Journal of Affective Disorders
Volume 183, 2015, Pages 1-9

Prevalence and correlates of major depressive disorder among rural-to-urban migrant workers in Shenzhen, China (Article)

Zhong B.-L. , Liu T.-B. , Chan S.S.M. , Jin D. , Hu C.-Y. , Dai J. , Chiu H.F.K.*
  • a Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, Hong Kong
  • b Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen, China
  • c Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, Hong Kong
  • d Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen, China
  • e Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen, China
  • f Shenzhen Key Laboratory for Psychological Healthcare, Shenzhen Institute of Mental Health, Shenzhen Kangning Hospital, Shenzhen, China
  • g Department of Psychiatry, Chinese University of Hong Kong, Hong Kong, Hong Kong

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. © 2015 Elsevier Inc. All rights reserved.

Author Keywords

Major depression China Mental health services utilization Correlate Migrant worker Prevalence

Index Keywords

urban population vulnerable population urban area China rural area educational status mental health service human middle aged Odds Ratio statistics and numerical data rural population health service priority journal Aged Structured Clinical Interview for DSM Disorders Mental Health Services mini international neuropsychiatric interview Health Services Needs and Demand manufacturing industry interview health migrant worker Humans psychology Adolescent male female Socioeconomic Factors risk factor Risk Factors socioeconomics prevalence Article health care utilization major clinical study adult migration utilization patient attitude adulthood Patient Acceptance of Health Care Transients and Migrants Depressive Disorder, Major major depression DSM-IV
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929310183&doi=10.1016%2fj.jad.2015.04.031&partnerID=40&md5=8425a528656ce5658eeaa54aad7c458d
DOI: 10.1016/j.jad.2015.04.031
ISSN: 01650327
Cited by: 39
Original Language: English