Determining the Prevalence of and Risk Factors for Depressive Symptoms among Adults in Nepal.
Determining the Prevalence of and Risk Factors for Depressive Symptoms among Adults in Nepal.
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DOI：
10.4103/jncd.jncd_34_16
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发表时间：
2017-01-01
影响因子：
0.4
通讯作者：
Rao, Deepa
中科院分区：
文献类型：
--
作者：
Lam, Michelle S;Fitzpatrick, Annette L;Rao, Deepa
背景：尼泊尔目前正在经历非传染性疾病的快速增长。以前在南亚，抑郁症与非传染性疾病有关；然而，尼泊尔缺乏关于其患病率和危险因素的数据。AIMS：这项研究旨在描述尼泊尔郊区成年人中抑郁症状的患病率和危险因素。设定和设计：我们对参加Dhulikhel心脏研究(DHS)的参与者收集的基线数据进行了横断面分析，DHS是一项基于人群的纵向队列研究，调查加德满都郊区城镇Dhulikhel的心血管危险因素。SUBJECTS和方法：1073名18岁及以上成年人的基线问卷数据包括流行病学抑郁量表(CESD)。统计分析：使用STATA 13，我们进行了皮尔逊卡方检验和多元Logistic回归分析，以检验二进制CESD得分与性别、年龄、教育程度、婚姻状况、体重指数(BMI)、体力活动和高血压状态之间的关系。结果：样本中CESD的平均得分为11.7(SD：5.3)，其中21.3%的得分大于或等于16。60岁以上和缺乏正规教育与抑郁症状的风险增加有关。体力活动与抑郁症状的风险降低相关。结论：Dhulikhel成年人中抑郁症的患病率估计为21.3%。抑郁症状增加的重要危险因素包括缺乏正规教育、60岁以上和缺乏体育活动。
CONTEXT: Nepal is currently experiencing a rapid growth in non-communicable diseases (NCDs). Depression has previously been associated with NCDs in South Asia; however, data regarding its prevalence and risk factors is lacking in Nepal.AIMS: This study aims to describe the prevalence of and risk factors for depressive symptoms in a suburban population of adults within Nepal.SETTING AND DESIGN: We conducted a cross-sectional analysis of baseline data collected from participants enrolled in the Dhulikhel Heart Study (DHS), a population-based, longitudinal cohort study investigating cardiovascular risk factors in Dhulikhel, a suburban town outside Kathmandu.SUBJECTS AND METHODS: Baseline questionnaire data from 1,073 adults age 18 years and older included the Center for Epidemiologic Studies Depression Scale (CESD). A score of 16 or greater on the CESD has been shown to indicate major depressive symptomatology.STATISTICAL ANALYSIS: Using STATA 13 we conducted Pearson's chi-squared tests and multiple logistic regressions to examine associations between the binary CESD score and gender, age, education, marital status, body mass index (BMI), physical activity, and hypertensive status.RESULTS: The mean CESD score in the sample was 11.7 (SD: 5.3), with 21.3% scoring 16 or greater. Age over 60 and lack of formal education were associated with increased risk of depressive symptoms. Being physically active was associated with decreased risk of depressive symptoms.CONCLUSIONS: The estimated prevalence of depression among adults in Dhulikhel was 21.3%. Significant risk factors for increased depressive symptoms included lack of formal education, age over 60, and physical inactivity.