Prevalence, correlates and help-seeking behaviour for depressive symptoms in rural Uganda: a population-based survey.

Journal: Global mental health (Cambridge, England)

Volume: 6

Issue: 

Year of Publication: 

Affiliated Institutions:  Makerere University College of Health Sciences, Kampala, Uganda. Aklilu Lemma Institute of Pathobiology, Addis Ababa University, Addis Ababa, Ethiopia. Butabika National Mental Hospital, Kampala, Uganda. Department of Psychiatry and Mental Health, Alan J Flisher Centre for Public Mental Health, University of Cape Town, Rondebosch, South Africa.

Abstract summary 

Depression is a common disorder characterized by delayed help-seeking, often remaining undetected and untreated.We sought to estimate the proportion of adults in Kamuli District with depressive symptoms and to assess their help-seeking behaviour.This was a population-based cross-sectional study conducted in a rural district in Uganda. Sampling of study participants was done using the probability proportional to size method. Screening for depression was done using Patient Health Questionnaire (PHQ-9). The participants who screened positive also reported on whether and where they had sought treatment. Data collected using PHQ-9 was used both as a symptom-based description of depression and algorithm diagnosis of major depression. All data analysis was done using STATA version 13.With a cut-off score of ⩾10, 6.4% screened positive for current depressive symptoms and 23.6% reported experiencing depressive symptoms in the past 12 months. The majority of individuals who screened positive for current depression (75.6%) were females. In a crude analysis, people with lower education, middle age and low socio-economic status were more likely to have depressive symptoms. Help-seeking was low, with only 18.9% of the individuals who screened positive for current depression having sought treatment from a health worker.Depressive symptoms are common in the study district with low levels of help-seeking practices. People with lower levels of education, low socio-economic status and those in middle age are more likely to be affected by these symptoms. Most persons with current depression had past history of depressive symptoms.

Authors & Co-authors:  Ssebunnya J J Medhin G G Kangere S S Kigozi F F Nakku J J Lund C C

Study Outcome 

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Citations :  Adewuya AO, Ola BA, Ajayi OE, Oyedeji AO, Balogun MO, Mosaku SK (2006). Prevalence and correlates of major depressive disorder in Nigerian outpatients with heart failure. Psychosomatics 47, 479–485.
Authors :  6
Identifiers
Doi : e27
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
Community;PHQ-9;depression;help-seeking
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England