Prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia.

Journal: BMC psychiatry

Volume: 19

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Haramaya University, College of Health and Medical Sciences, P.O.Box-, Harar, Ethiopia. tamirathenna@gmail.com. Haramaya University, College of Health and Medical Sciences, P.O.Box-, Harar, Ethiopia. Haramaya University, College of Social Sciences and Humanities, P.O.Box-, Dire Dawa, Ethiopia. Haramaya University, College of Natural and Computational Sciences, P.O.Box-, Dire Dawa, Ethiopia.

Abstract summary 

Depression among tuberculosis patients, especially in settings with low economic status is common. Screening for depression in all levels of health facilities can identify patients who need support and treatment for depression.The aim of this study was to assess the prevalence and associated factors of depression among tuberculosis patients in Eastern Ethiopia.An institutional based cross-sectional study was conducted among 403 tuberculosis patients attending in eleven tuberculosis treatment centers in eastern Ethiopia from February to July 2017. Depression was measured using the Patient Health Questionnaire. Data was collected consecutively until the required sample size was obtained. Tuberclusis  patients who were under anti tuberculosis treatments for more than one month were included. Data were analyzed with Statistical Package for Social Sciences (SPSS) version 20. Bivariate and multivariate logistic regression models were applied to identify independent factors for dependent variable depression and P-values < 0.05 considered statistically significant.A total of 403 tuberculosis patients were included in the study. The prevalence of depression among tuberculosis patients was 51.9% (95%CI = 42.7, 62.2%) with 34.2% were mild cases. In our logistic regression analysis, odds of developing depression among tuberculosis patients with age less than 25 years were 0.5(50% protective effect) [AOR = 0.5, 95% CI 0.26-0.99] where as patients with a monthly income within the 25percentile were four times higher odds to have depression [AOR = 3.98, 95% CI: 2.15-7.39].The prevalence of depression was high in this study. Age, low monthly income, the category of patients as "new tuberculosis treatment" and the first 3 months of treatment was associated with depression among tuberculosis patients. Health facilities should integrating mental health services with tuberculosis clinics, especially assessing and treating TB patients for depression, is vital.

Authors & Co-authors:  Dasa Tamirat Tesfaye TT Roba Aklilu Abrham AA Weldegebreal Fitsum F Mesfin Frehiwot F Asfaw Abiyot A Mitiku Habtamu H Teklemariam Zelalem Z Geddugol Bahubali Jinnappa BJ Naganuri Mahantash M Befikadu Hilina H Tesfaye Eden E

Study Outcome 

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Statistics
Citations :  WHO . Global Health estimates Geneva. 2017. Depression and other common mental disorders.
Authors :  11
Identifiers
Doi : 82
SSN : 1471-244X
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Anxiety;Comorbidity;Depression;Eastern Ethiopia;MDR/ TB patients;Stress
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England