Trajectories of depression in adolescents and young adults in Vietnam during rapid urbanisation: evidence from a longitudinal study

Bui, Quyen; Vu, Lan; Tran, Dien Minh

doi:10.2989/17280583.2018.1478299

Cited by 16 publications

(12 citation statements)

References 14 publications

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“…The finding on the association between secondary level of education and anxiety and/or depression is consistent with results from studies conducted in Mozambique [34] and Vietnam [57]. While causative analysis is lacking, it is possible that the association between education and depression is mediated through unemployment and lack of income-generating opportunities[58].…”

Section: Discussionsupporting

confidence: 84%

Prevalence and correlates of depression and anxiety symptoms among out-of-school adolescent girls and young women in Tanzania: A cross-sectional study

et al. 2019

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Background In sub-Saharan Africa, adolescent girls and young women (AGYW) who are out of school are at higher risk of depressive and anxiety disorders compared to their school attending peers. However, little is known about the prevalence and risk factors for these conditions among out-of-school AGYW. This study examines the prevalence of depression and anxiety and associated factors in a community sample of out-of-school AGYW in Tanzania. Methods A cross-sectional analysis of baseline data from an on-going cluster randomized controlled trial in North-West Tanzania was conducted. A total of 3013 out-of-school AGYW aged 15 to 23 years from 30 clusters were included. Anxiety and depression were assessed using the Patient Health Questionnaire (PHQ-4), a tool comprising of PHQ-2 and Generalized Anxiety Disorders (GAD-2) screeners. Data were collected using Audio Computer-Assisted Self-Interview (ACASI). A random-effects logistic regression was fitted for binary outcomes and an ordinal logistic regression model with robust variance was used to adjust for clustering at the village level. Logistic regression and ordinal logistic regression were used to explore the associations between mental disorders symptoms and other factors. Results The prevalence of depressive (PHQ-2 ≥ 3) and anxiety (GAD-2 ≥ 3) symptoms among out-of-school AGYW were 36% (95% CI 33.8%-37.3%) and 31% (95% CI 29.0%-32.3%) respectively. Further, using the PHQ-4 tool, 33% (95% CI 30.8%-34.2%) had mild, 20% (95% CI 18.3%-21.1%) moderate and 6% (95% CI 5.5%-7.2%) had severe symptoms of anxiety and depression. After adjusting for other covariates, two factors most strongly associated with having anxiety symptoms were violence experience from sexual partners (AOR = 1.63, 95% CI: 1.36–1.96) and HIV positive status (AOR = 1.54, 95% CI: 1.03–2.31). Likewise, living alone, with younger siblings or others (AOR = 2.51, 95% CI: 1.47–4.29) and violence experience from sexual partners (AOR = 1.90, 95% CI: 1.59–2.27) were strongly associated with depression symptoms. Having savings (AOR = 0.81, 95% CI: 0.70–0.95) and emotional support (AOR = 0.82, 95% CI: 0.67–0.99) were protective against depression and anxiety, respectively. Conclusion Depressive and anxiety symptoms are prevalent among out-of-school AGYW in Tanzania. The findings emphasize the need to strengthen preventive interventions and scale-up mental health disorder screening, referral for diagnosis and management.

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Section: Discussionsupporting

confidence: 84%

Prevalence and correlates of depression and anxiety symptoms among out-of-school adolescent girls and young women in Tanzania: A cross-sectional study

et al. 2019

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“…As noted, studies in other countries presents different findings about how urbanization influence depression prevalence. [10][11][12][13][14][15][16][17] This inconsistency can be seen as reasonable, because by nature urbanization is not a director simple factor to depression, the various aspects of urbanization outcomes may form many possible layers of influencing pathway-some of which promote and some of which hinder mental health. 1,35 The overall impacts of urbanization are a mixture of all layers and represent a result of the major effective aspects through antagonism.…”

Section: Discussionmentioning

confidence: 99%

“…But the association between urbanization and depression occurrence remains to be unclear and complex, no consensus has been reached worldwide. 1 Some studies, including in the United States, 10 , 11 the Netherlands, 12 , 13 Vietnam 14 and India, 15 found that urbanization was detrimental to mental health, because cities are concentrated with several negative factors to depression such as overcrowding, less greens and space, higher crime rate, pollution and traffic noise. 16 , 17 While other studies, mainly conducted in China, found urbanization can have protective effect on mental health, considering that cities are also associated with improved infrastructures, more resources, more opportunity and better social support and welfare.…”

