Serious physical injury and depressive symptoms among adolescents aged 12-15 years from 21 low- and middle-income countries

JOURNAL OF AFFECTIVE DISORDERS

卷:264

Article

Jacob, Louis^1,2  Smith, Lee³  Haro, Josep Maria²  Stickley, Andrew^4,5  Koyanagi, Ai^2,6 

[1] Univ Versailles St Quentin En Yvelines, Fac Med, 2 Ave Source Bievre, F-78180 Montigny Le Bretonneux, France

[2] CIBERSAM, Res & Dev Unit, Parc Sanitari St Joan Deu,Dr Antoni Pujadas 42, Barcelona 08830, Spain

[3] Anglia Ruskin Univ, Cambridge Ctr Sport & Exercise Sci, Cambridge, England

[4] Natl Ctr Neurol & Psychiat, Dept Prevent Intervent Psychiat Disorders, Natl Inst Mental Hlth, Kodaira, Tokyo, Japan

[5] Sodertorn Univ, Stockholm Ctr Hlth & Social Change SCOHOST, Huddinge, Sweden

[6] ICREA, Pg Lluis Co 23, Barcelona, Spain

关键词: Physical injury;    Depressive symptoms;    Adolescents;    Low- and middle-income countries;    Epidemiology;   

DOI  :  10.1016/j.jad.2019.12.026

来源: Elsevier

【 摘 要 】

Background: Little is known about the relationship between physical injury and depression in youths from low- and middle-income countries (LMICs). Therefore, the aim of this study was to analyze the association between serious physical injury and depressive symptoms among adolescents in 21 LMICs. Methods: Data from the Global School-based Student Health Survey (2003-2008) were analyzed. Serious physical injury and depressive symptoms in the past 12 months were assessed with self-report measures. The association between serious physical injury and depressive symptoms was examined using multivariable logistic regression analysis and meta-analysis. Results: The final sample consisted of 44,333 adolescents aged 12-15 years. After adjustment for sex, age, food insecurity, alcohol consumption, and country, an increasing number of serious physical injuries in the past 12 months was associated with increments in the odds for depressive symptoms in a dose-dependent fashion. Those who had >= 6 serious injuries (vs. no injuries) were 2.79 (95%CI=2.23-3.48) times more likely to have depressive symptoms. The pooled odds ratio (OR) (95%CI) for the association between at least one serious physical injury and depressive symptoms obtained by meta-analysis based on country-wise estimates was 1.83 (1.67-2.01) with a moderate level of between-country heterogeneity (I-2=56.0%). Limitations: This was a cross-sectional study and causality of the association cannot be deduced. Conclusions: Serious physical injury may be a risk factor for depressive symptoms among adolescents in LMICs. Efforts to prevent physical injury and the provision of adequate health care for those who are injured may improve mental wellbeing among adolescents in this setting.

【 授权许可】

Free