Impact of depression on personal hygiene practices- A cross-sectional study among university students in Bangladesh
Abstract
Background
This study explores the relationship between depression and personal hygiene practices among university students in Bangladesh.
Methods
A cross-sectional online survey was conducted, utilizing an 18-item Personal Hygiene Practice Questionnaire (PHPQ) and the Center for Epidemiologic Studies Depression Scale (CES-D) to assess hygiene behaviors and depression risk among 1,913 undergraduate students in Dhaka. Data were analyzed using chi-square tests and ordered logistic regression. The PHPQ was validated through item analysis, internal consistency, construct validity and reliability tests.
Results
A high prevalence of depression risk was revealed with 79.9% of females and 73.9% of males. Females demonstrated superior hygiene practices, with 90.1% classified as having good hygiene compared to 75.0% of males. Accommodation type significantly influenced both depression and hygiene, as students living in privately managed housing exhibited better hygiene practices (88.6% good hygiene) and lower depression risk (73.2%) compared to those living at home (79.2%) or in university housing (78.7%). Ordered logistic regression analysis indicated that students at risk of depression had 65% lower odds of maintaining better hygiene practices (OR = 0.36, p < 0.001), and male students were 68% less likely to have higher hygiene scores than females (OR = 0.32, p < 0.001). The Exploratory Factor Analysis and Cronbach’s alpha are confirming its reliability (α = 0.83) and strong internal consistency.
Conclusion
These findings underscore the need for targeted interventions in university settings to address mental health and hygiene education. Further research should explore socio-economic and cultural factors influencing these relationships.
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