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Prevalence of depressive symptoms among dental students is influenced by sex, academic performance, smoking exposure, and sexual orientation: cross-sectional study

Freitas, Bruna Oliveira de; Casarin, Maísa; Almeida, Rafaela Zazyki de; Gomes, Jessica Maria Pessoa; Cepeda, Isadora Vilas Boas; Muniz, Francisco Wilker Mustafa Gomes.
Braz. j. oral sci ; 22: e239237, Jan.-Dec. 2023. tab
Artículo en Inglés | LILACS, BBO - odontología (Brasil) | ID: biblio-1399762

Aim:

To estimate the prevalence and associated factors of self-reported depressive symptoms in undergraduate and graduate dental students.

Methods:

The Depression, Anxiety and Stress Scale (DASS-21) was applied, and only the depression domain was verified. A structured questionnaire was used to collect sociodemographic, behavioral, and COVID-19 pandemic-related fear variables. Academic performance was assessed based on academic records, ranging from 0 (worst possible grade) to 10 (best possible grade). Respondents included 408 regularly enrolled dental students. Bi- and multivariate analyses were performed using Poisson regression with robust variance to verify the association between at least moderate depressive symptoms and independent variables.

Results:

The prevalence of at least moderate depression was 40.5% among undergraduate students and 26% among graduate students. The prevalence of fear and anxiety due to the COVID-19 pandemic was 96.1% among undergraduate students and 93.5% among graduate students. In the final multivariate analysis, being female (prevalence ratio [PR]2.01; 95% confidence interval [95%CI]1.36­2.96) was associated with a higher PR for depression. Conversely, no exposure to smoking (PR0.54; 95%CI0.36­0.82) and a final academic performance average ≥7.0 (PR0.56; 95%CI0.41­0.76) was associated with a lower PR for depression. Finally, among graduate students, a non-heterosexual orientation was associated with a higher PR for depression (PR6.70; 95%CI2.21­20.29).

Conclusion:

Higher rates of depression symptoms were observed in female undergraduates, students with lower academic performance and smoking exposure, and graduate dental students with a non-heterosexual orientation
Biblioteca responsable: BR218.1