Prevalence and correlates of depressive symptoms, and points of intervention, in rural central Uganda: results from a cross-sectional population-based survey of women and men.

Journal: BMJ open

Volume: 12

Issue: 5

Year of Publication: 2022

Affiliated Institutions:  Department of Public Health, The University of Texas at San Antonio, San Antonio, Texas, USA. Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda. Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, San Diego, California, USA. Division of Health Systems Strengthening, Global Centre of Excellence in Health (GLoCEH), Kampala, Uganda. Institute for Collaboration on Health, Intervention and Policy, University of Connecticut, Storrs, Connecticut, USA. Department of Mathematics and Statistics, San Diego State University, San Diego, California, USA. Department of Global Health and Population, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA. Infectious Diseases and Health Systems, FHI , Durham, North Carolina, USA. Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda skiene@sdsu.edu.

Abstract summary 

The present study aimed to identify the prevalence and correlates of depressive symptoms and potential intervention points among women and men from a population-based sample in rural central Uganda.A cross-sectional study.Four districts in rural Uganda.Women and men aged 15-59 residing in four districts in rural Uganda accepting home-based HIV testing who completed a baseline survey at the time of testing.Depressive symptoms measured by the 10-item Center for Epidemiological Studies Depression Scale using a cut-off score of 13 for significant depressive symptoms.Among a sample of 9609 women and 6059 men, 1415 (14.7%) women and 727 (12.0%) men met criteria for significant depressive symptoms. Having ever received mental health services was associated with lower odds of significant depressive symptoms (women: adjusted OR (adjOR)=0.32, 95% CI=0.22 to 0.47; men: adjOR=0.36, 95% CI=0.18 to 0.62). Having received outpatient (women: adjOR=3.64, 95% CI=3.14 to 4.22; men: adjOR=3.37, 95% CI=2.78 to 4.07) or inpatient (women: adjOR=5.44, 95% CI=4.24 to 6.97; men: adjOR=3.42, 95% CI=2.21 to 5.28) care in the prior 6 months was associated with greater odds of significant depressive symptoms. For women only, known HIV positive status (adjOR=1.37, 95% CI=1.05 to 1.77), and for men only, alcohol misuse (adjOR=1.38, 95% CI=1.12 to 1.70), were associated with increased odds of significant depressive symptoms.Our findings suggest that depression screening within outpatient and inpatient settings may help to identify people in need of mental health services. Routine screening in outpatient or inpatient clinics along with the implementation of evidence-based interventions could ultimately help close the mental health gap for depression in this and similar settings.

Authors & Co-authors:  Sileo Katelyn M KM Wanyenze Rhoda K RK Schmarje Crockett Katherine K Naigino Rose R Ediau Michael M Lule Haruna H Kalichman Seth C SC Lin Chii-Dean CD Menzies Nicolas N Bateganya Moses H MH Kiene Susan M SM

Study Outcome 

Source Link: Visit source

Statistics
Citations :  World Health Organization . Depression fact sheet, 2020. Available: https://www.who.int/news-room/fact-sheets/detail/depression
Authors :  11
Identifiers
Doi : e054936
SSN : 2044-6055
Study Population
Men,Women
Mesh Terms
Cross-Sectional Studies
Other Terms
CES-D-10;Depression;Uganda;cross-sectional study;population-based study
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
England