Section: Introductionmentioning

confidence: 99%

The Association between Urbanization and Depression among the Middle-Aged and Elderly: A Longitudinal Study in China

Song

Jian

2020

INQUIRY

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Urbanization has been and will continue to be the mainstream trend of global population movement, including China. Depression is the most common mental disorders and the leading factor of disabilities. However, the impacts of urbanization on the depression occurrence are still unclear. This paper analyzed the data from 3 waves of the China Health and Retirement Longitudinal Study (CHARLS) with sample size as 8510 adults representing the middle aged and elderly group in China. Depression was identified and measured by the 10-item Center for Epidemiological Studies Depression Scale (CESD-10). Urbanization level was measured by population density, GDP per capita and secondary/tertiary industry as percentage to GDP in the China City Statistical Yearbook. The fixed effect regression model was used to explore the association between the changes of urbanization and depression. As result, depression is closely related to the urbanization, protective effects are found for 3 indicators above: The depression prevalence decreases while urbanization level increases (from lowest urbanization level to the highest: P < 0.01). Among the 10 depression symptoms, “Bothered”, “Reduced energy leading to diminished activity” and “Hopelessness” are the most significantly improved with urbanization. The impact of urbanization on residents’ mental health is a long-term, multi-factor interaction. Therefore we need to fully consider all possible influencing factors, and longer follow-up study to verify.

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“…In den 13 eingeschlossenen Einzelstudien [28][29][30][31][32][33][34][35][36][37][38][39][40] variiert die Anzahl der Studienteilnehmer zwischen 1259 [30] und 33 320 Personen [33].…”

Section: Allgemeine Informationenunclassified

“…asiatischen Kontinent erfolgen [3,6]. Dies bestätigt sich beispielsweise durch die relativ hohe Anzahl an eingeschlossenen asiatischen Arbeiten, die innerhalb der letzten 5 Jahre veröffentlicht wurden [24,[29][30][31]40]. Um mögliche Risikofaktoren und negative prozessuale Begleiterscheinungen (z.…”

Section: Diskussionunclassified

Was wissen wir über die Zusammenhänge von Urbanisierung und psychischen Erkrankungen?

et al. 2021

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Zusammenfassung Ziel der Arbeit Der in Städten lebende Anteil der Weltbevölkerung wird bis zum Jahr 2050 auf über zwei Drittel ansteigen. Die Arbeit gibt einen Überblick zu Untersuchungen über psychische Erkrankungen im Zusammenhang mit Urbanisierung und den zugrunde gelegten Konzepten. Methodik Systematische Suche in Medline, Health Evidence und Google Scholar nach systematischen Übersichtsarbeiten und Einzelstudien. Analyse des Urbanisierungsbegriffs. Ergebnisse Das urbane Setting geht mit höheren Inzidenz- und Prävalenzraten insbesondere für Störungen aus dem schizophrenen Formenkreis sowie affektive Erkrankungen einher. Der Zusammenhang zwischen Urbanisierung und psychischer Gesundheit bei Zuwanderern (Migration: Land in Stadt) ist nicht eindeutig belegt. Soziodemografische und -ökonomische Faktoren wirken moderierend. Urbanisierung wird in den Arbeiten wenig einheitlich konzeptualisiert. Schlussfolgerung Weitere nachhaltige Untersuchungen mit einheitlichen methodischen Konzepten und aktuellen Geburtskohorten sind erforderlich.

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Trajectories of depression in adolescents and young adults in Vietnam during rapid urbanisation: evidence from a longitudinal study

Abstract: Using longitudinal design, this research demonstrated the different trajectories of depression scores between boys and girls over time and provided evidence for interventions improving adolescent mental health in a semi-urban area of Vietnam.

Cited by 16 publications

References 14 publications

Prevalence and correlates of depression and anxiety symptoms among out-of-school adolescent girls and young women in Tanzania: A cross-sectional study

Prevalence and correlates of depression and anxiety symptoms among out-of-school adolescent girls and young women in Tanzania: A cross-sectional study

The Association between Urbanization and Depression among the Middle-Aged and Elderly: A Longitudinal Study in China

Was wissen wir über die Zusammenhänge von Urbanisierung und psychischen Erkrankungen?

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