Prevalence of Deperession and Associted Factors Among Medical and Surgical out Patients In Dessie Referal Hospital, North Eastern Amahara, Ethiopia, 2017

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2017-01

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Addis Ababa University

Abstract

Back ground: Depression is a mental disorder that persuasive in the world and affects us all. It affects up to 50.6% in medical settings out patients in Ethiopia. While the disorder can be reliably diagnosed and treated in primary care, it’s unrecognized and under managed (0 % detection rate in some medical settings). Objective: To assess the prevalence and associated factors of depressions among adult in patients in medical and surgical outpatient departments in Dessie referral hospital, north eastern, Ethiopia, 2017 Methods: An institution based cross-sectional study was conducted from 10-15 March 2017 at Dessie referral hospital and comprised patients in the Medical and Surgical outpatient departments at the time. The sample size was determined using a single population proportion formula. Participants were selected using systematic random sampling techniques. The calculate sample size was 424 adult patients. The prevalence of depression was assessed using Patient Health Qurstionnaire-9. Descriptive statics, bivariate and multivariate were performed using SPSS 20. Results: Among the 414 study participants, 214(51.7%) were males. The mean age of the respondents was 39.01 (SD± 16) years. In this study, female were 2 times more likely to experience depression compared with male P=0.012 [AOR=1.926, 95% CI: 1.152, 3.221)] and Participants who were divorced and widowed were 3 times more likely to have depression as compared with participants who were married P = 0.03[AOR=3.076, 95% CI: 1.114,8.490)]. Conclusion and recommendation: The prevalence of depression among patients in medical and surgical OPDs in Dessie referral hospital was relatively high (39.1%). Depression had statistically significant association with age, sex, marital status, occupational status, chronic illness, substance use and family history of mental illness. The major implication of these study findings on the health system is the importance of ensuring support to primary health care services for early detection and referral of depression. Key words: Depression; Prevalence; Associated factors; Medical and Surgical out patients.

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Depression, Prevalence, Associated factors, Medical and Surgical out patients

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