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Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China.
J Affect Disord. 2015 Sep 01; 183:1-9.JA

Abstract

BACKGROUND

In China, rural-to-urban migrant workers (MWs) are a large and vulnerable population that may be at high risk for depression, but previous studies focused on depressive symptoms of MWs and no study has investigated the epidemiology of major depressive disorder (MDD). The objective of this study was to determine the prevalence and correlates of one-month and lifetime MDD among MWs in Shenzhen, China, and mental health services utilization of MWs with lifetime MDD.

METHODS

A total of 3031 MWs were recruited from 10 manufacturing factories and interviewed with the Chinese version of the Mini International Neuropsychiatric Interview.

RESULTS

The one-month and lifetime prevalence rates of MDD were 1.39% (95% CI: 0.97%, 1.80%) and 5.08% (95% CI: 4.30%, 5.86%), respectively. No significant gender and age-group differences were found in these rates. The risk factors for lifetime MDD included lower education, worse living condition, poorer self-perceived physical health, migration before adulthood, infrequently calling family members, and having done lots of jobs. Only 3.25% of the respondents with lifetime MDD had sought professional help prior to the interview.

LIMITATIONS

The MW sample was selected from manufacturing factories, we should be cautious in generalizing our findings to MWs of other industries.

CONCLUSIONS

Compared with the Chinese general population, MWs may have a similar prevalence of MDD, but the rate of lifetime mental health services use of MWs with lifetime MDD is extremely low. MDD is a major public health concern for this population. There is an urgent need to improve mental health services for MWs.

Authors+Show Affiliations

Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR.Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, PR China.Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR.Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, PR China.Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, PR China.Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen Mental Health Center, Shenzhen, PR China.Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR. Electronic address: helenchiu@cuhk.edu.hk.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25989590

Citation

Zhong, Bao-Liang, et al. "Prevalence and Correlates of Major Depressive Disorder Among Rural-to-urban Migrant Workers in Shenzhen, China." Journal of Affective Disorders, vol. 183, 2015, pp. 1-9.
Zhong BL, Liu TB, Chan SS, et al. Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China. J Affect Disord. 2015;183:1-9.
Zhong, B. L., Liu, T. B., Chan, S. S., Jin, D., Hu, C. Y., Dai, J., & Chiu, H. F. (2015). Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China. Journal of Affective Disorders, 183, 1-9. https://doi.org/10.1016/j.jad.2015.04.031
Zhong BL, et al. Prevalence and Correlates of Major Depressive Disorder Among Rural-to-urban Migrant Workers in Shenzhen, China. J Affect Disord. 2015 Sep 1;183:1-9. PubMed PMID: 25989590.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China. AU - Zhong,Bao-Liang, AU - Liu,Tie-Bang, AU - Chan,Sandra S M, AU - Jin,Dong, AU - Hu,Chi-Yi, AU - Dai,Jing, AU - Chiu,Helen F K, Y1 - 2015/04/27/ PY - 2015/01/14/received PY - 2015/04/15/revised PY - 2015/04/16/accepted PY - 2015/5/20/entrez PY - 2015/5/20/pubmed PY - 2016/1/7/medline KW - China KW - Correlate KW - Major depression KW - Mental health services utilization KW - Migrant worker KW - Prevalence SP - 1 EP - 9 JF - Journal of affective disorders JO - J Affect Disord VL - 183 N2 - BACKGROUND: In China, rural-to-urban migrant workers (MWs) are a large and vulnerable population that may be at high risk for depression, but previous studies focused on depressive symptoms of MWs and no study has investigated the epidemiology of major depressive disorder (MDD). The objective of this study was to determine the prevalence and correlates of one-month and lifetime MDD among MWs in Shenzhen, China, and mental health services utilization of MWs with lifetime MDD. METHODS: A total of 3031 MWs were recruited from 10 manufacturing factories and interviewed with the Chinese version of the Mini International Neuropsychiatric Interview. RESULTS: The one-month and lifetime prevalence rates of MDD were 1.39% (95% CI: 0.97%, 1.80%) and 5.08% (95% CI: 4.30%, 5.86%), respectively. No significant gender and age-group differences were found in these rates. The risk factors for lifetime MDD included lower education, worse living condition, poorer self-perceived physical health, migration before adulthood, infrequently calling family members, and having done lots of jobs. Only 3.25% of the respondents with lifetime MDD had sought professional help prior to the interview. LIMITATIONS: The MW sample was selected from manufacturing factories, we should be cautious in generalizing our findings to MWs of other industries. CONCLUSIONS: Compared with the Chinese general population, MWs may have a similar prevalence of MDD, but the rate of lifetime mental health services use of MWs with lifetime MDD is extremely low. MDD is a major public health concern for this population. There is an urgent need to improve mental health services for MWs. SN - 1573-2517 UR - https://www.unboundmedicine.com/medline/citation/25989590/Prevalence_and_correlates_of_major_depressive_disorder_among_rural_to_urban_migrant_workers_in_Shenzhen_China_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(15)00255-4 DB - PRIME DP - Unbound Medicine ER -