Health care seeking behavior for depression in Northeast Ethiopia: depression is not considered as illness by more than half of the participants.

Journal: Annals of general psychiatry

Volume: 17

Issue: 

Year of Publication: 

Affiliated Institutions:  Psychiatry Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. School of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia. Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia. Psychiatry Department, College of Medicine and Health Sciences, Dilla University, Dilla, Ethiopia. College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia. College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia. Nursing Department, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Abstract summary 

Depression is one of the most disabling and chronic mental illnesses. Despite its high burden, many people suffering from depression did not perceive that they had a treatable illness and consequently most of them did not seek professional help. The aim of this study was to assess the level of professional help-seeking behavior and associated factors among individuals with depression.The community-based cross-sectional study was conducted among residents of Dessie, Northeast Ethiopia. First, 1165 residents were screened for depression using patient health questionnaire and then 226 individuals who were screened positive for probable depression were interviewed with General Help-Seeking Questionnaire to assess the professional help-seeking behavior of participants with depression. Major associated variables were identified using logistic regression with 95% confidence interval (CI), and variables with a value less than 0.05 were considered statistically significant.Among the total participants with depressive symptoms, only 25.66% of them did seek professional help. Being female [adjusted odds ratio (AOR) = 2.769, 95% CI (1.280, 5.99)], current alcohol drinking [AOR = 2.74, 95% CI (1.265, 5.940)], co-morbid medical-surgical illness [AOR = 4.49, 95% CI (1.823, 11.071)], perceiving depression as illness [AOR = 2.44, 95% CI (1.264, 4.928)], having moderate depressive symptoms [AOR = 2.54, 95% CI (1.086, 5.928)] and moderately severe depressive symptoms [AOR = 7.67, 95% CI (2.699, 21.814)] were significantly associated with help seeking behavior of participants.Level of professional help-seeking behavior is as low as previous studies in different countries. The severity of depressive symptoms, co-morbidity of medical-surgical illness, current drinking of alcohol, being female, and perceiving depression as illness were significantly associated with professional help-seeking behavior for depressive symptoms. Working on mental health literacy in the community is important to increase help-seeking behavior.

Authors & Co-authors:  Menberu Melak M Mekonen Tesfa T Azale Telake T Ayano Getinet G Yimer Solomon S Getnet Asmamaw A Belete Amsalu A Kerie Sitotaw S Fekadu Wubalem W

Study Outcome 

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Statistics
Citations :  World Federation for Mental Health . Depression: a global crisis. World mental health day, October 10 2012. Occoquan: World Federation for Mental Health; 2012.
Authors :  9
Identifiers
Doi : 34
SSN : 1744-859X
Study Population
Female
Mesh Terms
Other Terms
Depression;Ethiopia;Help-seeking behavior;Lower income counties;Stigma
Study Design
Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England