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Abstract：
Depressive disorders in University students have risen dramatically in the past few decades to the extent that students\' mental health has become a current global public health priority. Obtaining information from University students about their mental health is challenging because of potential embarrassment of disclosing one\'s concerns and fear of stigmatization. Self-rated health might be a good solution to evaluate mental health state by a simple and neutral indicator. The aim of the study is to investigate the association between depressive symptoms and self-rated health by sex among University students in France and Japan.
A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex.
A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females).
Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.
A cross-sectional study was conducted by using two large cohorts of students aged ≥18 years (n = 5655 in Bordeaux, France and n = 17,148 in Kyoto, Japan). Depressive symptoms (PHQ-2 scale), Likert scale of self-rated health, socio-demographic characteristics and health habits were collected through self-administered questionnaires. Multivariate logistic regression models were performed to describe the association between depressive symptoms and other variables including self-rated health, stratified by sex.
A high score of PHQ-2 (high depressive symptoms) was associated with poor self-rated health in both cohorts independently of all other variables (OR 2.82, 95%CI 1.99-4.01 in France, OR 7.10, 95%CI 5.76-8.74 in Japan). Although the prevalence of depressive symptoms between sexes was different in French students (males 15.4%, females 25.0%, p < 0.001), it was similar in Japanese students (males 3.5%, females 3.3%, p = 0.466), who reported less depressive symptoms than French students. The association between depressive symptoms and poor self-rated health was greater in Japanese females (OR 12.40, 95%CI 7.74-20.00) than in males (OR 6.30, 95%CI 4.99-7.95), whereas the strength of the association was almost similar in French students (OR 2.17, 95%CI 0.86-5.47 in males, OR 2.98, 95%CI 2.03-4.38 in females).
Depressive symptoms were associated with self-rated health among University students in both countries with slightly differences in sex. Self-rated health would be a simple, reliable and universal indicator for healthcare professionals and University staff to identify students at risk of depression.
摘要：
在过去的几十年中，大学生的抑郁症急剧上升，学生的心理健康已成为当前全球公共卫生的优先事项。从大学生那里获得关于他们心理健康的信息是具有挑战性的，因为公开自己的担忧和害怕污名化的潜在尴尬。自我评估健康可能是通过简单而中立的指标来评估心理健康状态的良好解决方案。该研究的目的是调查法国和日本大学生中抑郁症状与性别自评健康之间的关系。
一项横断面研究是通过使用两个年龄≥18岁的学生的大型队列进行的（n=5655在波尔多，法国和n=17,148在京都，日本）。抑郁症状（PHQ-2量表），李克特健康自评量表，社会人口统计学特征和健康习惯通过自我管理问卷收集.进行多变量逻辑回归模型来描述抑郁症状与其他变量之间的关联，包括自我评估的健康状况，按性别分层。
PHQ-2（高抑郁症状）的高分与两个队列中自评健康状况差有关，与所有其他变量无关（法国的OR2.82，95CI1.99-4.01，OR7.10，日本95CI5.76-8.74）。尽管法国学生中男女之间抑郁症状的患病率不同（男性15.4％，女性25.0%,p<0.001)，日本学生也是如此(男性3.5%，女性3.3%，p=0.466),报告抑郁症状的人比法国学生少。日本女性的抑郁症状与自评健康状况差之间的关联（OR12.40，95CI7.74-20.00）大于男性（OR6.30，95CI4.99-7.95），而法国学生的联想强度几乎相似（男性为2.17，95CI0.86-5.47，女性或2.98，95CI2.03-4.38）。
在这两个国家的大学生中，抑郁症状与自我评估的健康状况有关，性别略有不同。自我评估的健康将是一个简单的，医疗保健专业人员和大学工作人员的可靠和普遍的指标，以确定学生在抑郁症的风险。
一项横断面研究是通过使用两个年龄≥18岁的学生的大型队列进行的（n=5655在波尔多，法国和n=17,148在京都，日本）。抑郁症状（PHQ-2量表），李克特健康自评量表，社会人口统计学特征和健康习惯通过自我管理问卷收集.进行多变量逻辑回归模型来描述抑郁症状与其他变量之间的关联，包括自我评估的健康状况，按性别分层。
PHQ-2（高抑郁症状）的高分与两个队列中自评健康状况差有关，与所有其他变量无关（法国的OR2.82，95CI1.99-4.01，OR7.10，日本95CI5.76-8.74）。尽管法国学生中男女之间抑郁症状的患病率不同（男性15.4％，女性25.0%,p<0.001)，日本学生也是如此(男性3.5%，女性3.3%，p=0.466),报告抑郁症状的人比法国学生少。日本女性的抑郁症状与自评健康状况差之间的关联（OR12.40，95CI7.74-20.00）大于男性（OR6.30，95CI4.99-7.95），而法国学生的联想强度几乎相似（男性为2.17，95CI0.86-5.47，女性或2.98，95CI2.03-4.38）。
在这两个国家的大学生中，抑郁症状与自我评估的健康状况有关，性别略有不同。自我评估的健康将是一个简单的，医疗保健专业人员和大学工作人员的可靠和普遍的指标，以确定学生在抑郁症的风险。
