Prevalence of depression and its relationship with quality of life among university students in Macau, Hong Kong and mainland China.
Prevalence of depression and its relationship with quality of life among university students in Macau, Hong Kong and mainland China.
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DOI：
10.1038/s41598-020-72458-w
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发表时间：
2020-09-25
影响因子：
4.6
通讯作者：
Xiang YT
中科院分区：
文献类型：
--
作者：
Li L;Lok GKI;Mei SL;Cui XL;An FR;Li L;Cheung T;Ungvari GS;Xiang YT
有令人信服的证据表明，抑郁症状（以下简称抑郁症）在大学生中很常见，并且在很大程度上受特定社会经济背景的影响。澳门和香港作为前欧洲殖民地，是中国的特别行政区，与中国大陆有着不同的社会文化和经济背景。本研究比较了澳门、香港和中国大陆大学生的抑郁患病率，并探讨了抑郁与生活质量（QOL）的关系。采用贝克抑郁量表（Beck Depression Inventory-II）和世界卫生组织生命质量量表（WHOQOL-BREF）分别测量抑郁和生活质量。共有2312名大学生参与了这项研究。总体抑郁患病率为28.9%；澳门为35.2%，香港为41.0%，中国大陆为16.8%。与“无抑郁”组相比，抑郁组学生在生理、心理、社会和环境方面的生活质量得分显著低于“无抑郁”组。与抑郁相关的因素在三个研究地点之间是不同的。在所有三个样本中，睡眠障碍和高学业压力与抑郁症呈正相关。在中国大陆，男学生（OR = 1.68; 95% CI: 1.10-2.56）更容易患抑郁症，而那些对自己的专业感兴趣的学生（OR = 0.45; 95% CI: 0.29-0.69）患抑郁症的可能性较小。在澳门，三年级学生（OR = 0.56; 95% CI: 0.36-0.89）、对专业感兴趣的学生（OR = 0.58; 95% CI: 0.42-0.81）或对未来持乐观态度的学生（OR = 0.51; 95% CI: 0.36-0.73）患抑郁症的可能性较低。护理专业学生（OR = 1.86; 95% CI: 1.21-2.87）和专业平均成绩低于65分的学生（OR = 3.13; 95% CI: 1.70-5.78）更容易患抑郁症。在香港，对未来持乐观态度的学生（OR = 0.44; 95% CI: 0.22-0.91）较不容易患抑郁症。抑郁症在中国大学生中很常见，尤其是在澳门和香港。考虑到抑郁对生活质量的负面影响，应该对这一人群进行定期筛查和有效治疗。
There is compelling evidence that depressive symptoms (depression hereafter) are common in university students and are considerably influenced by the given socioeconomic context. Being former European colonies, Macau and Hong Kong are China’s special administrative regions, with different sociocultural and economic background compared to mainland China. This study compared the prevalence of depression in university students between Macau, Hong Kong and mainland China and examined the association between depression and quality of life (QOL). The Beck Depression Inventory-II and the World Health Organization Quality of Life—Brief Version (WHOQOL-BREF) were used to measure depression and QOL, respectively. Altogether, 2,312 university students participated in this study. The overall prevalence of depression was 28.9%; 35.2% in Macau, 41.0% in Hong Kong, and 16.8% in mainland China. Compared to the “No depression” group, students with depression had significantly lower QOL scores in the physical, psychological, social and environmental domains. Factors associated with depression were different between the three study sites. Sleep disturbances and high academic pressure were positively associated with depression in all the three samples. In mainland China, male students (OR = 1.68; 95% CI: 1.10–2.56) were more likely to have depression while those who were interested in their major (OR = 0.45; 95% CI: 0.29–0.69) were less likely to have depression. In Macau, students in Grade 3 (OR = 0.56; 95% CI: 0.36–0.89) and those who were interested in their major (OR = 0.58; 95% CI: 0.42–0.81) or had optimistic perspective about their future (OR = 0.51; 95% CI: 0.36–0.73) were less likely to have depression. Nursing students (OR = 1.86; 95% CI: 1.21–2.87) and students with the average score on major subject less than 65 (OR = 3.13; 95% CI: 1.70–5.78) were more likely to have depression. In Hong Kong, students with optimistic perspective about their future (OR = 0.44; 95% CI: 0.22–0.91) were less prone to have depression. Depression is common among Chinese university students, particularly in Macau and Hong Kong. Considering the negative impact of depression on QOL, regular screening and effective treatments should be offered to this population.
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DOI：
10.1016/s1056-4993(18)30030-0
发表时间：
2001-10-01
影响因子：
2.4
作者：
Chan, KPM;Hung, SF;Yip, PSF
通讯作者：
Yip, PSF
DOI：
10.11606/s1518-8787.2020054001540
发表时间：
2020-01-01
期刊：
Revista de Saúde Pública
影响因子：
--
作者：
Flesch, Betina Daniele;Houvèssou, Gbènankpon Mathias;Fassa, Anaclaudia Gastal
通讯作者：
Fassa, Anaclaudia Gastal
影响因子：
6.6
作者：
Beiter, R.;Nash, R.;Sammut, S.
通讯作者：
Sammut, S.
影响因子：
5.4
作者：
Heim, Eva;Wegmann, Iris;Maercker, Andreas
通讯作者：
Maercker, Andreas
影响因子：
4
作者：
Andrews, B;Wilding, JM
通讯作者：
Wilding, JM