Prevalence and influence factors of suicidal ideation among females and males in Northwestern urban China: a population-based epidemiological study

BMC Public Health

Research Article

Donghua Tian¹  Xinfeng Tang¹  Huixuan Zhou¹  Weijun Zhang¹  Xiaohua Wang¹  Yi Yin¹  Jiaqi Yuan¹  Shengfa Zhang¹  Zhiyong Qu¹  Huiwen Xu² 

[1] School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, 19, Xinjiekou Wai Street, 100875, Beijing, China;School of Social Development and Public Policy, China Institute of Health, Beijing Normal University, 19, Xinjiekou Wai Street, 100875, Beijing, China;Department of Public Health Sciences, University of Rochester School of Medicine and Dentistry, 14642, Rochester, NY, USA;

关键词: Suicidal ideation;    CES-D;    Gender differences;    Undeveloped urban districts;    Northwestern China;   

DOI  :  10.1186/s12889-015-2257-5

 received in 2014-11-15, accepted in 2015-09-11,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundSuicide is an urgent public health challenge for China. This study aims to examine the prevalence, influence factors, and gender differences of suicidal ideation among general population in Northwestern Urban China.MethodsData used in this study were derived from the third wave of a cohort study of a randomized community sample with 4291 participants (≥20 years) in 2008 in Lanzhou City and Baiyin City, Gansu Province. Data were collected via face-to-face interview by the trained interviewers. Descriptive analyses, chi-square tests and multivariate logistic regressions were performed by using Stata 12.0, as needed.ResultsThe prevalence of 12-month suicidal ideation was 4.29 %, there was no significant difference between males and females [5.04 % vs 3.62 %, Adjusted Odds Ratio (AOR) = 0.83, p = 0.351]. Several risk factors for suicidal ideation were confirmed, including being unmarried (AOR = 1.55, p = 0.030), having depression symptoms (AOR = 2.33, p < 0.001), having other insurance (AOR = 1.83, p = 0.01) or no insurance (AOR = 1.73, p = 0.024). In addition, several influence factors were significantly different in males and females, such as being currently married (unmarried vs married, AOR = 1.84, p = 0.027, for females; no difference for males), feeling hopeless (hopless vs hopeful, AOR = 1.92, p = 0.06, for females; no difference for males), having other insurances (having other insurances vs having basic employee medical insurance, AOR = 1.92, p = 0.044, for males; no difference for females), having debts (having debts vs no debts, AOR = 2.69, p = 0.001, for males; no difference for females), currently smoking (smoking vs nonsmoking, AOR = 3.01, p = 0.019 for females, no difference for males), and currently drinking (drinking vs nondrinking, AOR = 2.01, p = 0.022, for males; no difference for females).Discussion and conclusionThese findings suggested that comprehensive suicide prevention strategies should be developed or strengthened in order to prevent suicide ideation in China, and the gender-specific differences need to be explored through further researches.

【 授权许可】

CC BY   
© Xu et al. 2015