Depression, Anxiety and Stress Among People Living Chronic Hepatitis B

dc.contributor.advisorAssefa Berihun (PhD)
dc.contributor.authorEyerusalem Mamo
dc.date.accessioned2025-05-22T08:43:01Z
dc.date.available2025-05-22T08:43:01Z
dc.date.issued2024-11
dc.description.abstractThis study investigates depression, anxiety, and stress among individuals living with chronic Hepatitis B (CHB) and receiving follow-up care at St. Paul’s Millennium Medical College, aiming to assess the associations between socio-demographic factors and these mental health outcomes and identify potential predictors of each condition. An institutional-based cross-sectional design was employed, using a quantitative approach to gather data from a sample of 262 individuals with CHB. The Depression, Anxiety, and Stress Scale (DASS-21) was administered to evaluate participants’ emotional states, and both stratified and simple random sampling methods were applied to select the study group. Descriptive statistics were calculated to establish prevalence rates, with Chi-square tests analyzing associations between socio-demographic and clinical factors (age, gender, income, education, family size, year since diagnosed, medication status and adherence) and levels of depression, anxiety, and stress. Further, binary logistic regression was used to determine the significance of socio-demographic variables in predicting these mental health outcomes. The findings revealed that 24% of participants experienced symptoms of depression, 23.6% exhibited anxiety, and 19% reported stress. Depression and anxiety were notably more prevalent among females, while stress levels were higher among participants with lower income and educational attainment. Chi-square analysis indicated that while most socio-demographic factors did not demonstrate statistically significant associations with mental health outcomes, education and income levels were associated with heightened rates of depression, anxiety, and stress. Logistic regression results indicated that income level was a significant predictor of depression, with higher-income individuals showing greater odds of depressive symptoms possibly due to the social pressures and expectations they face, which may compound feelings of isolation and stigma often experienced by CHB individuals. Additionally, lower education and income levels were significantly associated with increased stress, suggesting socio-economic factors play a crucial role in the mental health of this population. These findings emphasize the psychological burden of CHB, particularly for women and those with limited educational and financial resources, who are at higher risk of anxiety and stress. In conclusion, the study underscores the need for comprehensive mental health support tailored to the socio-economic and educational challenges faced by people with CHB. Incorporating accessible counseling services, educational resources, and social support within CHB treatment programs could help alleviate the psychological strain on these patients, ultimately improving adherence to treatment and enhancing quality of life
dc.identifier.urihttps://etd.aau.edu.et/handle/123456789/5537
dc.language.isoen
dc.publisherAddis Ababa University
dc.subjectchronic Hepatitis B (CHB)
dc.titleDepression, Anxiety and Stress Among People Living Chronic Hepatitis B
dc.typeThesis

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