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Prevalence, correlates of major depression: A mental health survey among undergraduates at a mainland C hinese university
Author(s) -
Li Wenjun,
Meng Xiangfei,
Xu Ziqi,
Yu Qiong,
Shi Jieping,
Yu Yaqin,
D'Arcy Carl,
Huang Yueqin,
Kou Changgui
Publication year - 2016
Publication title -
asia‐pacific psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 21
eISSN - 1758-5872
pISSN - 1758-5864
DOI - 10.1111/appy.12202
Subject(s) - cidi , major depressive disorder , depression (economics) , odds ratio , mental health , logistic regression , prevalence , medicine , demography , cross sectional study , population , psychiatry , confidence interval , clinical psychology , psychology , prevalence of mental disorders , environmental health , mood , pathology , sociology , economics , macroeconomics
Abstract Introduction This cross‐sectional survey among C hinese university students aimed to estimate the prevalence and risk factors of major depressive disorder ( MDD ) among undergraduates, in order to provide basic information for the prevention and treatment of depression among the college‐aged population. Methods A total of 2,046 undergraduates were interviewed face to face using the W orld H ealth O rganization C omposite I nternational D iagnostic I nterview V ersion 3.0 ( WHO‐CIDI , version 3.0). D iagnostic and S tatistical M anual of M ental D isorders‐IV (DSM‐IV ) criteria were used to diagnose MDD . Logistic regression was used to evaluate the associations between MDD and selected correlates. Results The survey response rate was 90.1% ( N = 1,843). The prevalence rates of MDD were 3.9% (lifetime), 2.4% (12 months) and 0.4% (30 days). No significant gender or age differences were found in prevalence rates. No sociodemographic characteristics were related to the lifetime prevalence of MDD . In contrast, family structure and environment factors specifically being from a single‐parent family (odds ratio [ OR ] = 2.513, confidence interval [ CI ] = 1.404–2.500), parents having mental problems ( OR = 1.809, CI = 1.104–2.964), and physical punishment ( OR = 1.789, CI = 1.077–3.001) were associated with higher lifetime prevalence of MDD . Discussion These findings showed a relatively lower prevalence of DSM‐IV / CIDI MDD in this sample of C hinese undergraduates than that reported for students in other countries. However, the prevalence rate for university students was higher than that reported for general C hinese population. Family structure and socio‐environmental factors in the student's family of origin significantly correlated with the lifetime prevalence of MDD .