Depressive symptoms among adolescents in six sub-Saharan African countries: A pooled analysis of associated factors

Autor: Uttara Partap, Azan Nyundo, Adom Manu, Mathilda Regan, Abbas Ismail, Angela Chukwu, Yadeta Dessie, Tasiana Njau, Sylvia F. Kaaya, Wafaie W. Fawzi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Preventive Medicine Reports, Vol 36, Iss , Pp 102499- (2023)
Druh dokumentu: article
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2023.102499
Popis: There is a need to identify risk factors, including nutrition-related factors, for depressive disorders among sub-Saharan African (SSA) adolescents. We examined the association of multiple measures with depressive symptoms among adolescents living across six SSA countries. Building on previous analyses, we used data from a cross-sectional study conducted from 2015 to 2017 among adolescents aged 10–19 years in six SSA countries (N = 7512). Depressive symptoms were defined as highest tertile of the 6-item Kutcher Adolescent Depression Scale score. Using mixed-effects Poisson regression models, we pooled data across sites and examined the association of sociodemographic, nutrition, and other indices with depressive symptoms. We additionally assessed effect modification by sex, age, and school-going status. We observed higher risk of depressive symptoms among girls (adjusted risk ratio [RR]: 1.29, 95 % confidence interval [95 % CI]: 1.05–1.58, P = 0.016), older adolescents (RR for 18–19 years: 1.59, 95 % CI: 1.44–1.76, P
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