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Prevalence and factors associated with Suicidal Behaviour in Eswatini

為了解決Census HK的問題，作者MOTSA MFUNDI PRESIDENT SEBENELE 這樣論述：

AbstractIntroductionThe determinants of suicidal behaviour are not well understood for both adolescents and the general adult population in Eswatini. The problem of SB is a lifetime experience that can affect anyone, both young and old. Hence, the research was performed to generate evidence on the

factors associated with suicidal behavior in the aforementioned populations. This dissertation contains two studies. The first study employed a mediation approach to evaluate the roles of multiple mediators (anxiety and loneliness) in the relationship of food insecurity (FI) and being bullied (BB) o

n suicidal behavior (SB) among adolescents in schools. Additionally, it used analysis approaches to assess the combined roles of food insecurity and being bullied on SB, anxiety, and loneliness. The second study addressed whether chronic disease and lifestyle are associated with suicidal ideation (S

I) among adults in Eswatini. Moreover, the study examined the potential modification roles of socioeconomic status (SES) on the association of chronic diseases and lifestyle factors with SI.MethodsStudy hypotheses were examined through secondary analysis from the Global School-based Health Survey (G

SHS) 2012 and STEPwise Approach to NCD Risk Factor Surveillance Survey (STEPS) 2013 surveys. Both of these surveys were designed to produce nationally representative samples using stratified sampling approaches. For our analysis (study 1), we included 3,264 students aged 13-17 years, who responded t

o the questions on food insecurity, being bullied, loneliness, anxiety, and SB. Data for the primary survey were collected through self-administered questionnaires, which were executed through regular class periods. We employed bivariate and multivariate regression models to estimate factors associa

ted between FI and BB with SB, anxiety and loneliness. In addition, we used a binary mediation regression model to assess the potential mediation roles of anxiety and loneliness on the association between FI and BB with SB. The second study utilized STEPs and used a complex sampling design, where a

total of 216 primary sampling units (PSU) were selected using probability-proportionate-to-size sampling. About 20 households were systematically sampled from the PSU to form secondary sampling units. Our analysis, included 3026 adult men and women aged 18 - 69 years who gave responses to the questi

ons on suicide to ascertain the presence or absence of suicidal thoughts. Bivariate and multivariate logistic regression models were used to estimate the associated factors between chronic disease and lifestyle factors with SI.ResultsStudy 1: The results demonstrated that SB, anxiety, and loneliness

were more likely for adolescents who had combined food insecurity and being bullied; were being bullied only; were food insecure only; were physically attacked; had a fight; had no friends; were truant; used marijuana and lacked parental support (all p