The Mental Health and Syndemic Effect on Suicidal Ideation among Migrant Workers in China: A Cross-Sectional Study

Zhang, Kechun; Xu, Chen; Zhang, Yinghuan; Wang, Rongxi; Yu, Xiaoyue; Hu, Tian; Chen, Yaqi; Wang, Zixin; Cao, Bolin; Chen, Hui; Liu, Yujie; Liu, Shangbin; Zou, Huachun; Cai, Yong

doi:10.3390/ijerph182111363

Cited by 4 publications

(1 citation statement)

References 46 publications

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“…It also aligned with a previous study documenting that the co-occurrence of self-harm behaviors and bullying victimization posed a greater risk of depression [28]. As explored in other populations in China [29], psychosocial factors can coexist and increase the burden of health consequences, which also suggested a syndemic effect. Yet, research on the syndemic effects of mental health problems was mainly focused on the population affected by HIV, indicating a statistically significant positive dose-response relationship between the number of syndemic conditions and HIV-related risks [22,30,31].…”

Section: The Cumulative Effects Of Vulnerable Conditions Syndemic On ...supporting

confidence: 86%

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

Wang,

Lu,

Zhao

et al. 2024

Child Adolesc Psychiatry Ment Health

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Background Mental health issues (depression and suicidal ideation) are increasingly common in children and emerge as escalating public health concerns. The syndemics that underline the importance of risk factor clustering provides a framework for intervention, but there is a lack of research on syndemics involving the adverse interactions of children’s mental health problems. This study therefore examined the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation among children in China. Methods A mental health screening census of students in grades 5–12 was conducted from November 2022 to January 2023 in Nanling County, Anhui Province, China. The prevalence and co-occurrence of vulnerable conditions (unfavorable parental marital status, left-behind experience, bullying victimization, and self-harm behavior), depression, and suicidal ideation and the cumulative and synergistic effects of vulnerable conditions on depression and suicidal ideation were explored. Results Nearly a quarter of students (24.8%) reported at least two syndemic conditions. Overall, the prevalence of depression and suicidal ideation were 20.2% and 24.2% respectively. The odds of depression and suicidal ideation were higher for children with one or more vulnerable conditions and were ten times higher for children with three or more vulnerable conditions compared with those without any vulnerable condition. These four vulnerable conditions can increase the odds of depression and suicidal ideation by interacting synergistically with each other. Conclusion Our findings signal the importance of addressing mental health syndemics among children in China by simultaneously considering concurrent vulnerable conditions.

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Section: The Cumulative Effects Of Vulnerable Conditions Syndemic On ...supporting

confidence: 86%

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

Wang,

Lu,

Zhao

et al. 2024

Child Adolesc Psychiatry Ment Health

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National study comparing psychiatric presentations among migrants and citizens in Qatar

Latoo,

Wadoo,

Iqbal

et al. 2024

Asian Journal of Psychiatry

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Prevalence and gender disparity of those who screen positive for depression in China by the classification of the employer and industry: a cross-sectional, population-based study

2023

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Background The important role of mental health in sustainable economic development is gradually being recognized. This study aimed to evaluate the prevalence and gender disparity of those who screen positive for depression in China by the employer and industrial classification. Methods We used data from a nationally representative survey, the China Family Panel Studies. Depression was judged by the Centre for Epidemiologic Studies Depression Scale. Employer classifications were categorized according to the local characteristics of Mainland China. Industrial classifications were defined using level-1 of the China version of the International Standard Industrial Classification of All Economic Activities. Weighted logistic regressions were fitted to estimate the gender disparities, controlling for confounders. Results Forty eight thousand six hundred twenty eight adults were included. 18.7% (95%CI 18.1–19.4) of sampled adults were screened positive for depression symptoms, with 16.6% (95%CI 15.8–17.5) in males vs 21.0% (95%CI 20.1–22.0) in females. By classification of the employer, the prevalence was lowest among those employed by Government/party organisations (11.8%, 95%CI 8.9–15.4), and highest in those self-employed (21.8%, 95%CI 20.8–22.9); the gender disparity was mainly found in those employed by Sole proprietorship (Adjusted odds ratio [AOR] = 1.95, 95%CI 1.19–3.19) and Private enterprise (AOR = 1.34, 95%CI 1.13–1.59), as well as those self-employed (AOR = 1.49, 95%CI 1.3–1.17). By industrial classification, the prevalence was lowest among those who worked in the industry of Real estate (7.2%, 95%CI 4.8–10.6), and highest among those who worked in the industry of Agriculture, forestry, animal husbandry and fishing (22.9%, 95%CI 15.5–32.4); the gender disparity was mainly found in those who worked in the industry of Agriculture, forestry, animal husbandry and fishing (AOR = 3.29, 95%CI 1.18–9.15), Manufacturing (AOR = 1.41, 95% CI 1.09–1.82), Wholesale and retail trade (AOR = 1.48, 95% CI 1.07–2.06), and Accommodation and food service (AOR = 1.91, 95% CI 1.15–3.18). Conclusion The prevalence of depression in China had a wide variation by classifications of the employer and industry. Gender disparities were identified among workers from Sole proprietorship, Private enterprise, and self-employed, or workers from the industry of Agriculture, forestry, animal husbandry and fishing, Manufacturing, Wholesale and retail trade, and Accommodation and food service.

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The Mental Health and Syndemic Effect on Suicidal Ideation among Migrant Workers in China: A Cross-Sectional Study

Cited by 4 publications

References 46 publications

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

Vulnerable conditions syndemic, depression, and suicidal ideation among school children in China: cross-sectional census findings

National study comparing psychiatric presentations among migrants and citizens in Qatar

Prevalence and gender disparity of those who screen positive for depression in China by the classification of the employer and industry: a cross-sectional, population-based study

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