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Association of depressive symptoms and social determinants of health in medical students of four countries - Czechia, Iran, Kenya, and Venezuela
A. Zimovjanová, FM. Wekesah, F. Dehghani Firouzabadi, J. Brož, J. Urbanová, JI. Mechanick, N. Sulbarán, A. Medina, GA. Maranhao Neto, R. Nieto-Martinez, MA. Babagoli, M. Torres, M. Kunzová, M. Pešl, J. Medina, E. Ugel, H. Jahandideh, M. Roomiani,...
Jazyk angličtina Země Česko
Typ dokumentu časopisecké články
Digitální knihovna NLK
Zdroj
NLK
Free Medical Journals
od 2004
ProQuest Central
od 2009-03-01 do Před 6 měsíci
Medline Complete (EBSCOhost)
od 2006-03-01 do Před 6 měsíci
Nursing & Allied Health Database (ProQuest)
od 2009-03-01 do Před 6 měsíci
Health & Medicine (ProQuest)
od 2009-03-01 do Před 6 měsíci
Public Health Database (ProQuest)
od 2009-03-01 do Před 6 měsíci
ROAD: Directory of Open Access Scholarly Resources
od 1993
PubMed
40293825
DOI
10.21101/cejph.a8222
Knihovny.cz E-zdroje
- MeSH
- deprese * epidemiologie MeSH
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- prevalence MeSH
- průřezové studie MeSH
- průzkumy a dotazníky MeSH
- sociální determinanty zdraví * statistika a číselné údaje MeSH
- studenti lékařství * psychologie statistika a číselné údaje MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika MeSH
- Írán MeSH
- Keňa MeSH
- Venezuela MeSH
OBJECTIVES: Medical students experience worse psychological well-being than the general population. Social determinants of health (SDOH) relate to conditions in which people live, work, and age and significantly influence mental health. This study examines the association between depressive symptoms and SDOH in medical students from four countries: Czechia, Iran, Kenya, and Venezuela. METHODS: An online cross-sectional survey was conducted in the spring of 2022. The questionnaire focused on depressive symptoms (using a validated psychiatric scale DASS-21 to assess mental health) and various SDOHs. RESULTS: A total of 2,033 medical students participated in the survey, with a median age of 23.0 years; 64.8% were females; 60.8% of respondents had some degree of depressive symptoms (mild-to-moderate 32.5%, severe-to-extremely severe 28.3%). Several SDOHs, such as low engagement in social life, low personal funds, and low social class, were strongly associated with severe-to-extremely severe depressive symptoms (p < 0.001), and the associations differed among countries. The prevalence of severe-to-extremely severe depressive symptoms varied significantly across the four countries, with Iran having the highest prevalence (OR = 2.1 compared to Czechia), followed by Czechia (OR = 1, reference value), Kenya (OR = 0.9), and Venezuela (OR = 0.6). CONCLUSION: The study demonstrates the high prevalence of depressive symptoms among medical students from four global regions and the significant association with specific SDOH. Notably, the variation in prevalence across countries and differential relationships with SDOH underscore the importance of considering transcultural factors in research and management to improve mental health among medical students.
African Population and Health Research Centre Nairobi Kenya
Boston Children's Hospital Harvard Medical School Harvard University Boston MA USA
Department of Biology Faculty of Medicine Masaryk University Brno Czech Republic
Department of Internal Medicine 2nd Faculty of Medicine Charles University Prague Czech Republic
Department of Public Health Faculty of Medicine Masaryk University Brno Czech Republic
Faculty of Medicine Masaryk University Brno Czech Republic
Foundation for Clinic Public Health and Epidemiology Research of Venezuela Caracas Venezuela
International Clinical Research Centre St Anne's University Hospital Brno Brno Czech Republic
Ministry of Public Health of Ecuador Quito Ecuador
School of Medicine Faculty of Medicine University of the Andes Venezuela
School of Medicine Faculty of Medicine University of Zulia Maracaibo Venezuela
Citace poskytuje Crossref.org
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