Determinants of depression and anxiety among reproductive-aged women in Bangladesh: Insights from national survey

IF 4.9 2区 医学 Q1 CLINICAL NEUROLOGY
Ehsan Ahmed , Md Injamul Haq Methun , Masudur Rahman Siam
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Abstract

Background

Depression and anxiety are highly prevalent yet underexplored mental health issues among reproductive-aged women in Bangladesh. This study aims to investigate the determinants of depression and anxiety symptoms among reproductive-aged women in Bangladesh using data from a national survey.

Methods

Data from 20,029 ever-married reproductive-aged women were utilized for analysis to investigate the association between various socioeconomic and demographic, reproductive, and community-level factors. The chi-square test was used to determine the association between the outcome and various explanatory variables. The variables with P-value < 0.25 in the chi-square test were only included in the Binary logistic regression model.

Results

Our findings reveal that depressive symptoms were reported by 4.9 % of women, while 19.5 % experienced anxiety symptoms. The main factors associated with depressive symptoms were lower educational attainment, pressure to become pregnant, and a partner occupation. These factors are also significantly associated with anxiety symptoms along with age at first birth, pregnancy termination history, and unwanted pregnancy.

Conclusion

The study provides an update on the determinants of depressive and anxiety symptoms, two giant components of mental health problems. This could help the policymaker to take steps to improve the overall well-being of reproductive-aged women in Bangladesh.
孟加拉国育龄妇女抑郁和焦虑的决定因素:来自全国调查的见解
背景在孟加拉国育龄妇女中,抑郁和焦虑是非常普遍但尚未得到充分探讨的心理健康问题。本研究旨在利用一项全国性调查的数据,调查孟加拉国育龄妇女抑郁和焦虑症状的决定因素。方法利用20,029名已婚育龄妇女的数据进行分析,探讨各种社会经济、人口、生殖和社区因素之间的关系。使用卡方检验来确定结果与各种解释变量之间的关联。p值为<;卡方检验中的0.25只被纳入二元logistic回归模型。结果4.9%的女性有抑郁症状,19.5%的女性有焦虑症状。与抑郁症状相关的主要因素是受教育程度较低、怀孕压力和伴侣的职业。这些因素也与焦虑症状、初产年龄、终止妊娠史和意外怀孕显著相关。结论:该研究提供了抑郁和焦虑症状的决定因素的最新信息,这是心理健康问题的两个主要组成部分。这可以帮助决策者采取措施,改善孟加拉国育龄妇女的整体福祉。
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来源期刊
Journal of affective disorders
Journal of affective disorders 医学-精神病学
CiteScore
10.90
自引率
6.10%
发文量
1319
审稿时长
9.3 weeks
期刊介绍: The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.
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