Open AccessPrevalence and Socio-Demographic Factors Associated with Depression among Patients with Tuberculosis attending TB Clinic of Butabika National Referral Mental Hospital.
Author(s) -
Ellen Nagadya Kisembo
Publication year - 2021
Language(s) - English
Resource type - Dissertations/theses
DOI - 10.51168/sjhrafrica.v2i9.63
Subject(s) - depression (economics) , medicine , referral , tuberculosis , mental health , stratified sampling , patient health questionnaire , demography , psychiatry , family medicine , anxiety , depressive symptoms , pathology , sociology , economics , macroeconomics
Background: Depression is a major cause of the global disease burden, affecting an estimated 350-400 million people worldwide. This makes it the largest contributor to Years Lived with Disability (YLDs) globally Methodology: It was a descriptive cross sectional study with an analytic component in which 82 patients already diagnosed with TB were recruited for the study using stratified sampling technique and convenient sampling technique. PHQ-9 was used to assess for presence and severity of depression, a score above 9 was considered to be depressed. Socio-demographic questionnaire was used to obtain the socio-demographic characteristics. Data entry and analysis was done using SPSS 23rd version, Chi-square test and T-test were used to find associations of socio-demographic factors to depression. Results: The prevalence of depression was 54.9%, out of whom 22.2%, 66.7% and 11.1% had mild, moderate and severe depression respectively. Depression was more prevalent in patients from a nuclear family (34.1%), in age group of 31 to 60 years (32.9%), treatment duration of 1 month (31.7%), among the females (29.3%), and patients who were unemployed 28%. Conclusion: In conclusion, the prevalence of depression (54.9%) in TB patients is high, with most patients moderately depressed and this could be associated with multiple socio-demographic factors like being female, age of 30-60 years, unemployment, low education level, being in the intensive phase of TB treatment, HIV and TB co-morbidity. Recommendations: There is need for integration of mental health services into TB treatment to ensure routine screening, early diagnosis and treatment of mental disorders like depression to prevent their co-morbidity with TB, which often has negative treatment outcomes. There is need to carry out more research on depression in patients with TB to widen knowledge about this problem.