Abstract
Background: The purpose of this study was to investigate the prevalence of depressive symptom and the factors associated with this condition among urban, semi-urban and rural adolescents in the Dhaka district of Bangladesh.Methods: A cross sectional study using two stage cluster sampling procedure was performed. A self-administered questionnaire was conveyed to 2,355 adolescents from nine secondary schools of Dhaka district of Bangladesh. Of the respondents, 2,313 completed the nine item Patient Health Questionnaire (PHQ-9). Besides, sociodemographic information, self-reported body image as well as modification of Leisure Time Exercise Questionnaire (LTEQ) and WHO Global PA Questionnaire (GPAQ) were used to determine the sociodemographic and lifestyle factors associated with depressive symptom among adolescents.Results: A total of 30.1% adolescents were found to be suffering from moderate to severely severe depressive symptom. Females (60.8%) were found suffering significantly more than males (39.2%). Sociodemographic factors, for example, residential setting and family size were found significantly associated with depressive symptom among adolescents. Adjusted estimate of logistic regression shows that physical inactivity (AOR: 1.44; 95% CI: 1.14–1.84), >2 h/day screen time (AOR: 1.68; 95% CI: 1.39–2.03), sleep dissatisfaction (AOR: 3.23; 95% CI: 2.64–3.96), and underweight body image perception (AOR: 2.30; 95% CI: 1.70–3.13) were significantly associated with depressive symptom among adolescents.Conclusions: Among urban, semi-urban and rural school adolescents in Dhaka, Bangladesh, depressive symptom is quite prevalent. To lessen the spread of depressive symptom among Bangladeshi adolescents, urgent steps should therefore be taken.
Highlights
Adolescence is a period of life preceded by childhood and followed by adulthood and is usually considered to be between the ages of 10 and 19
It was found that 18.3% of the participants were suffering from moderate depressive symptom and 8.4% from moderately severe depressive symptom at the time of data collection, while only 3.4% of the participants suffered from severely severe depressive symptom, whereas 38.7% were in a normal state regarding depressive symptom
This study indicates that the prevalence of moderate to severe depressive symptom among urban, semi-urban and rural school adolescents of the Dhaka district in Bangladesh is 30.1%
Summary
Adolescence is a period of life preceded by childhood and followed by adulthood and is usually considered to be between the ages of 10 and 19. During this time an individual undergoes major physical, mental, and behavioral changes [1] and the individual’s lifestyle habits and health behaviors are developed [2]. In this phase of life special health and developmental needs arise. The purpose of this study was to investigate the prevalence of depressive symptom and the factors associated with this condition among urban, semi-urban and rural adolescents in the Dhaka district of Bangladesh
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