PDF(Pubmed)
Abstract：
Depression is a pervasive issue among college students worldwide, yet there is a significant gap in the literature regarding its prevalence and coping strategies in the Ukrainian context. The present study aims to fill this gap by investigating how substance use and health-promoting behaviors relate to depressive symptoms among Ukrainian college students. Health-promoting behaviors are an important strategy to prevent depression, whereas substance use can contribute to depression or make it harder to manage. Given the substantial psychosocial problems and stressors related to the ongoing war in Ukraine and the limited availability of mental health services for college students, it is important to understand how we can encourage college students to keep themselves mentally healthy. A cross-sectional study was conducted among college students on 10 campuses in 2018. Almost 16% of participants met a cut-off for depression. Female students and those who were older reported significantly higher depressive symptoms. Participants were more likely to report depressive symptoms if they were more often involved with alcohol and cannabis use, were older, and engaged in fewer health-promoting behaviors. Tobacco use was not significantly associated with depressive symptoms. Our findings suggest a moderate prevalence of depressive symptoms in our study population. We recommend implementing balanced public health interventions that address risk factors (such as substance use) while also promoting protective behaviors and can be tailored to the specific cultural and environmental context of the region.
摘要：
抑郁症是全世界大学生中普遍存在的问题，然而，在乌克兰背景下，关于其患病率和应对策略的文献存在显著差距。本研究旨在通过调查乌克兰大学生的物质使用和健康促进行为与抑郁症状的关系来填补这一空白。健康促进行为是预防抑郁症的重要策略,而物质的使用会导致抑郁或使其更难管理。鉴于与乌克兰正在进行的战争有关的大量心理社会问题和压力源，以及大学生的心理健康服务有限，了解我们如何鼓励大学生保持心理健康是很重要的。2018年在10个校园的大学生中进行了一项横断面研究。几乎16％的参与者遇到了抑郁症的障碍。女学生和年龄较大的学生报告的抑郁症状明显更高。如果参与者更经常使用酒精和大麻，他们更有可能报告抑郁症状，年纪大了,从事较少的促进健康的行为。烟草使用与抑郁症状没有显着相关。我们的研究结果表明，在我们的研究人群中，抑郁症状的患病率适中。我们建议实施平衡的公共卫生干预措施，以解决风险因素（例如物质使用），同时还促进保护性行为，并且可以根据该地区的特定文化和环境背景进行调整。
