A structural equation modelling to explore the determinants of mental health disorders among reproductive-aged women in Nepal: a nation-wide cross-sectional survey.

Autor: Rahman MA; Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh., Tohan MM; School of General Education , Brac Univeristy , Dhaka, Bangladesh. mortuzacreations@gmail.com., Zaman S; Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh., Islam MA; Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh., Rahman MS; Statistics Discipline, Khulna University, Khulna, 9208, Bangladesh., Howlader MH; Development Studies Discipline, Social Science School, Khulna University, Khulna, 9208, Bangladesh., Kundu S; School of Medicine and Dentistry, Griffith University, Gold Coast, QLD, 4222, Australia.
Jazyk: angličtina
Zdroj: BMC psychiatry [BMC Psychiatry] 2024 Dec 02; Vol. 24 (1), pp. 867. Date of Electronic Publication: 2024 Dec 02.
DOI: 10.1186/s12888-024-06249-2
Abstrakt: Background: Similar to other countries, reproductive-age women in Nepal frequently encounter diverse mental disorders, yet they receive inadequate screening and attention. This research seeks to address this gap by conducting a comprehensive examination of the prevalence and factors associated with mental disorders of reproductive-age women in Nepal.
Methods: This study used the nationally representative Nepal Demographic and Health Survey 2022 dataset to examine the association between mental disorders and potential confounders. Screening tools for Generalized Anxiety Disorder (GAD-7) and Patient Health Questionnaire (PHQ-9) were employed, and descriptive and inferential statistics, including linear regression and structural equation modeling, were utilized in the analysis.
Results: The study found that 22% of Nepalese women aged 15 to 49 reported anxiety symptoms, while 5% reported depressive symptoms. The Structural Equation Modeling (SEM) reveals that anxiety had the most significant positive effect on depression (β = 0.683, p < 0.001), followed by emotional violence (β = 0.139, p < 0.001). Marital status (β = 0.072, p < 0.001) and the presence of genital discharge (β = 0.084, p < 0.001) or ulcer (β = 0.058, p < 0.001) in the last 12 months were also associated with higher levels of depression. Conversely, self-rated health status (β=-0.121, p < 0.001) was negatively associated with depression, indicating that better-perceived health was linked to lower levels of depression.
Conclusion: Although the prevalence of anxiety symptoms is higher than that of depression, there is a positive relationship between these two. Consequently, it is crucial to address the identified factors contributing to anxiety and depression in this population group through behavioral and policy interventions to enhance the mental well-being of reproductive-age women.
Competing Interests: Declarations. Ethics approval and consent to participate: The current study involved analyzing secondary data, which is publicly accessible at www.dhsprogram.com and free of cost upon appropriate application. The ICF Institutional Review Board and Ethical Review Board of Nepal Health Research Council approved the data collection and survey process. Therefore, further ethical approval was not needed. However, a detailed explanation of the ethical procedure followed by the DHS program can be found elsewhere. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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