Social determinants of quality of life among undergraduate students and their association with suicide risk
DOI:
https://doi.org/10.15448/1980-6108.2023.1.44860Keywords:
quality of life, students, universities, suicideAbstract
Objective: to evaluate the quality of life and the relationship with the risk of suicide. Methods: cross-sectional study with undergraduates from a public university in Brazil. Quality of life was measured by the WHOQOL-Bref. A hierarchical model was tested using simple linear regression. The association of quality of life with suicide risk was assessed by Poisson regression. Results: 996 students participated with an average quality of life score of 61.0±13.8. Female gender, non-white, non-heterosexual sexual orientation, poorer, food insecure, using public transport, fear of violence in the neighborhood, history of discrimination and dissatisfi ed with the undergraduate course had a worse quality of life, which led to an 11-fold increased likelihood of suicide risk. Conclusion: the level of quality of life of the sample studied was low, being associated with greater socioeconomic vulnerability, which contributes to the increased risk of suicide. It is suggested to strengthen student assistance services at universities to promote improvements in quality of life through actions to promote social well-being, which may have eff ects on students’ mental health.
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Demenech LM, Oliveira AT, Neiva-Silva L, Dumith SC. Prevalence of anxiety, depression and suicidal behaviors among brazilian undergraduate students: a systematic review and meta-analysis. J Affect Disord. 2021;282:147- 59. https://doi.org/10.1016/j.jad.2020.12.108
The WHOQOL Group. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995; 41(10):1403-9. https://doi.org/10.1016/0277-9536(95)00112-k
Kupcewicz E, Grochans E, Kadučáková H, Mikla M, Jóźwik M. Analysis of the relationship between stress intensity and coping strategy and the quality of life of nursing students in Poland, Spain and Slovakia. Int J Environ Res Public Health. 2020;17(12):4536. https://doi.org/10.3390/ijerph17124536
Cunha DF, Moraes MA, Benjamin MR, Santos AN. Percepção da qualidade de vida e fatores associados aos escores de qualidade de vida de alunos de uma escola de medicina. J Bras Psiquiatr. 2017;66(4):189-96. https://doi.org/10.1590/0047-2085000000170
Solis AC, Lotufo-Neto F. Predictors of quality of life in brazilian medical students: a systematic review and meta-analysis. Braz J Psychiatry. 2019;41(6):556-67. https://doi.org/10.1590/15164446-2018-0116
Moutinho IL, Lucchetti ALG, Ezequiel OD, Lucchetti G. Mental health and quality of life of brazilian medical students: Incidence, prevalence, and associated factors within two years of follow-up. Psychiatry Res. 2019;274:306-12. https://doi.org/10.1016/j.psychres.2019.02.041
Chazan AC, Campos MR, Portugal FB. Qualidade de vida de estudantes de medicina da UERJ por meio do WHOQOL-bref: uma abordagem multivariada. Ciên Saúde Coletiva. 2015;20(2):547-56. https://doi.org/10.1590/1413-81232015202.05182014
Li L, Lok GK, Mei SL, et al. Prevalence of depression and its relationship with quality of life among university students in Macau, Hong Kong and mainland China. Sci Rep. 2020;10(1):15798. https://doi.org/10.1038/s41598-020-72458-w
Mak YW, Kao AH, Tam LW, Tse VW, Tse DT, Leung DY. Health-promoting lifestyle and quality of life among chinese nursing students. Prim Health Care Res Dev. 2018;19(6):629-36. https://doi.org/10.1017/s1463423618000208
Paro CA, Bittencourt ZZ. Qualidade de vida de graduandos da área da saúde. Rev Bras Educ Med. 2013;37(3):365-75. https://doi.org/10.1590/S0100-55022013000300009
Souza IM, Paro HB, Morales RR, Pinto RM, Silva CH. Qualidade de vida relacionada à saúde e sintomas depressivos de estudantes do curso de graduação em enfermagem. Rev Latino-Am Enfermagem. 2012;20(4):1- 8. https://doi.org/10.1590/S0104-11692012000400014
