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 dataset 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 UN Multi-Country Study of Men and Violence, conducted by The International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b). 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 level and addressing individual-level financial strain are promising joint strategies to improve married men's mental health in Bangladesh and similar settings.

中文翻译：

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对孟加拉国男性抑郁症状的多层次影响。

抑郁症是一个世界性问题，在孟加拉国等资源不足，贫困普遍的低收入国家尤为普遍。然而，在这种情况下，尚未研究男性抑郁症状的多级决定因素。我们利用孟加拉国男性的新数据集来确定男性主导压力和经济压力对孟加拉国已婚男性抑郁症状发生频率的社区和个人影响。数据收集于2011年1月至6月之间，是孟加拉国国际腹泻病研究中心（icddr，b）开展的联合国男子与暴力多国研究的一部分。两种水平上的男性优势应变都与抑郁症状的发生频率有关。仅在个人层面上的财务压力与抑郁症状的发生频率有关。我们得出的结论是，社区层面的经济干预措施可能不会直接影响个人层面的抑郁。但是，在社区和个人层面解决男性气概的习惯观念并解决个人层面的财务压力，有望改善孟加拉国和类似地区已婚男子的心理健康状况。