Self-Rated Health, Demographic Factors and Depressive Symptoms Among Malaysian Adults

Nur Syahirah Mohd Shah, Nik Nur Wahidah Nik Hashim, Nadzirah Ahmad Basri, S. Toha
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Abstract

Introduction: Depression risk has been significantly associated with sociodemographic aspects such as education levels and self-rated health.  The aim was to investigate the relationship of socio-demographic characteristics particularly level of education, and self-rated health on depressive symptoms among Malaysian adults.  Methods: This is a cross-sectional study among Malaysians who aged 16 to 52 years old. Respondents were recruited via social media, using convenience sampling. Sociodemographic questions include education levels and self-rated health among other questions. Depressive symptoms were measured using Beck Depression Inventory-II, Malay version. The data were analysed using Chi- Square Test. Two-Way of ANOVA was utilized to determine the association of education levels and self-rated health on depressive symptoms. Results: Chi-Square indicated that age, level of education, job categories and self-rated health had a significant relationship at p<0.05 with key variables used in this study, presence, and absence of depressive symptoms except for gender, race and marital status. Two-way of ANOVA results revealed a significant interaction between self-rated health, level of education and depressive symptoms (F = 2.711,df=5,p<0.05). Conclusion: Malaysian individuals with low education levels showed depressive symptoms and showed a significant association with low self-rated health, however some of them rated themselves as healthy.  Therefore, the government needs to make health literacy a priority for everyone, particularly for those with low levels of education and individuals who perceived themselves as mentally healthy.
马来西亚成年人的自评健康、人口因素和抑郁症状
抑郁症风险与社会人口学因素(如教育水平和自评健康)显著相关。目的是调查社会人口特征,特别是教育水平与马来西亚成年人抑郁症状的自评健康状况之间的关系。方法:这是一项横断面研究,在16至52岁的马来西亚人中进行。受访者通过社交媒体招募,采用方便抽样。社会人口学问题包括教育水平和自评健康等问题。使用马来版贝克抑郁量表- ii测量抑郁症状。资料采用卡方检验进行分析。采用双因素方差分析来确定教育水平和自评健康对抑郁症状的影响。结果:卡方分析显示,年龄、受教育程度、工作类别和自评健康与除性别、种族和婚姻状况外的主要变量有无抑郁症状存在显著相关(p<0.05)。双向方差分析结果显示,自评健康、受教育程度与抑郁症状之间存在显著的交互作用(F = 2.711,df=5,p<0.05)。结论:马来西亚受教育程度低的个体表现出抑郁症状,并与低自我评价健康显著相关,但其中一些人认为自己是健康的。因此,政府需要将卫生知识普及作为每个人的优先事项,特别是那些受教育程度低的人和自认为精神健康的人。
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