Magnitude and Associated Factors of Depression Among Adult with Chronic Skin Disease in Tertiary Hospitals in Addis Ababa, Ethiopia ,2023: An institution -Based Cross-Sectional Study
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Date
2023
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Addis Ababa University
Abstract
Background: - Globally depression is the leading cause of disability. It is prevalent in middle and low-income countries. Depression is common among people with chronic illness like chronic skin disease. The co-occurrence of depression and chronic skin disease markedly reduce quality of life, increase the morbidity and mortality of skin disease, also it has socioeconomic
burden at individual level and at national level. In low-income country including Ethiopia, there is scarcity of information compared to high income country on the burden of depression of chronic skin disease patients.
Objective: To assess the magnitude and associated factors of depression among adults with chronic skin disease in tertiary hospitals in Addis Ababa, Ethiopia, 2023.
Methods: An institution-based cross-sectional study was conducted in three randomly selected tertiary hospitals in Addis Ababa. The study was conducted on 314 study participants attending an outpatient dermatology clinic. Depression was assessed through the patient health questionnaire-9. The statistical package for social science, version 27, was utilized to analyze the data. Bivariate analysis was used to test the association between an outcome and an explanatory
variable. To declare an independent association, multi-variate analysis was done, and an odd ratio with a 95% CI was calculated. A p-value < 0.05 was considered statistically significant.
Results: The prevalence of depression among adults with chronic skin disease was 32.8%. In the multivariate analysis, depression was significantly associated with female sex AOR [0.123 95%CL (0.049-0.312)] P<0.001, 18-27 age group AOR [4.16 95%CL (1.006-15.28)], monthly income AOR (4.110 95%CI [1.612-9.48)] p=0.001, family history of mental illness AOR [6.21
95%CL [2.5-15.73)]p=0.001, involved body part AOR [4.12 95%CL (1.47-10.55)] p=0.003, and body image disturbance AOR [0.0556 95%Cl (0.023-0.155)] p=0.001.
Conclusion: In this study, depression was found to be a prevalent psychiatric co-morbidity in adult chronic skin disease patients. Female sex, young age group, monthly income, family history of mental illness, and body image disturbance were significantly associated with depression. It is crucial to regularly screen patients for depression, paying close attention to those
who have risk factors.