"一个男人从不哭":一种混合方法分析的性别差异抑郁症和酒精使用在莫希,坦桑尼亚
Alena Pauley1, Mia Buono1, Madeline Metcalf1
1Duke Global Health Institute, Duke University, Durham, NC, USA.
medRxiv : the preprint server for health sciences
|November 28, 2023
概括
在坦桑尼亚的莫希,女性,尤其是急诊室的女性,患重度抑郁症 (MDD) 的比例高于男性. 男性使用酒精作为应对压力的机制,突出性别特定的心理健康需求.
科学领域:
- 全球健康 全球健康
- 心理健康 心理健康
- 使用物质使用物质使用.
背景情况:
- 不健康的酒精使用和严重抑郁症 (MDD) 是全球性健康问题,已知性别差异.
- 这些酒精使用和MDD的性别差异以前没有在坦桑尼亚莫希研究过.
- 了解这些细微差别对于开发有效,文化相关的心理健康治疗至关重要.
研究的目的:
- 调查重大抑郁症 (MDD) 中的性别差异.
- 探索酒精使用模式中的性别差异.
- 在坦桑尼亚莫希的基里曼扎罗基督教医疗中心 (KCMC) 的患者中检查心理健康方面的问题.
主要方法:
- 在KCMC的急诊部 (ED) 和生殖健康中心 (RHC) 的676名患者中采用了混合方法方法.
- 使用酒精使用障碍识别测试 (AUDIT) 和患者健康问卷9 (PHQ-9) 收集了定量数据.
- 通过深入访谈 (IDI) 收集了定性数据,对19名有目的地选择的患者进行了深入访谈,并使用基础理论进行了分析.
主要成果:
- 在ED的女性报告的MDD (25%) 和PHQ-9得分的流行率最高,与RHC的女性和ED的男性相比.
- 抑郁症状与更高的AUDIT分数显著相关,仅在ED的男性中.
- 定性调查结果表明,莫希的男性缺乏社会支持网络,使用酒精作为应对压力的机制.
结论:
- 莫希的社会文化和行为规范与性别,酒精使用和抑郁症相交.
- 建议在该地区进行多层次,性别分化的计划,以治疗物质使用和心理健康状况.
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