Suicidal behavior, depression, generalized anxiety and associated factors among a national sample of adults in Mozambique in 2022 to 2023.

IF 2.5 4区 医学 Q2 PSYCHIATRY
Supa Pengpid, Karl Peltzer, Boia Efraime
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引用次数: 0

Abstract

Background: The study's objective was to assess adult Mozambicans' past 12-month suicidal behavior (PSB), major depressive disorder (MDD), and generalized anxiety disorder (GAD).

Methods: Data from 10,074 women (aged 20-49 years) and 3,941 men (aged 20-54 years) that participated in the 2022 to 2023 Mozambique Demographic and health Survey were analyzed.

Results: The prevalence of PSB among women (attempt 1.0%, plan 1.8%, and ideation 4.2%) was 4.6% and among men (attempt 0.6%, plan 1.6%, and ideation 3.1%) was 3.4%. Among women and men, the prevalence of MDD was 10.6% and 2.3%, respectively, and the prevalence of GAD was 11.9% and 2.3%, respectively. In adjusted logistic regression analysis, among women and men, MDD was positively and being married or cohabiting was negatively associated with PSB, while among women being HIV positive and among men history of sexually transmitted infection (STI) were positively associated with PSB. Among women and men, having a history of STI was positively, and currently working was negatively associated with MDD. In addition, among women, low dietary diversity and 'big problem to get money for medical treatment' were positively, and among men, having hypertension, lung disease, and early sexual debut were associated with MDD. Among women, having a history of STI, low dietary diversity, 'big problem to get money for medical treatment', and the use of solid cooking fuel were positively, and currently working and early sexual debut were negatively associated with GAD. Among men, having hypertension and having been diagnosed with lung disease were positively associated with GAD.

Conclusion: Almost 4% of participants had PSB, among women more than 10% had MDD and GAD, respectively, and among men more than 2% had MDD and GAD, respectively. Public health interventions can be guided by a number of associated factors that have been identified.

2022年至2023年莫桑比克全国成年人样本中的自杀行为、抑郁、广泛性焦虑及其相关因素
背景:本研究的目的是评估莫桑比克成年人过去12个月的自杀行为(PSB)、重度抑郁症(MDD)和广泛性焦虑症(GAD)。方法:对参加2022 ~ 2023年莫桑比克人口与健康调查的10074名女性(20 ~ 49岁)和3941名男性(20 ~ 54岁)的数据进行分析。结果:女性(尝试1.0%,计划1.8%,构思4.2%)PSB患病率为4.6%,男性(尝试0.6%,计划1.6%,构思3.1%)PSB患病率为3.4%。在女性和男性中,MDD患病率分别为10.6%和2.3%,GAD患病率分别为11.9%和2.3%。经调整后的logistic回归分析发现,在男性和女性中,MDD与PSB呈正相关,已婚或同居与PSB负相关,而在女性中,HIV阳性和男性中,性传播感染史与PSB呈正相关。在女性和男性中,有性传播感染史与重度抑郁症呈正相关,目前正在工作与重度抑郁症呈负相关。此外,在女性中,饮食多样性低和“获得医疗费用的大问题”是积极的,而在男性中,高血压、肺病和过早性行为与重度抑郁症有关。在女性中,有性传播感染史、饮食多样性低、“获得医疗费用的大问题”和使用固体烹饪燃料是积极的,目前工作和早期性行为与广广性焦虑症呈负相关。在男性中,患有高血压和被诊断患有肺部疾病与广泛性焦虑症呈正相关。结论:近4%的参与者患有PSB,女性分别超过10%患有重度抑郁症和广泛性焦虑症,男性分别超过2%患有重度抑郁症和广泛性焦虑症。公共卫生干预措施可以已确定的若干相关因素为指导。
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来源期刊
CiteScore
12.30
自引率
1.30%
发文量
120
期刊介绍: The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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