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Depression and its correlation with social support and health-promoting lifestyles among Chinese university students: a cross-sectional study.
Tang, Zaili; Feng, Shuidong; Lin, Jing.
  • Tang Z; Department of Medical Record Management and Statistics, First Affiliated Hospital of University of South China, Hengyang, China.
  • Feng S; Department of Epidemiology & Health Statistics, University of South China, Hengyang, China shuidong_f@hotmail.com.
  • Lin J; Xiangya International Academy of Translational Medicine, Central South University, Changsha, China.
BMJ Open ; 11(7): e044236, 2021 07 05.
Article in English | MEDLINE | ID: covidwho-1297972
ABSTRACT

OBJECTIVES:

To investigate the prevalence of depression in college students and determine how social support and healthy lifestyle factors are associated with depression in this population.

DESIGN:

A cross-sectional design.

SETTING:

A comprehensive university in Changsha, Hunan, South China. The study was conducted from May to June 2019.

PARTICIPANTS:

A total of 541 students at the comprehensive university. PRIMARY AND SECONDARY OUTCOME

MEASURES:

The Zung Self-Rating Depression Scale, Social Support Rating Scale and Health-Promoting Lifestyle Profile-II (HPLP-II) were used to evaluate depression, social support and lifestyles, respectively, and analyse the mutual relationships among them.

RESULTS:

Among the 541 participants, 161 (29.8%) experienced depressive symptoms, and there were significant gender-related and academic discipline-related differences in self-rated depression. The average social support score was 38.06 (38.06±7.52). The average HPLP-II score was 71.09 (71.09±11.47). A monofactor analysis showed that depression was correlated with social support and a healthy lifestyle. As demonstrated by logistic regression analysis, being a woman (OR=2.613, 95% CI 1.541 to 4.43), inadequate social support (OR=0.912, 95% CI 0.877 to 0.948), poor nutrition (OR=0.87, 95% CI 0.775 to 0.977) and lack of self-actualisation (OR=0.644, 95% CI 0.572 to 0.724) were significantly correlated with depression.

CONCLUSIONS:

Owing to the high prevalence of depression among Chinese university students, educational institutions must take measures such as providing compulsory mental health education courses and improving the psychological counselling services available to students.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Universities / Depression Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-044236

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Universities / Depression Type of study: Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Female / Humans Country/Region as subject: Asia Language: English Journal: BMJ Open Year: 2021 Document Type: Article Affiliation country: Bmjopen-2020-044236