High cellphone use associated with greater risk of depression among young women aged 15-24 years in Soweto and Durban, South Africa.


Journal

Global health action
ISSN: 1654-9880
Titre abrégé: Glob Health Action
Pays: United States
ID NLM: 101496665

Informations de publication

Date de publication:
01 01 2021
Historique:
entrez: 25 8 2021
pubmed: 26 8 2021
medline: 21 9 2021
Statut: ppublish

Résumé

The ubiquity of cellular phone (cellphone) use in young people's daily lives has emerged as a priority area of concern for youth mental health. This study measured the prevalence of depression and its association with high cellphone use among youth in Soweto and Durban, South Africa. We analysed cross-sectional, baseline survey data among youth aged 16-24 who participated in a dual-site cohort study, 'AYAZAZI', conducted from 2014 to 2017. The primary outcome was depression using the 10-item Center for Epidemiologic Studies Depression Scale, with a score of ≥ 10 indicating probable depression. Cellphone use was measured via self-reported average number of hours of active use, with 'high cellphone use' defined as daily usage of ≥ 8. Multivariable logistic regression models assessed the independent relationship between high cellphone use and probable depression, adjusting for potential confounders. Of 425 participants with a median age of 19 years (IQR = 18-21), 59.5% were young women. Overall, 43.3% had probable depression, with a higher prevalence among women (49.0% vs. 34.9%, Among a cohort of South African youth, we found a high prevalence of probable depression and high cellphone use (30%). The findings indicate a need for intersectoral initiatives focused on meaningful mental health support for South African youth to support positive growth and development.

Sections du résumé

BACKGROUND
The ubiquity of cellular phone (cellphone) use in young people's daily lives has emerged as a priority area of concern for youth mental health.
OBJECTIVE
This study measured the prevalence of depression and its association with high cellphone use among youth in Soweto and Durban, South Africa.
METHODS
We analysed cross-sectional, baseline survey data among youth aged 16-24 who participated in a dual-site cohort study, 'AYAZAZI', conducted from 2014 to 2017. The primary outcome was depression using the 10-item Center for Epidemiologic Studies Depression Scale, with a score of ≥ 10 indicating probable depression. Cellphone use was measured via self-reported average number of hours of active use, with 'high cellphone use' defined as daily usage of ≥ 8. Multivariable logistic regression models assessed the independent relationship between high cellphone use and probable depression, adjusting for potential confounders.
RESULTS
Of 425 participants with a median age of 19 years (IQR = 18-21), 59.5% were young women. Overall, 43.3% had probable depression, with a higher prevalence among women (49.0% vs. 34.9%,
CONCLUSIONS
Among a cohort of South African youth, we found a high prevalence of probable depression and high cellphone use (30%). The findings indicate a need for intersectoral initiatives focused on meaningful mental health support for South African youth to support positive growth and development.

Identifiants

pubmed: 34431754
doi: 10.1080/16549716.2021.1936792
pmc: PMC8405067
doi:

Types de publication

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

Langues

eng

Sous-ensembles de citation

IM

Pagination

1936792

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Auteurs

Janan J Dietrich (JJ)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
African Social Sciences Unit of Research and Evaluation (ASSURE), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa and Health Systems Research Unit, South African Medical Research Council, Cape Town, South Africa.

Kennedy Otwombe (K)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Tatiana E Pakhomova (TE)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.

Keith J Horvath (KJ)

San Diego State University, Department of Psychology, San Diego, California, United States.

Stefanie Hornschuh (S)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Khuthadzo Hlongwane (K)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Kalysha Closson (K)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
School of Population and Public Health, University of British Columbia, Vancouver, Canada.

Mamakiri Mulaudzi (M)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Patricia Smith (P)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.

Mags Beksinska (M)

MatCH Research Unit (MRU), Department of Gynaecology and Obstetrics, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Glenda E Gray (GE)

Perinatal HIV Research Unit (PHRU), School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Office of the President, South African Medical Research Council, Cape Town, South Africa.

Mark Brockman (M)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.

Jenni Smit (J)

MatCH Research Unit (MRU), Department of Gynaecology and Obstetrics, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.

Angela Kaida (A)

Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.

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