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Multilevel Influences on Depressive Symptoms Among Men in Bangladesh

机译：对孟加拉国男性抑郁症状的多层次影响

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摘要

Depression is a worldwide problem and is especially prevalent in lower income countries with insufficient resources and widespread poverty, such as Bangladesh. Yet, multilevel determinants of depressive symptoms in men have not been studied in this context. We leverage a novel data set from men in Bangladesh to determine the community- and individual-level influences of masculine dominance strain and financial strain on the frequency of married men's depressive symptoms in Bangladesh. Data were collected between January and June 2011 as part of the United Nations Multi-Country Study on Men and Violence, conducted by the International Centre for Diarrheal Disease Research, Bangladesh. Masculine dominance strain at both levels was related to the frequency of depressive symptoms. Financial strain only at the individual level was related to the frequency of depressive symptoms. We conclude that community-level economic interventions may not directly influence individual-level depression; however, addressing customary conceptions of masculinity at the community and individual levels and addressing individual-level financial strain are promising joint strategies to improve married men's mental health in Bangladesh and similar settings.
机译：抑郁症是一个全球问题，在资源不足和广泛贫困的低收入国家中尤其普遍存在，例如孟加拉国。然而，在这种情况下，尚未研究男性抑郁症状的多层次决定因素。我们利用孟加拉国男性的新型数据集来确定男性优势压力和财务压力的社区和个人水平影响对孟加拉国已婚男性抑郁症状的频率的影响。数据是在2011年1月至2011年6月之间作为联合国多国男子和暴力研究的一部分，该研究由孟加拉国国际腹泻病研究中心进行。两个级别的男性优势菌株与抑郁症状的频率有关。仅在个人层面上的财务压力与抑郁症状的频率有关。我们得出的结论是，社区水平的经济干预可能不会直接影响个人级别的抑郁。但是，解决社区和个人层面的习惯概念并解决个人级别的财务压力，这是有望改善孟加拉国已婚男子心理健康和类似环境的有希望的联合策略。

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