Demenech LM, Neiva-Silva L, Brignol SM, Marcon SR, Lemos SM, Tassitano RM, et al. A study on the health and wellness of undergraduate students (SABES-Grad): methodological aspects of a nationwide multicenter and multilevel study overlapped with the Covid-19 pandemic. Trends Psychiatry Psychother. 2023;45:e20210367. https://doi.org/10.47626/2237-6089-2021-0367
Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saude Publica. 2000;34(2):78-183. https://doi.org/10.1590/S0034-89102000000200012
Segall-Corrêa AM, Marin-León L, Melgar-Quiñonez H, Pérez-Escamilla R. Refinement of the brazilian household food insecurity measurement scale: Recommendation for a 14-item EBIA. Rev Nutr. 2014;27(2):241-51. https://doi.org/10.1590/1415-52732014000200010
Amorim P. Mini International Neuropsychiatric Interview (MINI): validation of a short structured diagnostic psychiatric interview. Braz J Psiquiatr. 2000;22(3):106-15. https://doi.org/10.1590/S1516-44462000000300003
Barros AJ, Hirakata VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003;3(21). https://doi.org/10.1186/1471-2288-3-21
Moritz AR, Pereira EM, Borba KP, Clapis MJ, Gevert VG, Mantovani MF. Quality of life of undergraduate nursing students at a brazilian public university. Invest Educ Enferm. 2016;34(3):564-72. https://doi.org/10.17533/udea.iee.v34n3a16
Dumith SC, Leite JS, Fernandes SS, Sanchez EF, Demenech LM. Social determinants of quality of life in a developing country: evidence from a brazilian sample. J Public Health (Berl). 2022 30:1465-72. https://doi.org/10.1007/s10389-020-01452-3
Cruz JP, Felicilda-Reynaldo RF, Lam SC, Contreras FA, Cecily HS, Papathanasiou IV, et al. Quality of life of nursing students from nine countries: a cross-sectional study. Nurse Educ Today. 2018;66:135-42. https://doi.org/10.1016/j.nedt.2018.04.016
Vesga-López O, Schneier FR, Wang S, Heimberg RG, Liu SM, Hasin DS, et al. Gender differences in generalized anxiety disorder: Results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). J Clin Psychiatry. 2008;69(10):1606-16.
Cerqueira-Santos E, Azevedo HV, Ramos MM. Preconceito e saúde mental: estresse de minoria em jovens universitários. Rev Psicol IMED. 2020;12(2):7-21. https://doi.org/10.18256/21755027.2020.v12i2.3523.
King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8-70. https://doi.org/10.1186/1471-244x-8-70
Souza MV, Lemkuhl I, Bastos JL. Discrimination and common mental disorders of undergraduate students of the Universidade Federal de Santa Catarina. Rev Bras Epidemiol. 2015;18(3):525-37. https://doi.org/10.1590/1980-5497201500030001
Fórum Nacional de Pró-Reitores de Assuntos Comunitários e Estudantis. V Pesquisa nacional de perfil socioeconômico e cultural dos(as) graduandos(as) das IFES - 2018. Brasília, DF: Associação Nacional dos Dirigentes das Instituições Federais de Ensino Superior; 2019.
Araújo MR, Oliveira JM, Jesus MS, Sá NR, Santos PA, Lima TC. Transporte público coletivo: Discutindo acessibilidade, mobilidade e qualidade de vida. Psicol Soc. 2011;23(3):574-82. https://doi.org/10.1590/S010271822011000300015
Pasternak S. Habitação e saúde. Estud Av. 2016;30(86):51-66. https://doi.org/10.1590/S010340142016.00100004
Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security. Alexandria, VA: U.S. Department of Agriculture, Food and Nutrition Service; 2000. 82 p.
Pacheco JP, Giacomin HT, Tam WW, Ribeiro TB, Arab C, Bezerra IM, et al. Mental health problems among medical students in Brazil: a systematic review and meta-analysis. Braz J Psiquiatr. 2017;39(4):369-77. https://doi.org/10.1590/1516-4446-2017-2223
Preventing suicide: A global imperative. Luxembourg: World Health Organization; 2014.
Hayes SC, Pistorello J, Biglan A. Terapia de aceitação e compromisso: modelo, dados e extensão para a prevenção do suicídio. Rev Bras Ter Comp Cogn. 2008;10(1):81-104.
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