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.
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。