The Japanese Association of School Health

Paper

ISSN ONLINE : 1880-2400

[School Health Vol.4, 9-15, 2008]

Relationship between Socioeconomic Factors, Health Behaviors, and Mental Health among University Students of Heilongjiang Province in China

Ying LI*,** and Yasuto Sato**

  • *Hospital of HeiLongJiang University, HeiLongJiang University, China
  • 74 XueFuLu, NanGangQu, Harin, China
  • ziqianli@hotmail.com
  • **Department of Hygiene and Public Health II, Tokyo Women's Medical University
  • 8-1 Kawadacho, Shinjuku-ku, Tokyo 162-8666 Japan

[Received September 10, 2007 ; Accepted March 4, 2008]

Keywords:
household income disparity, mental health, health risk behavior, interaction, prevention

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Abstracts

The objective of this study was to explore the association of household income disparity and health risk behaviors with the poor mental health/depression (PMHD) of university students of Heilongjiang Province in China. A stratified cluster sample of 3,189 university students was used in a cross-sectional study. The data were obtained from a self-administered questionnaire, which included questions on sociodemographic characteristics and problem of health areas. The Minnesota Multiphasic Personality Inventory 2 (MMPI-2) was used to determine PMHD of university students. Chi-square test and Cochran-Armitage trend test were used for the categorical data analysis. The associated factors for depression were examined using a logistic regression analysis. The low household income and health risk behaviors in university students were in general related to PMHD. The depression prevalence of low household income university students (29.4%) is higher than that of high household income students. Low household income, smoking habit, and engaging in premarital sex are all major associated factors of depression. For the interaction of these three associated factors, the odds ratio of depression was 3.08 (95% CI 1.11~8.58). Furthermore, the association of depression and other poor mental health has statistical significance. This study confirms that poor mental health was associated with–household income disparity and with health risk behaviors among university students of Heilongjiang Province in China.

References

  • Anderson RT, Sorlie P, Backlund E, Johnson N, and Kaplan GA. (1997) Mortality effects of community socioeconomic status. Epidemiology. 8: 42-47.
  • Barry Naughton. (1996) Growing out of the plan: Chinese economic reform, 1978-1993. China Economic Review. 7: 209-211.
  • Breslau N, Peterson EL, Schultz LR, Chilcoat HD, and Andreski P. (1998) Major depression, and stages of smoking: a longitudinal investigation. Arch Gen Psychiatry. 55: 161-166.
  • Friedman AF, Webb JT, and Lewak R. (1989) Psychological assessment with the MMPI. NJ: Lawrence Erlbaum Associates.
  • Gerald L. Klerman, and Myrna M. Weissman. (1989) Increasing Rates of Depression. JAMA. 261: 2229-2236.
  • Ji Shu Mao, Dai Zheng Sheng and Li Man Xiang, (2004) Minnesota Multiphasic Personality Inventory-A new study and assessment of multiple scales. BeiJing: Science Press. (In Chinese)
  • Kawachi I, and Kennedy BP. (1999) Income inequality and health: pathways and mechanisms. Health Serv Res. 34: 215-227.
  • Kevin Fiscella, and Peter Franks. (1999) Individual Income, Income Inequality, Health, and mortality: What Are the Relationships? Health Services Research. 27: 307-318.
  • Kevin Watkins, Haishan Fu, and Ricardo Fuentes. (2005) Human development report. 2: 52-69.
  • Klerman GL, Leon AC, Wickramaratne, Warshaw MG, Mueller TI, Weissman MM, and Akiskal. (1996) The role of drug and alcohol abuse in recent increases in depression in the US. Psychol Med. 26: 343-351.
  • Lynch JW, Smith GD, Kaplan GA, and House JS. (2000) Income inequality and mortality: importance to health of individual income, psychosocial environment, or material conditions. BMJ. 320: 1200-1204.
  • Mehmet Bostanci, Osman Ozdel, and Nalan Kalkan. (2005) Depressive Symptomatology among University Students in Denizli, Turkey Prevalence and Sociodemographic Correlates. Croat Med J. 46: 96-100.
  • Neff JA, and Husaini BA. (1982) Life events, drinking patterns and depressive symptomatology: the stress-buffering role of alcohol consumption. J Stud Alcohol. 43: 301-318.
  • Pandima FJ, and Schuele JA. (1983) Psychosocial correlates of alcohol and drug use of adolescent students and adolescents in treatment. J Stud Alcohol. 44: 950-973.
  • Peter M. Lewinsohn, Paul Rohde, and John R. seeley. (1998) Major depressive disorder in older adolescents: prevalence, risk factors, and clinical implications. Clinical psychology Review. 18: 765-794.
  • Roland Sturm, and Carole Roan Gresenz. (2002) Relations of income inequality and family income to chronic medical conditions and mental health disorders: national survey in USA. BMJ. 324: 20-23.
  • Song Ying Ming, and Zhu Li. (2005) Study on mental disorder among poor university students. Chin J School Doctor. 19: 500-501. (In Chinese)
  • Sheying chen. (2002) Economic Reform and Social Change in China: Past, Present, and Future of the Economic State. International Journal of Politics, Culture, and society. 15: 569-589.
  • Wei Wang, Wuying Dub, Ping Liuc, Jianhui Liu, and Yehan Wang. (2002) Five-factor personality measures in Chinese university students: effects of one-child policy? Psychiatry Research. 109: 37-44.
  • Weissman MM, Wolk S, Goldstein RB, Moreau D, Adams P, Greenwald S, Klier CM, Ryan ND,Dahl. And RE, Wickramaratne P. (1999) Depressed adolescents grown up. JAMA. 281: 1707-1713.
  • Weitzman, Elissa R. (2004) Poor Mental Health, Depression, and Associations With Alcohol Consumption, Harm, and Abuse in a National Sample of Young Adults in College. Journal of Nervous & Mental Disease. 192(4): 269-277.
  • Zhai Shu Tao. (1997) Crisis management and suicide prevention. BeiJing: People’s publishing house. (In Chinese)
  • Zhang Jing, Tang Ya Ting, and Niu Li Hua. (2006) Analysis of mental health status and personality among impoverished undergraduates. Chin J School Doctor. 20: 479-481. (In Chinese with English Abstract)
  • Zheng Ai-Ming. (2005) Psychology Analysis and Intervention of the University Student's Suicide Phenomenon. Medicine and Philosophy. 21: 59-60.
  • Zhong Xiang Yang, Zeng Xuan, Yang Li Jiang and Han Yun Jin. (2003) Study on the mental health and personal 0f the freshmen with suicide ideation. Chin J School Doctor. 17: 216-218. (In Chinese with English Abstract)

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