title: Prevalence, correlates of major depression: A mental health survey among undergraduates at a mainland Chinese university.
abstract: BACKGROUND
  This cross-sectional survey among Chinese university students aimed to estimate the prevalence and risk factors of major depressive disorder (MDD) among undergraduates, in order to provide basic information for the prevention and treatment of depression among the college-aged population.
  
  
  METHODS
  A total of 2,046 undergraduates were interviewed face to face using the World Health Organization Composite International Diagnostic Interview Version 3.0 (WHO-CIDI, version 3.0). Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) criteria were used to diagnose MDD. Logistic regression was used to evaluate the associations between MDD and selected correlates.
  
  
  RESULTS
  The survey response rate was 90.1% (N = 1,843). The prevalence rates of MDD were 3.9% (lifetime), 2.4% (12 months) and 0.4% (30 days). No significant gender or age differences were found in prevalence rates. No sociodemographic characteristics were related to the lifetime prevalence of MDD. In contrast, family structure and environment factors specifically being from a single-parent family (odds ratio [OR] = 2.513, confidence interval [CI] = 1.404-2.500), parents having mental problems (OR = 1.809, CI = 1.104-2.964), and physical punishment (OR = 1.789, CI = 1.077-3.001) were associated with higher lifetime prevalence of MDD.
  
  
  CONCLUSIONS
  These findings showed a relatively lower prevalence of DSM-IV/CIDI MDD in this sample of Chinese undergraduates than that reported for students in other countries. However, the prevalence rate for university students was higher than that reported for general Chinese population. Family structure and socio-environmental factors in the student's family of origin significantly correlated with the lifetime prevalence of MDD.
authors.affiliation: School of Public Health, Jilin University, Changchun, China.|Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Wenjun
authors.initials: W
authors.lastname: Li
authors.affiliation: Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.|Department of Psychiatry, McGill University and the Douglas Institute, Montreal, Canada.
authors.forename: Xiangfei
authors.initials: X
authors.lastname: Meng
authors.affiliation: School of Public Health, Jilin University, Changchun, China.
authors.forename: Ziqi
authors.initials: Z
authors.lastname: Xu
authors.affiliation: School of Public Health, Jilin University, Changchun, China.
authors.forename: Qiong
authors.initials: Q
authors.lastname: Yu
authors.affiliation: School of Public Health, Jilin University, Changchun, China.
authors.forename: Jieping
authors.initials: J
authors.lastname: Shi
authors.affiliation: School of Public Health, Jilin University, Changchun, China.
authors.forename: Yaqin
authors.initials: Y
authors.lastname: Yu
authors.affiliation: Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Carl
authors.initials: C
authors.lastname: D'Arcy
authors.affiliation: Institute of Mental health, Peking University, Beijing, China.
authors.forename: Yueqin
authors.initials: Y
authors.lastname: Huang
authors.affiliation: School of Public Health, Jilin University, Changchun, China.|Department of Psychiatry, University of Saskatchewan, Saskatoon, Canada.
authors.forename: Changgui
authors.initials: C
authors.lastname: Kou
mesh_terms: D000293:Adolescent; D000328:Adult; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D003865:Major Depressive Disorder / Q000453:epidemiology*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D015995:Prevalence; D012307:Risk Factors; D013334:Students / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult
keywords: CIDI; correlate; major depression disorder; prevalence; univeristy undergraduate