发现大学生哮喘的三个重要预测因素:(i)有哮喘家族史(p < 0.01),(ii)体重过轻(p < 0.01),以及(iii)是二胎或更高胎次出生的孩子(p < 0.01)。研究结果还显示,48.8%的学生表现出抑郁症状,女性学生的患病率显著高于男性(65.3%对38.8%)。发现患有哮喘与抑郁几率增加显著相关(OR = 2.65,p < 0.002)。有哮喘病史的学生出现抑郁症状的可能性比无哮喘的同龄人高165%,表明该人群中抑郁症状与哮喘之间存在显著关联。
孟加拉国相当数量的大学生患有哮喘,存在一些可改变的因素,如与该疾病相关的抑郁症状。本研究结果将有助于卫生专业人员、政策制定者和大学当局应对学生面临的健康挑战。