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Background: According to 2015 WHO TB report Ethiopia ranks third in Africa and among the 22 highest TB burdened countries rank eight in the world. Depression is a significant contributor to the global burden of disease. Recent evidence suggests that there is an association between depressive symptom and TB Co-morbidity of TB and depression are public health problems. The study done on depression among TB patient in Ethiopia are very few and done rural and regional setting.
Objectives: To determine the prevalence and associated factors for depression among patients with TB attending public health centers TB clinics in Gullele sub-city A.A Ethiopia.
Methods: Cross sectional study design was used. Primary data was collected among TB patients in Gullele sub city public health centers. Training was given for data collectors. An interview was conducted at the health facility using a structured and pre coded questionnaire translated into Amharic. Bi-variable and multiple logistic regression analysis were computed using SPSS version 20.Variable with p value ≤ 0.2 in bi-variable analysis was taken for multiple analyses to control confounders and p value <0.05 in multiple analyses was considered as significantly associated factors. OR with 95% CI was computed to measure the strength of association.
Result: A total of 266 patients were participated in the study with the response rate of 99.6%.The prevalence of depression (patient health questioner -9≥10) found to be high 54.1 %( 95%CI, 48.5, 60.2). In multivariable analysis female sex (AOR = 2.382(1.101, 5.153), Personal history of mental illness (AOR = 6.117(1.044, 35.834), Chronic Physical illness (AOR = 7.978(3.000, 21.220), Substance use (AOR = 3.796(1.541, 9.348), HIV positive status (AOR = 7.822, (2.898, 21.111), Intermediate social support (AOR =0.196(0.090, 0.427) and Strong social support (AOR = 0.101(0.032, 0.325) were associated with depression.
Conclusion and recommendation: This study revealed depression is highly prevalent among patients in treatment for TB. One in every two TB patients has depression. Recognition and management of depression among patients with TB is likely to result in more positive treatment outcomes. It is recommended that strategies to address the mental health needs of TB patients be integrated into their care.
....................................... Thesis available at ACIPH Library |
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