An exploratory analysis of factors associated with depression in a vulnerable group of young people living in informal settlements in South Africa

An exploratory analysis of factors associated with depression in a vulnerable group of young people living in informal settlements in South Africa
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DOI:
10.1080/17441692.2016.1214281
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发表时间:
2018-01-01
影响因子:
3.3
通讯作者:
Jewkes, Rachel
Jewkes, Rachel
中科院分区:
医学3区
文献类型:
--
作者:
Gibbs, Andrew;Govender, Kaymarlin;Jewkes, Rachel

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年轻人的抑郁症是一个重大的健康挑战,往往是由社会边缘化形成的。非正规住区正在迅速增加。有必要在这些背景下加深对青年人抑郁症的理解。我们试图了解与抑郁症相关的因素,其中232名年轻人(122名女性,110名男性),年龄在18-30岁的城市非正式定居点在南非。我们对为“垫脚石”和“创造未来”试点收集的基线数据进行了横断面分析。逻辑回归模型抑郁症,生计和暴力之间的关系。在这一人群中,男性和女性的症状性抑郁分别为49.5%和57.9%。在多元回归中,男性抑郁症与饥饿导致的偷窃(调整后的比值比(aOR)5.78,p=.03),在关系中更具控制力(aOR 0.81,p=.008)以及对缺乏工作感到羞愧(aOR 0.75,p=.01)有关。对于女性,抑郁症状与缺乏工作的更大压力相关(aOR 0.72,p
Depression amongst young people is a major health challenge and is often shaped by social marginalisation. Informal settlements are growing rapidly. There is a need to deepen understandings of depression amongst young people in these contexts. We sought to understand factors associated with depressive symptomology amongst 232 young people (122 women, 110 men) aged 18-30 in urban informal settlements in South Africa. We conducted a cross-sectional analysis of baseline data collected for the Stepping Stones and Creating Futures pilot. Logistic regression modelled relationships between depressive symptomology, livelihoods and violence. Symptomatic depression in this population was 49.5% for men and 57.9% for women. In multiple regression, depression in men was associated with stealing because of hunger (adjusted Odds Ratio (aOR) 5.78, p=.03), being more controlling in relationships (aOR 0.81, p=.008) and being more ashamed about lack of work (aOR 0.75, p=.01). For women, depressive symptoms were associated with greater stress about lack of work (aOR 0.72, p